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A preliminary economic evaluation of percutaneous neuromuscular electrical stimulation in the treatment of hemiplegic shoulder pain. | LitMetric
Objective : The objective of this study was to compare the cost-effectiveness of various treatment modalities for hemiplegic shoulder pain.Design : A stage II economic evaluation.Main Outcome Measures : Incremental cost effectiveness ratio of P-NMES, compared to slings and anti-inflammatory injections.Results : The incremental cost effectiveness ratio (ICER) of p-NMES, compared to anti-inflammatory injections is 6,061 euro(+/-3,285). The incremental cost of the first quality-adjusted life year after implantation of the P-NMES device compared to anti-inflammatory injections is 33,007 euro (+/-5,434). This decreases to approximately 7,000 euro after 5 years, and to approximately 5,000 euro after 10 survival years.Conclusion : In this early evaluation, P-NMES seems to be cost-effective according to known guidelines. Treatment with P-NMES is recommended for patients with chronic HSP.
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