Cost-effectiveness of yoga for managing musculoskeletal conditions in the workplace.
Occup Med (Lond)
; 67(9): 687-695, 2017 12 30.
Article
in En
| MEDLINE
| ID: mdl-29202204
ABSTRACT
Background:
Back pain and musculoskeletal conditions negatively affect the health-related quality of life (HRQL) of employees and generate substantial costs to employers.Aims:
To assess the cost-effectiveness of yoga for managing musculoskeletal conditions.Methods:
A randomized controlled trial evaluated an 8-week yoga programme, with a 6-month follow-up, for National Health Service (NHS) employees. Effectiveness in managing musculoskeletal conditions was assessed using repeated-measures generalized linear modelling for the Roland-Morris Disability Questionnaire (RDQ) and the Keele STarT Back Screening Tool. Cost-effectiveness was determined using area-under-the-curve linear regression for assessing HRQL from healthcare and societal perspectives. The incremental cost per quality-adjusted life year (QALY) was also calculated. Sickness absence was measured using electronic staff records at 6 months.Results:
There were 151 participants. At 6 months, mean differences between groups favouring yoga were observed for RDQ [-0.63 (95% CI, -1.78, 0.48)], Keele STarT [-0.28 (95% CI, -0.97, 0.07)] and HRQL (0.016 QALY gain). From a healthcare perspective, yoga yielded an incremental cost-effectiveness ratio of £2103 per QALY. Given a willingness to pay for an additional QALY of £20 000, the probability of yoga being cost-effective was 95%. From a societal perspective, yoga was the dominant treatment compared with usual care. At 6 months, electronic staff records showed that yoga participants missed a total of 2 working days due to musculoskeletal conditions compared with 43 days for usual care participants.Conclusions:
Yoga for NHS employees may enhance HRQL, reduce disability associated with back pain, lower sickness absence due to musculoskeletal conditions and is likely to be cost-effective.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Yoga
/
Cost-Benefit Analysis
/
Musculoskeletal Diseases
Type of study:
Clinical_trials
/
Health_economic_evaluation
/
Prognostic_studies
/
Qualitative_research
Aspects:
Patient_preference
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Occup Med (Lond)
Journal subject:
MEDICINA OCUPACIONAL
Year:
2017
Document type:
Article