Prolonged conservative care versus early surgery in patients with sciatica from lumbar disc herniation: cost utility analysis alongside a randomised controlled trial.

Nov 16, 2011 by

van den Hout WB, Peul WC, Koes BW, Brand R, Kievit J, Thomeer RT; Leiden-The Hague Spine Intervention Prognostic Study Group.

BMJ. 2008; 336: 1351-1354.

PMID: 18502912

This cost-utility analysis is based on a high-quality RCT comparing early surgery to prolonged conservative care for sciatica.  Early surgery appears to be cost-effective, at least from the societal perspective, but there was wide statistical uncertainty.  This paper is an excellent model for cost-utility studies.

web:  http://www.bmj.com/content/336/7657/1351.full.pdf

VN:F [1.9.17_1161]
Scientific Quality:
Clinical Relevance:
Rating: 8.5/10 (1 vote cast)

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