Hostname: page-component-76fb5796d-vfjqv Total loading time: 0 Render date: 2024-04-25T16:27:13.225Z Has data issue: false hasContentIssue false

METHODOLOGICAL QUALITY OF ECONOMIC EVALUATIONS ALONGSIDE TRIALS OF KNEE PHYSIOTHERAPY

Published online by Cambridge University Press:  31 August 2017

Lidia García-Pérez
Affiliation:
Fundación Canaria de Investigación Sanitaria (FUNCANIS) Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC) Centro de Investigaciones Biomédicas de Canarias (CIBICAN) Universidad de La Lagunalidia.garciaperez@sescs.es
Renata Linertová
Affiliation:
Fundación Canaria de Investigación Sanitaria (FUNCANIS) Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC) Centro de Investigaciones Biomédicas de Canarias (CIBICAN)
Alejandro Arvelo-Martín
Affiliation:
Fundación Canaria de Investigación Sanitaria (FUNCANIS)
Carolina Guerra-Marrero
Affiliation:
Fundación Canaria de Investigación Sanitaria (FUNCANIS)
Carlos Enrique Martínez-Alberto
Affiliation:
Servicio Canario de la Salud
Leticia Cuéllar-Pompa
Affiliation:
Fundación Canaria de Investigación Sanitaria (FUNCANIS) Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC)
Antonio Escobar
Affiliation:
Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC) Hospital de Basurto
Pedro Serrano-Aguilar
Affiliation:
Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC) Centro de Investigaciones Biomédicas de Canarias (CIBICAN) Servicio de Evaluación del Servicio Canario de la Salud

Abstract

Objectives: The methodological quality of an economic evaluation performed alongside a clinical trial can be underestimated if the paper does not report key methodological features. This study discusses methodological assessment issues on the example of a systematic review on cost-effectiveness of physiotherapy for knee osteoarthritis.

Methods: Six economic evaluation studies included in the systematic review and related clinical trials were assessed using the 10-question check-list by Drummond and the Physiotherapy Evidence Database (PEDro) scale.

Results: All economic evaluations were performed alongside a clinical trial but the studied interventions were too heterogeneous to be synthesized. Methodological quality of the economic evaluations reported in the papers was not free of drawbacks, and in some cases, it improved when information from the related clinical trial was taken into account.

Conclusions: Economic evaluation papers dedicate little space to methodological features of related clinical trials; therefore, the methodological quality can be underestimated if evaluated separately from the trials. Future economic evaluations should follow more strictly the recommendations about methodology and the authors should pay special attention to the quality of reporting.

