Estimating Budget Impact and Joint Replacement Avoidance by Implementing a Standardized Education and Exercise Therapy Program for Hip and Knee Osteoarthritis in a Publicly Insured Health Care System
Authors' conclusion
Publicly funding standardized education and exercise therapy programs for everyone waiting for a TJR consultation would avoid surgeries, improve access to evidence-based treatments, and save more than the program costs.
Study context
- Population
- People with hip and knee osteoarthritis (OA) waiting for total joint replacement (TJR) consultation in a universal publicly insured health care system in Canada
- Comparison
- Public funding of GLA:D education and exercise therapy for people waiting for TJR consultation
- Outcome
- Annual budget impact (Canadian dollars) of providing GLA:D
- Follow-up
- Three-year budget cycle
Methodological detailsthree-year budget cycle, one-way sensitivity analysis, four scenarios
- Three-year budget cycle
- One-way sensitivity analysis
- Four scenarios
Main finding
As reported in the abstract
Budget impact of funding GLA:D · year one
Program cost
$4.3 million
People served
12,500
Savings
$8.5 million
TJRs avoided
1,300
Further findings
Savings in years two and three
- Savings, year two
- $8.8 million
- Savings, year three
- $8.7 million
Sensitivity analysis: number of TJRs performed annually (largest uncertainty)
- Budget impact range
- -$15.3 million, -$1.8 million
- The most cautious parameter estimates still produce cost savings
Original publication
Estimating Budget Impact and Joint Replacement Avoidance by Implementing a Standardized Education and Exercise Therapy Program for Hip and Knee Osteoarthritis in a Publicly Insured Health Care System. Arthritis Care Res (Hoboken). Published 6 February 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →