Evidence map›Paper›PMID 32460773›Full record

ArticleBMC health services research2020

Protocol for the economic evaluation of the InTENSE program for rehabilitation of chronic upper limb spasticity.

Rachel Milte, Julie Ratcliffe, Louise Ada, Coralie English, Maria Crotty, Natasha A Lannin

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 93% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

6 authors at 3 institutions in 1 country.

Rachel MilteCaring Futures Institute, Flinders University, Adelaide, South Australia, 5001, Australia. rachel.milte@flinders.edu.au.ORCID http://orcid.org/0000-0001-7533-6260
Julie RatcliffeCaring Futures Institute, Flinders University, Adelaide, South Australia, 5001, Australia.
Louise AdaDiscipline of Physiotherapy, The University of Sydney, Sydney, Australia.
Coralie EnglishSchool of Health Sciences and Priority Research Centre for Stroke and Brain Injury, University of Newcastle, Newcastle, Australia.
Maria CrottyCollege of Medicine and Public Health, Flinders University, Adelaide, Australia.
Natasha A LanninDepartment of Neurosciences, Central Clinical School, Monash University, Melbourne, Australia.
Flinders University · AUThe University of Sydney · AUUniversity of Newcastle Australia · AU

Funding

National Health and Medical Research Council GNT1079542National Health and Medical Research Council GNT1112158
6 · The paper itself

Abstract

backgroundAssessment of the costs of care associated with chronic upper-limb spasticity following stroke in Australia and the potential benefits of adding intensive upper limb rehabilitation to botulinum toxin-A are key objectives of the InTENSE randomised controlled trial.

methodsRecruitment for the trial has been completed. A total of 139 participants from 6 stroke units across 3 Australian states are participating in the trial. A cost utility analysis will be undertaken to compare resource use and costs over 12 months with health-related quality of life outcomes associated with the intervention relative to a usual care comparator. A cost effectiveness analysis with the main clinical measure of outcome, Goal Attainment Scaling, will also be undertaken. The primary outcome measure for the cost utility analysis will be the incremental cost effectiveness ratio (ICER) generated from the incremental cost of the intervention as compared to the incremental benefit, as measured in quality adjusted life years (QALYs) gained. The utility scores generated from the EQ-5D three level instrument (EQ-5D-3 L) measured at baseline, 3 months and 12 months will be utilised to calculate the incremental Quality Adjusted Life Year (QALY) gains for the intervention relative to usual care using area-under the curve methods. DISCUSSION: The results of the economic evaluation will provide evidence of the total costs of care for patients with chronic upper limb spasticity following stroke. It will also provide evidence for the cost-effectiveness of adding evidence-based movement therapy to botulinum toxin-A as a treatment, providing important information for health system decision makers tasked with the planning and provision of services.

Indexed as

Botulinum Toxins, Type ACost-Benefit AnalysisMuscle SpasticityPhysical Therapy ModalitiesUpper ExtremityAustraliaHumansQuality-Adjusted Life YearsQuality of LifeRandomized Controlled Trials as TopicStrokeBotulinum Toxins, Type ABotulinum toxinCost effectiveness analysisCostsMotor trainingQuality of lifeRehabilitationTherapy

Identifiers

PMID32460773
PMCPMC7254740
OpenAlexW3031725471

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.