Type
Methods
Copyright
Copyright © Cambridge University Press 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Drummond, MF, Sculpher, MJ, Torrance, GW, O'Brien, BJ, Stoddart, GL. Methods for the economic evaluation of health care programmes. 3rd ed. Oxford: Oxford University Press; 2005.CrossRefGoogle Scholar
2. O'Sullivan, AK, Thompson, D, Drummond, MF. Collection of health-economic data alongside clinical trials: Is there a future for piggyback evaluations? Value Health. 2005;8:6779. doi:10.1111/j.1524-4733.2005.03065.Google Scholar
3. Centre for Reviews and Dissemination. Systematic reviews. CRD's guidance for undertaking reviews in health care. York: CRD, University of York; 2009. http://www.york.ac.uk/crd/guidance/ (accessed January 29, 2017).Google Scholar
4. Armijo-Olivo, S, Cummings, GG, Fuentes, J, et al. Identifying items to assess methodological quality in physical therapy trials: A factor analysis. Phys Ther. 2014;94:12721284. doi:10.2522/ptj.20130464.Google Scholar
5. Falagas, ME, Grigori, T, Ioannidou, E. A systematic review of trends in the methodological quality of randomized controlled trials in various research fields. J Clin Epidemiol. 2009;62:227231.e9. doi:10.1016/j.jclinepi.2008.07.012.Google Scholar
6. Dechartres, A, Charles, P, Hopewell, S, Ravaud, P, Altman, DG. Reviews assessing the quality or the reporting of randomized controlled trials are increasing over time but raised questions about how quality is assessed. J Clin Epidemiol. 2011;64:136144. doi:10.1016/j.jclinepi.2010.04.015.Google Scholar
7. Mhaskar, R, Djulbegovic, B, Magazin, A, Soares, HP, Kumar, A. Published methodological quality of randomized controlled trials does not reflect the actual quality assessed in protocols. J Clin Epidemiol. 2012;65:602609. doi:10.1016/j.jclinepi.2011.10.016.Google Scholar
8. García Pérez, L, Arvelo Martín, A, Guerra Marrero, C, et al. Revisión del coste-efectividad de las intervenciones de fisioterapia en la artrosis de rodilla. Ministerio de Sanidad, Servicios Sociales e Igualdad. Servicio de Evaluación del Servicio Canario de la Salud; 2013. Informes de Evaluación de Tecnologías Sanitarias.Google Scholar
9. PEDro Scale [Internet]. Australia: The Centre of Evidence-Based Physiotherapy https://www.pedro.org.au/english/downloads/pedro-scale (accessed January 29, 2017).Google Scholar
10. Maher, CG, Sherrington, C, Herbert, RD, Moseley, AM, Elkins, M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 2003;83:713721.Google Scholar
11. Lord, J, Victor, C, Littlejohns, P, Ross, FM, Axford, JS. Economic evaluation of a primary care-based education programme for patients with osteoarthritis of the knee. Health Technol Assess. 1999;3:155. doi:10.3310/hta3230.Google Scholar
12. Sevick, MA, Bradham, DD, Muender, M, et al. Cost-effectiveness of aerobic and resistance exercise in seniors with knee osteoarthritis. Med Sci Sports Exerc. 2000;32:15341540.Google Scholar
13. Beaupre, LA, Lier, D, Davies, DM, Johnston, DBC. The effect of a preoperative exercise and education program on functional recovery, health related quality of life, and health service utilization following primary total knee arthroplasty. J Rheumatol. 2004;31:11661173.Google ScholarPubMed
14. McCarthy, CJ, Mills, PM, Pullen, R, et al. Supplementation of a home-based exercise programme with a class-based programme for people with osteoarthritis of the knees: A randomised controlled trial and health economic analysis. Health Technol Assess. 2004;8:iii-iv, 161. doi:10.3310/hta8460.CrossRefGoogle ScholarPubMed
15. Richardson, G, Hawkins, N, McCarthy, CJ, et al. Cost-effectiveness of a supplementary class-based exercise program in the treatment of knee osteoarthritis. Int J Technol Assess Health Care. 2006;22:8489. doi:10.1017/S0266462306050872.Google Scholar
16. Mitchell, C, Walker, J, Walters, S, et al. Costs and effectiveness of pre- and post-operative home physiotherapy for total knee replacement: Randomized controlled trial. J Eval Clin Pract. 2005;11:283292. doi:10.1111/j.1365-2753.2005.00535.x.Google Scholar
17. Sevick, MA, Miller, GD, Loeser, RF, Williamson, JD, Messier, SP. Cost-effectiveness of exercise and diet in overweight and obese adults with knee osteoarthritis. Med Sci Sports Exerc. 2009;41:11671174. doi:10.1249/MSS.0b013e318197ece7.Google Scholar
18. Ettinger, WH, Burns, R, Messier, SP, et al. A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). JAMA. 1997;277:2531. doi:10.1001/jama.1997.03540250033028.Google Scholar
19. Messier, SP, Loeser, RF, Miller, GD, et al. Exercise and dietary weight loss in overweight and obese older adults with knee osteoarthritis: The Arthritis, Diet, and Activity Promotion Trial. Arthritis Rheum. 2004;50:15011510. doi:10.1002/art.20256.Google Scholar
20. McCarthy, CJ, Mills, PM, Pullen, R, et al. Supplementing a home exercise programme with a class-based exercise programme is more effective than home exercise alone in the treatment of knee osteoarthritis. Rheumatology (Oxford). 2004;43:880886. doi:10.1093/rheumatology/keh188.Google Scholar
