Department of Women's and Children's Health, Uppsala University, BOX 593, 751 24, Uppsala, Sweden.
Centre for Clinical Research, Västmanland County Hospital, Uppsala University, Västerås, Sweden.
Sci Rep. 2023 Apr 17;13(1):6242. doi: 10.1038/s41598-023-33406-6.
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.
基于互联网的治疗（IBT）治疗诱发性外阴痛（PVD）可能会减轻性交时的疼痛，并增加疼痛耐受。然而，关于 IBT 治疗 PVD 的成本效益，仍然存在知识差距。本研究旨在对 PVD 的基于互联网的指导干预作为标准治疗的附加治疗进行健康经济评估。样本由 99 名患有 PVD 诊断的女性组成。分析了与医疗保健相关的成本、健康相关的生活质量以及质量调整生命年（QALYs）和增量成本效益比（ICER）。在 IBT 之后，干预组去助产士的就诊次数少于对照组（p=0.03），但其他专业人员的就诊次数、治疗时间、健康相关的生活质量、QALYs 和治疗费用方面没有组间差异。据估计，疼痛耐受的临床有意义的变化的成本为 260.77 欧元。将互联网治疗作为临床治疗的附加治疗，可能会降低就诊次数。
