García-Álvarez David, Sempere-Rubio Núria, Faubel Raquel
Physiotherapist, Faculty of Physiotherapy, Universitat de València, 46010 Valencia, Spain.
Department of Physiotherapy, Universitat de València, 46010 Valencia, Spain.
Brain Sci. 2021 Feb 19;11(2):265. doi: 10.3390/brainsci11020265.
This systematic review was carried out to compile and assess original studies that included economic evaluations of neurological physiotherapy interventions. A thorough search of PubMED, Cochrane and Embase was developed using keywords such as health economics, neurological physiotherapy and cost analysis, and studies published during the last six-year term were selected. A total of 3124 studies were analyzed, and 43 were eligible for inclusion. Among the studies analyzed, 48.8% were interventions for stroke patients, and 13.9% were focused on Parkinson's disease. In terms of the countries involved, 46.5% of the studies included were developed in the UK, and 13.9% were from the USA. The economic analysis most frequently used was cost-utility, implemented in 22 of the studies. A cost-effectiveness analysis was also developed in nine of those studies. The distribution of studies including an economic evaluation in this discipline showed a clear geographic dominance in terms of the pathology. A clear upward trend was noted in the economic evaluation of interventions developed in neurological physiotherapy. However, these studies should be promoted for their use in evidence-based clinical practice and decision-making.
本系统评价旨在汇总和评估包含神经物理治疗干预经济评估的原始研究。通过使用“卫生经济学”“神经物理治疗”和“成本分析”等关键词，对PubMed、Cochrane和Embase进行了全面检索，并选取了过去六年期间发表的研究。共分析了3124项研究，其中43项符合纳入标准。在分析的研究中，48.8%是针对中风患者的干预措施，13.9%聚焦于帕金森病。在涉及的国家方面，纳入的研究中有46.5%在英国开展，13.9%来自美国。最常使用的经济分析方法是成本效用分析，22项研究采用了该方法。其中9项研究还进行了成本效益分析。该学科中包含经济评估的研究分布在病理学方面呈现出明显的地域优势。神经物理治疗中开展的干预措施的经济评估呈现出明显的上升趋势。然而，应推广这些研究，以便将其用于循证临床实践和决策。
