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Cost-utility of group acceptance and commitment therapy for fibromyalgia versus recommended drugs: an economic analysis alongside a 6-month randomised controlled trial conducted in Spain (EFFIGACT study)

Luciano, Juan V. and D'Amico, Francesco and Feliu-Soler, Albert and McCracken, Lance M. and Aguado, Jaume and Peñarrubia-María, Maria T. and Knapp, Martin and Serrano-Blanco, Antoni and García-Campayo, Javier (2017) Cost-utility of group acceptance and commitment therapy for fibromyalgia versus recommended drugs: an economic analysis alongside a 6-month randomised controlled trial conducted in Spain (EFFIGACT study). Journal of Pain, 18 (7). pp. 868-880. ISSN 1526-5900

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Identification Number: 10.1016/j.jpain.2017.03.001

Abstract

The aim of this study was to analyse the cost-utility of a group-based form of Acceptance and Commitment Therapy (GACT) in patients with fibromyalgia (FM) compared to patients receiving recommended pharmacological treatment (RPT) or on a waiting list (WL). The data were derived from a previously published study, an RCT that focused on clinical outcomes. Health economic outcomes included health-related quality of life and healthcare use at baseline and at 6-month follow-up using the EuroQol (EQ-5D-3L) and the Client Service Receipt Inventory (CSRI), respectively. Analyses included Quality-Adjusted Life Years (QALYs), direct and indirect cost differences, and incremental cost-effectiveness ratios (ICERs). A total of 156 FM patients were randomized (51 GACT, 52 RPT, 53 WL). GACT was related to significantly less direct costs over the 6 month study period compared to both control arms (GACT €824.2 ± 1,062.7 vs. RPT €1,730.7 ± 1,656.8 vs WL €2,462.7 ± 2,822.0). Lower direct costs for GACT in comparison to RPT were due to lower costs from primary care visits and FM-related medications. The ICERs were dominant in the completers’ analysis and remained robust in the sensitivity analyses. In conclusion, ACT appears to be a cost-effective treatment in comparison to RPT in patients with FM.

Item Type: Article
Official URL: http://www.sciencedirect.com/science/journal/15265...
Additional Information: © 2017 Elsevier Inc.
Divisions: Social Policy
Personal Social Services Research Unit
Subjects: R Medicine > RA Public aspects of medicine
Sets: Departments > Social Policy
Research centres and groups > Personal Social Services Research Unit (PSSRU)
Research centres and groups > NIHR School for Social Care Research
Date Deposited: 24 Mar 2017 17:08
Last Modified: 23 Mar 2018 00:00
Projects: RD16/0007/0005, RD16/0007/0012, PI15/00383, CP14/00087; Madrid, Spain
Funders: Instituto de Salud Carlos III, European Union ERDF
URI: http://eprints.lse.ac.uk/id/eprint/70754

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