Table 6.
Cost-consequences. All available data*
| n (%) | Usual care | n (%) | PhysioDirect | Incremental difference (95% CI) | |
|---|---|---|---|---|---|
| Mean (SD) cost | |||||
| Total physiotherapy cost | 743 | £69.73 (£56.17) | 1506 | £74.01 (£63.97) | £4.28 (−£1.12 to £9.69) |
| Cost of NHS services including physiotherapy | 453 (61%) | £189.19 (£557.61) | 888 (59%) | £196.43 (£472.02) | £7.24 (−£49.68 to £64.10) |
| Total personal expenditure | 310 (42%) | £121.10 (£575) | 714 (47%) | £166.40 (£1040.27) | £45.30 (−£78.01 to £168.61) |
| Total value of all time off work† | 451 (61%) | £276.75 (£1355.00) | 883 (59%) | £240.74 (£1147.20) | −£36.01 (−£174.69 to £102.66) |
| Consequences‡ | Difference/OR (95% CI)§ | ||||
| SF36v2 PCS | 629 (85%) | 44.18 (10.84) | 1283 (85%) | 43.50 (10.94) | −0.01 (−0.80 to 0.79) |
| MYMOP¶ | 518 (70%) | 2.40 (1.38) | 1033 (69%) | 2.40 (1.43) | −0.02 (−0.16 to 0.11) |
| Global improvement score | 501 (67%) | 4.07 (1.40) | 1001 (66%) | 4.01 (1.44) | −0.08 (−0.23 to 0.08) |
| Response to treatment (OMERACT OARSI) | 510 (69%) | 197 (38.6%) | 1029 (68%) | 430 (41.8%) | 1.14 (0.92 to 1.43) |
| Waiting time to first assessment and advice | 618 (83%) | 34 (20 to 55)** | 1281 (85%) | 7 (4 to 15)** | 0.32 (0.29 to 0.35)†† |
| Patient overall satisfaction | 367 (49%) | 79.7 (26.5) | 739 (49%) | 75.9 (28.3) | −3.8 (−7.3 to −0.3) |
| QALYs‡‡ | 454 (61%) | 0.322 (0.079) | 881 (58%) | 0.331 (0.082) | 0.009 (−0.000 to 0.018) |
*Uses all available data, so denominators differ by category.
†Total of time off to attend physiotherapy and associated with the condition.
‡At 6-month follow-up time point.
§Adjusted for outcome at baseline, gender, age, referral problem, PCT.
¶Lower score is better.
**Median (IQR).
††Accelerated failure time analysis.
‡‡Adjusted for outcome at baseline.
MYMOP, measure yourself medical outcomes profile; NHS, National Health Service; PCS, physical component summary; QALY, Quality-Adjusted Life Year.