Table 5

Mean overall costs and QALYS for the three treatment groups (over 26 weeks)

Mean (SD) NHS costsMean (SD) QALYsIncremental mean costs (95% CI)*Incremental mean QALYs (95% CI)*Mean ICER† (£/QALY)
Group1
Advice to remain active
£309.91 (£321.45)0.372 (0.111)−£87.87
(−£14.33 to £200.83)
0.0095
(−0.0140 to 0.0344)
Group 1 versus Group 2:
£9256
Group 2
Advice to rest
£223.15 (£225.39)0.366 (0.077)
Group 3
Immediate physiotherapy
£221.46 (£220.54)0.388 (0.089)−£14.22
(−£87.14 to £66.01)
0.0143
(−0.0077 to 0.0354)
Group 3 versus Group 1 and 2
Group 3 dominant (cost per QALY gained <0)
  • *Adjusted for age, gender, work status, modified-DASH, EQ-5D health utility score and NHS cost and bootstrapped non-parametric 95% CI.

  • †Mean ICER, adjusted for age, gender, work status, modified-DASH, EQ-5D health utility score and NHS cost.

  • DASH, Disabilities of the Arm, Shoulder and Hand; EQ-5D, EuroQol-5D; ICER, incremental cost-effectiveness ratio; NHS, National Health Service; QALY, quality-adjusted life year.