Economic Evaluation of Adult Rehabilitation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials in a Variety of Settings Natasha Kareem.

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Presentation transcript:

Economic Evaluation of Adult Rehabilitation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials in a Variety of Settings Natasha Kareem Brusco, MPhysio, Nicholas F. Taylor, PhD, Jennifer J. Watts, MCom(Ec), Nora Shields, PhD Archives of Physical Medicine and Rehabilitation Volume 95, Issue 1, Pages 94-116.e4 (January 2014) DOI: 10.1016/j.apmr.2013.03.017 Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 Permutation matrix for possible outcomes of economic evaluations for trials of inpatient rehabilitation versus an alternative model of care (A) and a hierarchical matrix used to summarize findings of economic evaluations for inpatient rehabilitation versus an alternative model of care (B). Archives of Physical Medicine and Rehabilitation 2014 95, 94-116.e4DOI: (10.1016/j.apmr.2013.03.017) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 Flowchart for the inclusion and exclusion of articles in the systematic review. Archives of Physical Medicine and Rehabilitation 2014 95, 94-116.e4DOI: (10.1016/j.apmr.2013.03.017) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 Risk of bias for the clinical trials. Archives of Physical Medicine and Rehabilitation 2014 95, 94-116.e4DOI: (10.1016/j.apmr.2013.03.017) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 4 Quality checklist for the economic evaluation. Archives of Physical Medicine and Rehabilitation 2014 95, 94-116.e4DOI: (10.1016/j.apmr.2013.03.017) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 5 SMD (95% CI) and meta-analysis of cost of inpatient rehabilitation versus alternative models of care. NOTE. Two studies had multiple arms and hence were entered into the analysis twice (N=19) (Kalra 200540; van den Hout 200348). Abbreviations: CC, community care; OA, osteoarthritis; OP, outpatient; RA, rheumatoid arthritis; RITH, rehabilitation in the home; TH, total hip; TKJR, total knee joint replacement. Archives of Physical Medicine and Rehabilitation 2014 95, 94-116.e4DOI: (10.1016/j.apmr.2013.03.017) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 6 Functional outcomes: permutation matrix for possible outcomes of economic evaluations for trials of inpatient rehabilitation versus an alternative model of care and a hierarchical matrix used to summarize findings of economic evaluations for inpatient rehabilitation versus an alternative model of care. Archives of Physical Medicine and Rehabilitation 2014 95, 94-116.e4DOI: (10.1016/j.apmr.2013.03.017) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 7 Quality of life outcomes: permutation matrix for possible outcomes of economic evaluations for trials of inpatient rehabilitation versus an alternative model of care and a hierarchical matrix used to summarize findings of economic evaluations for inpatient rehabilitation versus an alternative model of care. Archives of Physical Medicine and Rehabilitation 2014 95, 94-116.e4DOI: (10.1016/j.apmr.2013.03.017) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions