Cost effectiveness of a two-year home exercise program for the treatment of knee pain
Article first published online: 2 JUN 2005
Copyright © 2005 by the American College of Rheumatology
Arthritis Care & Research
Volume 53, Issue 3, pages 388–394, 15 June 2005
How to Cite
Thomas, K. S., Miller, P., Doherty, M., Muir, K. R., Jones, A. C. and O'Reilly, S. C. (2005), Cost effectiveness of a two-year home exercise program for the treatment of knee pain. Arthritis & Rheumatism, 53: 388–394. doi: 10.1002/art.21173
- Issue published online: 2 JUN 2005
- Article first published online: 2 JUN 2005
- Manuscript Accepted: 6 DEC 2004
- Manuscript Received: 21 MAY 2004
- United Kingdom Department of Health
- Randomized controlled trial;
- Knee osteoarthritis;
- Social support;
- Cost effectiveness
To assess the cost effectiveness of a 2-year home exercise program for the treatment of knee pain.
A total of 759 adults aged ≥45 years were randomized to receive exercise therapy, monthly telephone contact, exercise therapy and telephone contact, or no intervention. Efficacy was measured using self-reported knee pain at 2 years. Costs to both the National Health Service and to the patient were included.
Exercise therapy was associated with higher costs and better effectiveness. Direct costs for the interventions were £112 for the exercise program and £61 for the monthly telephone support. Participants allocated to receive exercise therapy were significantly more likely to incur higher medical costs than those in the no-exercise groups (mean difference £225; 95% confidence interval £218, £232; P < 0.001).
Exercise therapy is associated with improvements in knee pain, but the cost of delivering the exercise program is unlikely to be offset by any reduction in medical resource use.