Table 5.
Mean NHS costs (£) of healthcare resource use over the 6-month study period.
| Type of care | Number of patients | Mean cost (SE) | Mean treatment difference (95% CI) | ||
|---|---|---|---|---|---|
| Usual care | SPACE | Usual care | SPACE | ||
| Intervention (therapy deliver, consumables and sessions attended | 95 | 89 | 160.65 (108.69) | 181.39 (104.37) | −20.74 (−51.77 to 10.29) |
| NHS services | |||||
| GP, surgery visit | 90 | 85 | 43 (6.59) | 34.41 (5.87) | 8.59 (30.10 to 47.57) |
| GP, home visit | 90 | 85 | 22.71 (11.51) | 3.44 (3.43) | 19.28 (−5.02 to 43.58) |
| GP, phone | 90 | 85 | 5.7 (1.62) | 6.99 (2.40) | −1.29 (−6.95 to 4.37) |
| Community Physiotherapist, hour | 90 | 85 | 1.89 (0.83) | 2.8 (1.02) | −0.91 (−3.49 to 1.67) |
| Social worker, hour | 90 | 85 | 0.63 (0.63) | 0 (0) | 0.63 (−0.65 to 1.92) |
| District nurse, hour | 89 | 85 | 30.20 (4.43) | 25.41 (3.99) | 4.79 (−7.01 to 16.59) |
| District nurse, phone | 90 | 85 | 3.22 (1.68) | 1.36 (0.96) | 1.86 (−2.02 to 5.73) |
| District nurse, home visit | 90 | 84 | 25.67 (24.12) | 0.83 (0.83) | 24.83 (−24.48 to 74.15) |
| Clinical Decision Clinic | 95 | 86 | 1.68 (0.83) | 0.93 (0.65) | 0.75 (−1.35 to 2.87) |
| Inpatient stay, episode | 95 | 86 | 5.03 (5.03) | 5.56 (5.56) | −0.53 (−15.28 to 14.23) |
| Respiratory clinic, visit | 95 | 86 | 12.97 (4.98) | 34.02 (10.92) | −21.05 (−44.02 to 1.91) |
| Hospital nurse | 95 | 86 | 0 (0) | 1.74 (1.23) | −1.74 (−4.05 to 0.56) |
| Emergency department, visit | 95 | 86 | 1.23 (1.23) | 4.08 (2.33) | −2.85 (−7.94 to 2.22) |
| Physiotherapist department, visit | 95 | 86 | 0.44 (0.44) | 0.98 (0.69) | −0.53 (−2.12 to 1.05) |
| X-rays, test | 95 | 86 | 0.84 (0.24) | 0.99 (0.30) | −0.15 (−0.90 to 0.61) |
| CT scan, test | 95 | 86 | 0.97 (0.97) | 9.63 (3.74) | −8.66 (−15.96 to −1.37) |
| Blood tests, test | 94 | 86 | 5.14 (1.19) | 6.31 (1.18) | −1.18 (−4.50 to 2.15) |
| Spirometry test, test | 95 | 86 | 12.31 (4.50) | 17.48 (5.54) | −5.17 (−19.15 to 8.81) |
| Lung function test, test | 95 | 86 | 3.51 (2.48) | 7.77 (3.81) | −4.25 (−13.10 to 4.56) |
| Sputum test, test | 95 | 86 | 0.74 (0.32) | 1.39 (0.59) | −0.65 (−1.94 to 0.64) |
| Electrocardiogram monitoring, test | 95 | 86 | 5.02 (1.79) | 8.01 (2.40) | −2.99 (−8.83 to 2.85) |
| Urine test, test | 95 | 86 | 1.39 (0.31) | 1.12 (0.24) | 0.27 (−0.51 to 1.05) |
| All NHS services | 88 | 84 | 178.24 (33.6) | 166.42 (25.21) | 11.82 (−71.69 to 95.33) |
| Prescriptions | |||||
| Respiratory | 95 | 89 | 59.95 (5.26) | 77.07 (9.05) | −17.11 (−37.45 to 3.22) |
| Antibiotics | 95 | 89 | 1.42 (0.22) | 1.14 (0.31) | 0.27 (−0.48 to 1.02) |
| Steroids | 90 | 85 | 0.91 (0.19) | 1.07 (0.39) | −0.16 (−0.99 to 0.68) |
| All prescriptions | 90 | 85 | 62.28 (5.34) | 79.28 (9.25) | −17.00 (−37.74 to 3.74) |
| Total cost | 88 | 84 | 409.54 (351.72) | 436.72 (275.72) | −27.18 (−122.59 to 68.25) |
NHS: National Health Service; SPACE: self-management programme of activity, coping and education; CI: confidence interval; GP: general practitioner.