Cost utility analysis of a collaborative stepped care intervention for panic and generalized anxiety disorders in primary care
作者： Maartje Goorden , Anna Muntingh , Harm van Marwijk , Philip Spinhoven , Herman Adèr
DOI: 10.1016/J.JPSYCHORES.2014.04.005
关键词:
摘要: Abstract Objective Generalized anxiety and panic disorders are a burden on the society because they costly have significant adverse effect quality of life. The aim this study was to evaluate cost-utility collaborative stepped care intervention for disorder generalized in primary compared as usual from societal perspective. Methods design two armed cluster randomized controlled trial. In total 43 practices Netherlands participated study. Eventually, 180 patients were included (114 care, 66 usual). Baseline measures follow-up (3, 6, 9 12 months) assessed using questionnaires. We applied TiC-P, SF-HQL EQ-5D respectively measuring health utilization, production losses related Results average annual direct medical costs group 1854 Euro (95% C.I., 1726 1986) €1503 1374 1664) group. life years (QALYs) gained 0.05 higher group, leading an incremental cost effectiveness ratio (ICER) 6965 per QALY. Inclusion productivity costs, consequently reflecting full decreased even more. Conclusion showed that effective dominant when perspective taken. Trial registration: trialregister.nl, Register NTR107.
manchester.ac.uk
vumc.nl参考文章(52)
B Terluin, F B Van Heest, K Van der Meer, G J H Neomagus, J Hekman, L P J Aulbers, J S Starreveld, M H Grol, NHG-Standaard Angststoornissen Bohn Stafleu van Loghum, Houten. pp. 469- 486 ,(2009) , 10.1007/978-90-313-6614-9_25
Mirrian Smolders, Miranda Laurant, Pasquale Roberge, Anton van Balkom, Eric van Rijswijk, Peter Bower, Richard Grol, Knowledge transfer and improvement of primary and ambulatory care for patients with anxiety. The Canadian Journal of Psychiatry. ,vol. 53, pp. 277- 293 ,(2008) , 10.1177/070674370805300502
Amy Wagner, Peter P. Roy-Byrne, Primary care perspectives on generalized anxiety disorder. The Journal of Clinical Psychiatry. ,vol. 65, pp. 20- 26 ,(2004)
Jan Oostenbrink, Neeltje Batelaan, Pim Cuijpers, Ron de Graaf, Filip Smit, Aartjan Beekman, Costs of nine common mental disorders: Implications for curative and preventive psychiatry Journal of Mental Health Policy and Economics. ,vol. 9, pp. 193- 200 ,(2006)
Trevor J Schraufnagel, Amy W Wagner, Peter P Roy-Byrne, Understanding and treating panic disorder in the primary care setting The Journal of Clinical Psychiatry. ,vol. 66, pp. 16- 22 ,(2005)
Peter Roy-Byrne, Michelle G. Craske, Greer Sullivan, Raphael D. Rose, Mark J. Edlund, Ariel J. Lang, Alexander Bystritsky, Stacy Shaw Welch, Denise A. Chavira, Daniela Golinelli, Laura Campbell-Sills, Cathy D. Sherbourne, Murray B. Stein, Delivery of evidence-based treatment for multiple anxiety disorders in primary care: a randomized controlled trial. JAMA. ,vol. 303, pp. 1921- 1928 ,(2010) , 10.1001/JAMA.2010.608
Gerrit T. Koopmans, Leida M. Lamers, Is the impact of depressive complaints on the use of general health care services dependent on severity of somatic morbidity Journal of Psychosomatic Research. ,vol. 61, pp. 41- 50 ,(2006) , 10.1016/J.JPSYCHORES.2005.12.003
Wayne Katon, Michael Von Korff, Elizabeth Lin, Greg Simon, Rethinking practitioner roles in chronic illness: the specialist, primary care physician, and the practice nurse. General Hospital Psychiatry. ,vol. 23, pp. 138- 144 ,(2001) , 10.1016/S0163-8343(01)00136-0
Marijn A. Prins, Peter F.M. Verhaak, Klaas van der Meer, Brenda W.J.H. Penninx, Jozien, M. Bensing, Primary care patients with anxiety and depression: Need for care from the patient's perspective Journal of Affective Disorders. ,vol. 119, pp. 163- 171 ,(2009) , 10.1016/J.JAD.2009.03.019
A. Fernández, J. M. Haro, M. Martinez-Alonso, K. Demyttenaere, T. S. Brugha, J. Autonell, G. De Girolamo, S. Bernert, J. P. Lépine, J. Alonso, Treatment adequacy for anxiety and depressive disorders in six European countries. British Journal of Psychiatry. ,vol. 190, pp. 172- 173 ,(2007) , 10.1192/BJP.BP.106.023507