Preoperative physiotherapy is cost-effective for preventing pulmonary complications after major abdominal surgery: a health economic analysis of a multicentre randomised trial
Ianthe Boden, Iain K Robertson, Amanda Neil, Julie Reeve, Andrew J Palmer, Elizabeth H Skinner, Laura Browning, Lesley Anderson, Cat Hill, David Story, Linda Denehy
Journal of Physiotherapy | AUSTRALIAN PHYSIOTHERAPY ASSOC | Published : 2020
QUESTION: Is preoperative physiotherapy cost-effective in reducing postoperative pulmonary complications (PPC) and improving quality-adjusted life years (QALYs) after major abdominal surgery? DESIGN: Cost-effectiveness analysis from the hospitals' perspective within a multicentre randomised controlled trial with concealed allocation, blinded assessors and intention-to-treat analysis. PARTICIPANTS: Four hundred and forty-one adults awaiting elective upper abdominal surgery attending pre-anaesthetic clinics at three public hospitals in Australia and New Zealand. INTERVENTIONS: The experimental group received an information booklet and a 30-minute face-to-face session, involving respiratory edu..View full abstract
This study was an investigator-initiated trial funded by competitive research grants from the Clifford Craig Foundation, Launceston, Australia (A$60,000), the University of Tasmania (virtual Tasmanian Academic Health Science Precinct), Tasmania, Australia (A$50,000) and the Awhina Contestable Research Grant from the Waitemata District Health Board and Three Harbours Health Foundation, Auckland, New Zealand (NZ$20,000). Support was provided from departmental sources at each participating study centre (Launceston General Hospital, North West Regional Hospital, North Shore Hospital) and by sponsorship by the Tasmanian Health Service North to support IB for the period of the trial (A50,000).