An 8-Week Knee Osteoarthritis Treatment Program of Hyaluronic Acid Injection, Deliberate Physical Rehabilitation, and Patient Education is Cost Effective at 2 Years Follow-up: The OsteoArthritis Centers of AmericaSM Experience

Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders

Original Research

Larry E. Miller¹  Jon E. Block² 

[1] Miller Scientific Consulting, Inc., Asheville, NC, USA.;The Jon Block Group, San Francisco, CA, USA.;The Jon Block Group, San Francisco, CA, USA.;

关键词: arthroplasty;    cost effectiveness;    hyaluronic acid;    knee;    osteoarthritis;   

DOI  :  10.4137/CMAMD.S18356

 received in 2014-07-02, accepted in 2014-09-24,  发布年份 2014

来源: Sage Journals

【 摘 要 】

Numerous nonsurgical interventions have been reported to improve symptoms of knee osteoarthritis (OA) over the short term. However, longer follow-up is required to accurately characterize outcomes such as cost effectiveness and delayed arthroplasty. A total of 553 patients with symptomatic knee OA who previously underwent a single 8-week multimodal treatment program were contacted at 1 year (n = 336) or 2 years (n = 217) follow-up. The percentage of patients who underwent knee arthroplasty was 10% at 1 year and 18% at 2 years following program completion. The treatment program was highly cost effective at $12,800 per quality-adjusted life year at 2 years. Cost effectiveness was maintained under a variety of plausible assumptions and regardless of gender, age, body mass index, disease severity, or knee pain severity. In summary, a single 8-week multimodal knee OA treatment program is cost effective and may lower knee arthroplasty utilization through 2 years follow-up.

【 授权许可】

CC BY-NC   
© 2014 SAGE Publications.

【 图 表 】

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