Evidence map›Paper›PMID 30029649›Full record

ArticleBMC health services research2018

A prospective cohort study measuring cost-benefit analysis of the Otago Exercise Programme in community dwelling adults with rheumatoid arthritis.

Siyar Abdulrazaq, Jackie Oldham, Dawn A Skelton, Terence O'Neill, Luke Munford, Brenda Gannon, Mark Pilling, Chris Todd, Emma K Stanmore

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
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  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Siyar AbdulrazaqE K Stanmore School of Nursing, Midwifery and Social Work, MAHSC (Manchester Academic Health Science Centre), University of Manchester, Jean McFarlane Building, University Place, Manchester, M13 9PL, UK.
Jackie OldhamArthritis Research UK Centre for Epidemiology & NIHR Manchester Musculoskeletal Biomedical Research Unit, Manchester Academic Health Science Centre, The University of Manchester, Manchester, M13 9PL, UK.
Dawn A SkeltonSchool of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Rd, Glasgow, G4 0BA, UK.
Terence O'NeillArthritis Research UK Centre for Epidemiology & NIHR Manchester Musculoskeletal Biomedical Research Unit, Manchester Academic Health Science Centre, The University of Manchester, Manchester, M13 9PL, UK.
Luke MunfordCentre for Health Economics, Institute of Population Health, University of Manchester, Manchester, M13 9PL, UK.
Brenda GannonCentre for Health Economics, Institute of Population Health, University of Manchester, Manchester, M13 9PL, UK.
Mark PillingE K Stanmore School of Nursing, Midwifery and Social Work, MAHSC (Manchester Academic Health Science Centre), University of Manchester, Jean McFarlane Building, University Place, Manchester, M13 9PL, UK.
Chris ToddE K Stanmore School of Nursing, Midwifery and Social Work, MAHSC (Manchester Academic Health Science Centre), University of Manchester, Jean McFarlane Building, University Place, Manchester, M13 9PL, UK.
Emma K StanmoreE K Stanmore School of Nursing, Midwifery and Social Work, MAHSC (Manchester Academic Health Science Centre), University of Manchester, Jean McFarlane Building, University Place, Manchester, M13 9PL, UK. Emma.K.stanmore@manchester.ac.uk.ORCID 0000-0002-4522-5292
Manchester Academic Health Science Centre · GBUniversity of Manchester · GBGlasgow Caledonian University · GB

Funding

Arthritis Research UK 18010Medical Research Council MR/N015126/1Wellcome TrustWellcome Trust 06834
6 · The paper itself

Abstract

backgroundFalls are one of the major health problems in adults with Rheumatoid Arthritis (RA). Interventions, such as the Otago Exercise Programme (OEP), can reduce falls in community dwelling adults by up to 35%. The cost-benefits of such a programme in adults with RA have not been studied. The aims of this study were to determine the healthcare cost of falls in adults with RA, and estimate whether it may be cost efficient to roll out the OEP to improve function and prevent falls in adults living with RA.

methodsPatients with Rheumatoid Arthritis aged ≥18 years were recruited from four rheumatology clinics across the Northwest of England. Participants were followed up for 1 year with monthly fall calendars, telephone calls and self-report questionnaires. Estimated medical cost of a fall-related injury incurred per-person were calculated and compared with OEP implementation costs to establish potential economic benefits.

resultsFive hundred thirty-five patients were recruited and 598 falls were reported by 195 patients. Cumulative medical costs resulting from all injury leading to hospital services is £374,354 (US$540,485). Average estimated cost per fall is £1120 (US$1617). Estimated cost of implementing the OEP for 535 people is £116,479 (US$168,504) or £217.72 (US$314.34) per-person. Based on effectiveness of the OEP it can be estimated that out of the 598 falls, 209 falls would be prevented. This suggests that £234,583 (US$338,116) savings could be made, a net benefit of £118,104 (US$170,623).

conclusionsImplementation of the OEP programme for patients with RA has potentially significant economic benefits and should be considered for patients with the condition.

Indexed as

Health Care CostsAccidental FallsAdultArthritis, RheumatoidCost-Benefit AnalysisExercise TherapyHumansIndependent LivingProspective StudiesSelf ReportSurveys and QuestionnairesUnited KingdomCostsFallsFalls preventionHealth economicsInjuryOTAGOProspectiveRheumatoid arthritis

Identifiers

PMID30029649
PMCPMC6053737
OpenAlexW2781429709

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.