Cost Effectiveness

Updated: January 2021

Telehealth

  • A 2020 RCT evaluated a physical-therapist-led telephone-delivered exercise advice and support intervention, compared to standard nurse-delivered telephone advice on self-care for people with knee osteoarthritis. It found that at 6 months, exercise advice and support resulted in greater improvement in function, but not overall pain. Eight of 14 secondary outcomes favored exercise advice and support at 6 months, including pain on daily activities, walking pain, pain self-efficacy, global improvements across multiple domains (overall improvement, improved pain, improved function and improved physical activity) and satisfaction. By 12 months, most outcomes were similar between groups. Telephone-delivered physiotherapist-led exercise advice and support modestly improved physical function but not the co-primary outcome of knee pain at 6 months. Functional benefits were not sustained at 12 months. The clinical significance of this effect is uncertain. FREE FULL TEXT

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A literature synthesis of Chiropractic Care as it relates to Cost-Effectiveness — an academically rigorous analysis of all the available scientific literature using internationally accepted tools to rate each article according to specific criteria indicating only what we can conclude with supportable, scientific evidence.