BACKGROUND: Stroke is a serious health issue in which an interruption in blood flow to any part of the brain damages brain cells. About 83% of people survive with substantial morbidity after their first stroke. We conducted a health technology assessment of continual long-term physiotherapy for people with a diagnosis of stroke, which included an evaluation of effectiveness, safety, cost-effectiveness, the budget impact of publicly funding continual long-term physiotherapy for people with a diagnosis of stroke, and patient preferences and values. METHODS: We performed a systematic literature search of the clinical evidence. We also performed a systematic literature search of the economic evidence. We did not conduct a primary economic evaluation because there was insufficient clinical evidence. We also analyzed the budget impact of publicly funding continual long-term physiotherapy after stroke in Ontario. To contextualize the potential value of continual long-term physiotherapy after stroke, we spoke with people who had been diagnosed with stroke, as well as their caregivers. RESULTS: We did not find any published studies that met the specific clinical inclusion criteria. We did not identify any studies that compared the cost-effectiveness of continual long-term versus short-term physiotherapy after stroke. The budget impact of publicly funding continual long-term physiotherapy after stroke in Ontario over the next 5 years ranges from $445,000 in year 1 at an uptake rate of 8% to $888,000 in year 5 at an uptake rate of 16%. The people who had been diagnosed with stroke with whom we spoke reported that they had benefitted from continual long-term physiotherapy. CONCLUSIONS: We did not identify studies that addressed the specific research question. Based on the clinical evidence review, we are unable to determine the benefits of continual long-term compared with short-term physiotherapy after stroke. The cost-effectiveness of continual long-term physiotherapy after stroke in Ontario is unknown. We estimate that publicly funding continual long-term physiotherapy after stroke in Ontario would result in additional costs of between $445,000 and $888,000 annually over the next 5 years. Patients and caregivers who we spoke with felt that patients who have experienced a stroke should be able to continue with physiotherapy.
BACKGROUND: Stroke is a serious health issue in which an interruption in blood flow to any part of the brain damages brain cells. About 83% of people survive with substantial morbidity after their first stroke. We conducted a health technology assessment of continual long-term physiotherapy for people with a diagnosis of stroke, which included an evaluation of effectiveness, safety, cost-effectiveness, the budget impact of publicly funding continual long-term physiotherapy for people with a diagnosis of stroke, and patient preferences and values. METHODS: We performed a systematic literature search of the clinical evidence. We also performed a systematic literature search of the economic evidence. We did not conduct a primary economic evaluation because there was insufficient clinical evidence. We also analyzed the budget impact of publicly funding continual long-term physiotherapy after stroke in Ontario. To contextualize the potential value of continual long-term physiotherapy after stroke, we spoke with people who had been diagnosed with stroke, as well as their caregivers. RESULTS: We did not find any published studies that met the specific clinical inclusion criteria. We did not identify any studies that compared the cost-effectiveness of continual long-term versus short-term physiotherapy after stroke. The budget impact of publicly funding continual long-term physiotherapy after stroke in Ontario over the next 5 years ranges from $445,000 in year 1 at an uptake rate of 8% to $888,000 in year 5 at an uptake rate of 16%. The people who had been diagnosed with stroke with whom we spoke reported that they had benefitted from continual long-term physiotherapy. CONCLUSIONS: We did not identify studies that addressed the specific research question. Based on the clinical evidence review, we are unable to determine the benefits of continual long-term compared with short-term physiotherapy after stroke. The cost-effectiveness of continual long-term physiotherapy after stroke in Ontario is unknown. We estimate that publicly funding continual long-term physiotherapy after stroke in Ontario would result in additional costs of between $445,000 and $888,000 annually over the next 5 years. Patients and caregivers who we spoke with felt that patients who have experienced a stroke should be able to continue with physiotherapy.
Authors: Caryn Langstaff; Cally Martin; Gwen Brown; Don McGuinness; Jo Mather; Jennifer Loshaw; Nancy Jones; Kim Fletcher; John Paterson Journal: Top Stroke Rehabil Date: 2014 Nov-Dec Impact factor: 2.119
Authors: Francesco Ferrarello; Marco Baccini; Lucio Antonio Rinaldi; Maria Chiara Cavallini; Enrico Mossello; Giulio Masotti; Niccolò Marchionni; Mauro Di Bari Journal: J Neurol Neurosurg Psychiatry Date: 2010-09-08 Impact factor: 10.154
Authors: Mary Christine Cramp; Richard J Greenwood; Michael Gill; Anthea Lehmann; John Christine Rothwell; Oona M Scott Journal: Disabil Rehabil Date: 2010 Impact factor: 3.033
Authors: Debbie Hebert; M Patrice Lindsay; Amanda McIntyre; Adam Kirton; Peter G Rumney; Stephen Bagg; Mark Bayley; Dar Dowlatshahi; Sean Dukelow; Maridee Garnhum; Ev Glasser; Mary-Lou Halabi; Ester Kang; Marilyn MacKay-Lyons; Rosemary Martino; Annie Rochette; Sarah Rowe; Nancy Salbach; Brenda Semenko; Bridget Stack; Luchie Swinton; Valentine Weber; Matthew Mayer; Sue Verrilli; Gabrielle DeVeber; John Andersen; Karen Barlow; Caitlin Cassidy; Marie-Emmanuelle Dilenge; Darcy Fehlings; Ryan Hung; Jerome Iruthayarajah; Laura Lenz; Annette Majnemer; Jacqueline Purtzki; Mubeen Rafay; Lyn K Sonnenberg; Ashleigh Townley; Shannon Janzen; Norine Foley; Robert Teasell Journal: Int J Stroke Date: 2016-04-14 Impact factor: 5.266