21. Mahon, JL, Bourne, RB, Rorabeck, CH, et al. Health-related quality of life and mobility of patients awaiting elective total hip arthroplasty: A prospective study. CMAJ. 2002;167:11151121.Google ScholarPubMed
22. Dawson, J, Linsell, L, Zondervan, K, et al. Epidemiology of hip and knee pain and its impact on overall health status in older adults. Rheumatology (Oxford). 2004;43:497504. doi:10.1093/rheumatology/keh086.CrossRefGoogle ScholarPubMed
23. Quintana, JM, Escobar, A, Arostegui, I, et al. Prevalence of symptoms of knee or hip joints in older adults from the general population. Aging Clin Exp Res. 2008;20:329336.CrossRefGoogle ScholarPubMed
24. Zhang, W, Moskowitz, RW, Nuki, G, et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis Cartilage. 2008;16:137162. doi:10.1016/j.joca.2007.12.013.Google Scholar
25. National Institute for Health and Clinical Excellence. Osteoarthritis: The care and management of osteoarthritis in adults [Internet]. London: National Institute for Health and Clinical Excellence; 2008. https://www.ncbi.nlm.nih.gov/books/NBK48984/pdf/Bookshelf_NBK48984.pdf (accessed January 29, 2017).Google Scholar
26. Hiligsmann, M, Cooper, C, Arden, N, et al. Health economics in the field of osteoarthritis: An expert's consensus paper from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO). Semin Arthritis Rheum. 2013;43:303313. doi:10.1016/j.semarthrit.2013.07.003.Google Scholar
27. Sabharwal, S, Carter, A, Darzi, LA, Reilly, P, Gupte, CM. The methodological quality of health economic evaluations for the management of hip fractures: A systematic review of the literature. Surgeon. 2015;13:170176. doi:10.1016/j.surge.2014.10.005.Google Scholar
28. Ramsey, SD, Willke, RJ, Glick, H, et al. Cost-effectiveness analysis alongside clinical trials II-An ISPOR Good Research Practices Task Force report. Value Health. 2015;18:161172. doi:10.1016/j.jval.2015.02. 001.Google Scholar
29. Drummond, M, Maetzel, A, Gabriel, S, March, L. Towards a reference case for use in future economic evaluations of interventions in osteoarthritis. J Rheumatol Suppl. 2003;68:2630.Google Scholar
30. Gabriel, S, Drummond, M, Maetzel, A, et al. OMERACT 6 Economics Working Group report: A proposal for a reference case for economic evaluation in rheumatoid arthritis. J Rheumatol. 2003;30:886890.Google Scholar
31. Hiligsmann, M, Cooper, C, Guillemin, F, et al. A reference case for economic evaluations in osteoarthritis: An expert consensus article from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO). Semin Arthritis Rheum. 2014;44:271282. doi:10.1016/j.semarthrit.2014.06.005.Google Scholar
32. Husereau, D, Drummond, M, Petrou, S, et al. Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement. Value Health. 2013;16:e1-e5. doi:10.1016/j.jval.2013.02.010.Google Scholar
33. Drummond, MF, Jefferson, TO. Guidelines for authors and peer reviewers of economic submissions to the BMJ. The BMJ Economic Evaluation Working Party. BMJ. 1996;313:275283.Google Scholar
34. Begg, C, Cho, M, Eastwood, S, et al. Improving the quality of reporting of randomized controlled trials. The CONSORT statement. JAMA. 1996;276:637639.Google Scholar
35. Moseley, AM, Herbert, RD, Maher, CG, Sherrington, C, Elkins, MR. Reported quality of randomized controlled trials of physiotherapy interventions has improved over time. J Clin Epidemiol. 2011;64:594601. doi:10.1016/j.jclinepi.2010.08.009.Google Scholar
36. Sherrington, C, Moseley, AM, Herbert, RD, Elkins, MR, Maher, CG. Ten years of evidence to guide physiotherapy interventions: Physiotherapy Evidence Database (PEDro). Br J Sports Med. 2010;44:836837. doi:10.1136/bjsm.2009.066357.Google Scholar
37. Pinto, D, Robertson, MC, Hansen, P, Abbott, JH. Cost-effectiveness of nonpharmacologic, nonsurgical interventions for hip and/or knee osteoarthritis: Systematic review. Value Health. 2012;15:112.Google Scholar
Supplementary material: File

García-Pérez et al supplementary material

García-Pérez et al supplementary material 1

Download García-Pérez et al supplementary material(File)
File 38.4 KB
Supplementary material: File

García-Pérez et al supplementary material

García-Pérez et al supplementary material 2

Download García-Pérez et al supplementary material(File)
File 25.7 KB
Supplementary material: File

García-Pérez et al supplementary material

García-Pérez et al supplementary material 3

Download García-Pérez et al supplementary material(File)
File 24.8 KB
Supplementary material: File

García-Pérez et al supplementary material

García-Pérez et al supplementary material 4

Download García-Pérez et al supplementary material(File)
File 23.8 KB
Supplementary material: File

García-Pérez et al supplementary material

García-Pérez et al supplementary material 5

Download García-Pérez et al supplementary material(File)
File 23.9 KB