Cost-effectiveness of inpatient and intensive outpatient treatment of rheumatoid arthritis. A randomized, controlled trial

Arthritis Rheum. 1989 Dec;32(12):1505-14. doi: 10.1002/anr.1780321203.

Abstract

Women with active rheumatoid arthritis who were judged to be in need of hospitalization were assigned at random to receive inpatient therapy (n = 35) or intensive outpatient therapy (n = 36). All relevant costs of treatment were measured. At 19 weeks, clinical outcomes, as summarized in a pooled index, were significantly better in the inpatient group (pooled index units: inpatient 0.72, outpatient 0.25; F[1,69] = 10.9, P = 0.002). Inpatient therapy produced a sustained three-fold increase in efficacy, at a 2.5-fold increase in cost to society.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Ambulatory Care / economics*
  • Analysis of Variance
  • Anti-Inflammatory Agents / therapeutic use
  • Arthritis, Rheumatoid / blood
  • Arthritis, Rheumatoid / drug therapy*
  • Arthritis, Rheumatoid / physiopathology
  • Blood Sedimentation
  • Cost-Benefit Analysis
  • Female
  • Hospitalization / economics*
  • Humans
  • Joints / physiopathology
  • Middle Aged
  • Outcome and Process Assessment, Health Care
  • Randomized Controlled Trials as Topic

Substances

  • Anti-Inflammatory Agents