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The Cost-Effectiveness of a Dance and Yoga Intervention for Girls with Functional Abdominal Pain Disorders
Örebro University, School of Health Sciences. Örebro University Hospital. University Health Care Research Center.ORCID iD: 0000-0001-8433-6529
Örebro University, School of Health Sciences. Örebro University Hospital. University Health Care Research Center.ORCID iD: 0000-0002-5452-1923
Örebro University, School of Health Sciences. Örebro University Hospital. University Health Care Research Center.ORCID iD: 0000-0002-4639-2324
Örebro University, School of Health Sciences. University Health Care Research Center, Universitetssjukhuset Örebro, Örebro, Sweden.ORCID iD: 0000-0001-5886-7828
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2023 (English)In: PharmacoEconomics - open, ISSN 2509-4262, no 7, p. 321-335Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Functional abdominal pain disorders (FAPDs) affect children worldwide, being more prevalent among girls. The individual and societal burdens of the disease are substantial, and evidence-based interventions are needed. Non-pharmacological treatments have generally produced promising results, with dance and yoga specifically having potential as an effective treatment option. Beside efficacy, the cost-effectiveness of interventions is important when prioritizing and allocating public resources.

OBJECTIVE: This study evaluated the cost-effectiveness of an 8-month dance and yoga intervention for girls with functional abdominal pain or irritable bowel syndrome, based on a randomized control trial called 'Just in TIME'.

METHODS: The intervention, performed in Sweden, was studied using a decision analysis tool, i.e., a decision tree within the trial followed by a Markov model with a time horizon of 10 years. The base case considered healthcare costs as well as productivity losses, measuring the effects in gained quality-adjusted life-years (QALYs) and presenting an incremental cost-effectiveness ratio (ICER).

RESULTS: The base case results show that the intervention, compared with current practice, was the dominant strategy from both the 12-month and long-term perspectives. The sensitivity analyses indicated that the long-term, but not the short-term, findings were robust for different assumptions and changes in parameter estimates, resulting in ICERs similar to those of the base case scenario.

CONCLUSIONS: Offering dance and yoga to young girls with FAPDs generates small QALY gains and monetary savings compared with standard healthcare and is likely cost-effective. These findings make a valuable contribution to an area where evidence-based and cost-effective treatment interventions are needed.

CLINICAL TRIALS REGISTRATION NUMBER: ClinicalTrials.gov identifier: NCT02920268; Name: Just in TIME-Intervention With Dance and Yoga for Girls With Recurrent Abdominal Pain.

Place, publisher, year, edition, pages
Springer Nature, 2023. no 7, p. 321-335
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
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URN: urn:nbn:se:oru:diva-103308DOI: 10.1007/s41669-022-00384-wISI: 000913116600001PubMedID: 36646863Scopus ID: 2-s2.0-85146283913OAI: oai:DiVA.org:oru-103308DiVA, id: diva2:1729815
Available from: 2023-01-23 Created: 2023-01-23 Last updated: 2023-12-08Bibliographically approved

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Philipson, AnnaDuberg, AnnaHagberg, LarsHögström, SofieMöller, MargaretaRyen, Linda

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