Table 3.
Resource use for BoNT-A and best supportive care arms
Resource use item | BoNT-A arm
|
Best supportive care arm
|
Source | ||
---|---|---|---|---|---|
% Using | Amount | % Using | Amount | ||
Skeletal muscle relaxant | |||||
Oral baclofen | 3% | 60 mg daily dose | 70% | 60 mg daily dose | Ward et al;19 BNF24 |
Tizanidine | 3% | 24 mg daily dose | 70% | 24 mg daily dose | Ward et al;19 BNF24 |
Oral dantrolene | 3% | 225 mg daily dose | 70% | 225 mg daily dose | Ward et al;19 BNF24 |
Analgesics | |||||
Benzodiazepines | 5% | 208 mg daily dose | 5% | 208 mg daily dose | KOL opinion |
Gabapentin | 5% | 600 mg daily dose | 5% | 600 mg daily dose | KOL opinion |
Health care professional | |||||
Physiatrist | 50%a | 4.3 visits per year, lasting 1 hour each timeb | 50%a | 4.6 visits per year, lasting 0.5 hour each time | Assumptions; Ward et al19 |
Neurologist | 50%a | 4.3 visits per year, lasting 1 hour each timeb | 50%a | 1.9 visits per year, lasting 0.5 hour each time | Assumptions; Ward et al19 |
Physiotherapist | 100% | 140 visits per year, lasting 1 hour each timeb | 100% | 166 visits per year, lasting 0.5 hour each time | KOL opinion; Ward et al19 |
Practice nurse | 100% | 156 visits per year | 100% | 296 visits per year | KOL opinion; Ward et al19 |
GP visit | 100% | 2.4 visits per year | 100% | 4.9 visits per year | KOL opinion; Ward et al19 |
Laboratory test | |||||
Blood test | 0% | 0 | 70% | 4 times per year | KOL opinion |
Procedures | |||||
Ultrasound | 12.50% | 4.3 times per yearb | 0% | 0 | KOL opinion, assumption |
Splinting | 50% | 3 times per year | 50% | 3 times per year | KOL opinion |
Nonmedical costs | |||||
Transportation | 50% | 4.3 times per yearb | 50% | 4.6 times per yearc | Assumption |
Other medical/social services costs | |||||
Hospital admission days | 100% | 2.5 times per year | 100% | 2.5 times per year | KOL opinion |
Notes:
Patients are treated by either a physiatrist or a neurologist, therefore 50% of patients are assumed to visit a physiatrist and 50% a neurologist;
assumed outpatient visit is linked to the number of injections per year (BoNT-A injection provided every 12 weeks);
assumed transportation is linked to the number of physiatrist visits.
Abbreviations: BNF, British National Formulary; BoNT-A, botulinum toxin A; GP, general practitioner; KOL, key opinion leader.