Costs and quality of life for prehabilitation and early rehabilitation after surgery of the lumbar spine
2008

Cost-Effectiveness of Prehabilitation and Early Rehabilitation After Spine Surgery

Sample size: 60 publication Evidence: moderate

Author Information

Author(s): Per Rotbøll Nielsen, Andreasen Jakob, Asmussen Mikael, Tønnesen Hanne

Primary Institution: University of Copenhagen

Hypothesis

Does an integrated programme of prehabilitation and early rehabilitation improve cost-effectiveness and quality of life compared to standard care after lumbar spine surgery?

Conclusion

The integrated programme of prehabilitation and early rehabilitation in spine surgery is more cost-effective compared to standard care programme alone.

Supporting Evidence

  • Patients in the integrated programme returned to work sooner than those in standard care.
  • The integrated programme was 1,625€ less costly per patient compared to standard care.
  • No significant differences in health-related quality of life scores were found between the two groups.

Takeaway

This study found that helping patients get ready for surgery and supporting them right after can save money and help them recover faster.

Methodology

The study analyzed data from 60 patients undergoing lumbar fusion, comparing an integrated programme with standard care.

Potential Biases

Potential biases due to country-specific differences in costs and healthcare policies.

Limitations

The small sample size may limit the ability to detect differences in complications and quality of life.

Participant Demographics

{"total_patients":60,"integrated_program_patients":28,"standard_care_patients":32,"gender_distribution":{"integrated_program":{"women":17,"men":11},"standard_care":{"women":19,"men":13}},"age_range":{"integrated_program":"31-72","standard_care":"31-88"}}

Statistical Information

P-Value

0.092

Statistical Significance

p=0.092

Digital Object Identifier (DOI)

10.1186/1472-6963-8-209

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