Table 6

Cost-consequences. All available data*

n (%)Usual caren (%)PhysioDirectIncremental difference (95% CI)
Mean (SD) cost
 Total physiotherapy cost743£69.73 (£56.17)1506£74.01 (£63.97)£4.28 (−£1.12 to £9.69)
 Cost of NHS services including physiotherapy453 (61%)£189.19 (£557.61)888 (59%)£196.43 (£472.02)£7.24 (−£49.68 to £64.10)
 Total personal expenditure310 (42%)£121.10 (£575)714 (47%)£166.40 (£1040.27)£45.30 (−£78.01 to £168.61)
 Total value of all time off work†451 (61%)£276.75 (£1355.00)883 (59%)£240.74 (£1147.20)−£36.01 (−£174.69 to £102.66)
Consequences‡Difference/OR (95% CI)§
 SF36v2 PCS629 (85%)44.18 (10.84)1283 (85%)43.50 (10.94)−0.01 (−0.80 to 0.79)
 MYMOP¶518 (70%)2.40 (1.38)1033 (69%)2.40 (1.43)−0.02 (−0.16 to 0.11)
 Global improvement score501 (67%)4.07 (1.40)1001 (66%)4.01 (1.44)−0.08 (−0.23 to 0.08)
 Response to treatment (OMERACT OARSI)510 (69%)197 (38.6%)1029 (68%)430 (41.8%)1.14 (0.92 to 1.43)
 Waiting time to first assessment and advice618 (83%)34 (20 to 55)**1281 (85%)7 (4 to 15)**0.32 (0.29 to 0.35)††
 Patient overall satisfaction367 (49%)79.7 (26.5)739 (49%)75.9 (28.3)−3.8 (−7.3 to −0.3)
 QALYs‡‡454 (61%)0.322 (0.079)881 (58%)0.331 (0.082)0.009 (−0.000 to 0.018)
  • *Uses all available data, so denominators differ by category.

  • †Total of time off to attend physiotherapy and associated with the condition.

  • ‡At 6-month follow-up time point.

  • §Adjusted for outcome at baseline, gender, age, referral problem, PCT.

  • ¶Lower score is better.

  • **Median (IQR).

  • ††Accelerated failure time analysis.

  • ‡‡Adjusted for outcome at baseline.

  • MYMOP, measure yourself medical outcomes profile; NHS, National Health Service; PCS, physical component summary; QALY, Quality-Adjusted Life Year.