Table 1

Cost categories, units, valuation and unit price, all numbers in Euros and NOK for 2019

Cost categoriesUnitValuationUnit price (€)Unit price (NOK)Reference (source)
Direct costs of antibiotic treatment (amoxicillin 750 mg three times daily for 100 days)*Per patientCost311.53115NOMA price list, Imacillin TevaAmoksicillin -trihydrat, NOK 207.70 per 20 tbl a 750 mg)22
Direct costs of placebo treatment (placebo three times daily for 100 days)Per patientCost00Not available at pharmacies, so the price set is 0. (The cost produced for this study was NOK 470.)
Non-opioid medication (NSAIDs:ibuprofen,paracetamol, other A-prescription medicines)Per daily defined doseCost1.616Pharmacy selling price (over-the-counter)
Opioid medication (codein)Per daily defined doseCost3.030Pharmacy selling price
General practitioner*Per visitCost45.8458NOMA, general practitioner consultation
Medical specialistPer visitCost86860NOMA, specialist health service consultation (fee*2,+20 min)
ChiropractorPer visitCost50500Norsk Kiropraktorforening estimated average
PhysiotherapistPer visitCost25250The Norwegian Physiotherapy Association, estimated average
Manual therapistPer visitCost41.9419The Norwegian Physiotherapy Association, estimated average
Psychomotoric physiotherapyPer visitCost41.9419The Norwegian Physiotherapy Association, estimated average
AcupuncturePer visitCost75750Average estimate from private price lists
Other therapistsPer visitCost75750Average estimate from private price lists
Back surgery (fusion)Per surgeryCost9621.496 214DRG215B
Hospitalisations (non-surgery)Per dayCost114011 400DRG247 (/2) per patient
Rehabilitation stay (outpatient)Per dayCost3003000UniCare price list, adjusted for health region authority supplements
Production loss (225 work days per year)*Per dayWage rate adjusted for age and gender246.32463Statistics Norway8 23
  • *Costs varied in multiway sensitivity analysis (Tornado diagram): GP, other healthcare costs, production loss (−20 /+20%). The cost of antibiotic treatment varied −50%/+20%, as amoxicillin is a generic product and the price is expected to decrease in the future.

  • NOMA, Norwegian Medicines Agency; NSAID, non-steriodal anti-inflammatory drug.