Health economic evaluation of a randomized controlled trial (EMBLA study), an internet-based treatment for provoked vulvodynia.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
17 04 2023
Historique:
received: 08 01 2023
accepted: 12 04 2023
medline: 19 4 2023
entrez: 17 4 2023
pubmed: 18 4 2023
Statut: epublish

Résumé

Internet-based treatment (IBT) for provoked vulvodynia (PVD) may reduce pain during intercourse and increases pain acceptance. However, a there is still a knowledge gap regarding the cost-effectiveness of IBT for PVD. The aim of this study was to perform a health economic evaluation of guided internet-based intervention for PVD as an addition to standard treatment. The sample consisted of 99 women with a PVD diagnosis. Healthcare related costs, health-related quality of life, and quality-adjusted life-years (QALYs) and incremental cost-effectiveness ratio (ICER) were analyzed. After the IBT, the intervention group had fewer visits to a midwife than the control group (p = 0.03), but no between-group differences were found for visits to other professionals, treatment length, health-related quality of life, QALYs, and costs for treatment. It was estimated a cost of 260.77 € for a clinical meaningful change in pain acceptance. Internet-based treatment as add-on to clinical treatment may lower number of visits to a healthcare.

Identifiants

pubmed: 37069199
doi: 10.1038/s41598-023-33406-6
pii: 10.1038/s41598-023-33406-6
pmc: PMC10110522
doi:

Types de publication

Randomized Controlled Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

6242

Informations de copyright

© 2023. The Author(s).

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Auteurs

A Hess Engström (A)

Department of Women's and Children's Health, Uppsala University, BOX 593, 751 24, Uppsala, Sweden. andrea.hess.engstrom@kbh.uu.se.
Centre for Clinical Research, Västmanland County Hospital, Uppsala University, Västerås, Sweden. andrea.hess.engstrom@kbh.uu.se.

N Bohm-Starke (N)

Division of Obstetrics and Gynecology, Department of Clinical Sciences, Karolinska Institute, Solna, Sweden.

M Buhrman (M)

Division Clinical Psychology, Department of Psychology, Uppsala University, Uppsala, Sweden.

U Högberg (U)

Department of Women's and Children's Health, Uppsala University, BOX 593, 751 24, Uppsala, Sweden.

A Skalkidou (A)

Department of Women's and Children's Health, Uppsala University, BOX 593, 751 24, Uppsala, Sweden.

S Lagenskiöld (S)

Department of Medical Sciences, Uppsala University, Uppsala, Sweden.

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Classifications MeSH