Cost-effectiveness of physiotherapy in childhood functional constipation: a randomized controlled trial in primary care
- van Summeren, Jojanneke J. G. T.
- Holtman, Gea A.
- Lisman-van Leeuwen, Yvonne
- van Ulsen-Rust, Alice H. C.
- Vermeulen, Karin M.
- Tabbers, Merit M.
- Kollen, Boudewijn J.
- Dekker, Janny H.
- Berger, Marjolein Y.
DOIAbstract
OBJECTIVE: Health care expenditures for children with functional constipation (FC) are high, while conservative management is successful in only 50% of the children. The aim is to evaluate whether adding physiotherapy to conventional treatment (CT) is a cost-effective strategy in the management of children with FC aged 4-18 years in primary care. METHODS: A cost-effectiveness analysis was performed alongside a randomized controlled trial (RCT) with 8-month follow-up. Costs were assessed from a societal perspective, effectiveness included both the primary outcome (treatment success defined as the absence of FC and no laxative use) and the secondary outcome (absence of FC irrespective of laxative use). Uncertainty was assessed by bootstrappin...
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