Cost-effectiveness analysis of robot-assisted gait training in patients with bilateral spastic cerebral palsy

Cost Effectiveness and Resource Allocation

Research

Katarína Valovičová¹  Branislav Kollár¹  Pavol Šiarnik¹  Robert Klobucký²  Stanislava Klobucká³ 

[1] 1st Department of Neurology, Faculty of Medicine, Comenius University Bratislava, Bratislava, Slovakia;Institute for Sociology, Slovak Academy of Sciences, Bratislava, Slovakia;Rehabilitation Centre Harmony, Bratislava, Slovakia;Faculty of Medicine, Slovak Medical University, Bratislava, Slovakia;

关键词: Neurorehabilitation;    Health technology assessment;    Advanced rehabilitation technologies;    Lokomat;    Cerebral palsy;    Gross motor functions;   

DOI  :  10.1186/s12962-023-00475-3

 received in 2023-04-19, accepted in 2023-09-04,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundTo date, there have been no published studies evaluating the cost-effectiveness of robot-assisted gait training (RAGT) in adolescent and adult patients with cerebral palsy (CP). The study´s aim was to analyse the cost-effectiveness of RAGT versus conventional kinesiotherapy (CON) from the health care provider’s perspective.MethodsWe expressed the cost-effectiveness of RAGT in the Lokomat® system after analysing the costs and effects of RAGT and conventional therapy through the Incremental Cost-Effectiveness Ratio (ICER) based on a bicentric randomized controlled study, in which we demonstrated that the intensive RAGT regimen is more effective than conventional therapy in terms of improvements in gross motor functions in adolescent and adult patients with bilateral spastic CP.ResultsAccording to the calculated ICER ratio for Lokomat®, an additional improvement per unit of effect (1% in GMFM), compared to conventional therapy, results in an average cost increase of EUR70.38 per patient in a therapeutic block consisting of 20 TUs (Therapeutic Units).ConclusionHowever, from the comprehensive analysis of the results and evaluation of the long-term effects, it follows that RAGT applied in adolescent and adult patients with bilateral spastic CP is not only more effective in terms of evaluation of monitored clinical parameters, but in the long term it is also more cost-effective compared to conventional therapy.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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Fig. 5