A preliminary economic evaluation of percutaneous neuromuscular electrical stimulation in the treatment of hemiplegic shoulder pain.
other · Level V
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Abstract
The objective of this study was to compare the cost-effectiveness of various treatment modalities for hemiplegic shoulder pain. A stage II economic evaluation. Incremental cost effectiveness ratio of P-NMES, compared to slings and anti-inflammatory injections. The incremental cost effectiveness ratio (ICER) of p-NMES, compared to anti-inflammatory injections is 6,061 euro(+/-3,285). The incremental cost of the first quality-adjusted life year after implantation of the P-NMES device compared to anti-inflammatory injections is 33,007 euro (+/-5,434). This decreases to approximately 7,000 euro after 5 years, and to approximately 5,000 euro after 10 survival years. In this early evaluation, P-NMES seems to be cost-effective according to known guidelines. Treatment with P-NMES is recommended for patients with chronic HSP.
Medical subject headings
- Direct Service Costs
- Electric Stimulation Therapy
- Hemiplegia
- Shoulder Pain