The Cost-Effectiveness of a Dance and Yoga Intervention for Girls with Functional Abdominal Pain Disorders

Anna Philipson (), Anna Duberg, Lars Hagberg, Sofie Högström, Lars Lindholm, Margareta Möller and Linda Ryen
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Anna Philipson: University Health Care Research Center, Örebro University
Anna Duberg: University Health Care Research Center, Örebro University
Lars Hagberg: University Health Care Research Center, Örebro University
Sofie Högström: University Health Care Research Center, Örebro University
Lars Lindholm: Umeå University
Margareta Möller: University Health Care Research Center, Örebro University
Linda Ryen: University Health Care Research Center, Örebro University

PharmacoEconomics - Open, 2023, vol. 7, issue 2, No 13, 335 pages

Abstract: Abstract Background Functional abdominal pain disorders (FAPDs) affect children worldwide, being more prevalent among girls. The individual and societal burdens of the disease are substantial, and evidence-based interventions are needed. Non-pharmacological treatments have generally produced promising results, with dance and yoga specifically having potential as an effective treatment option. Beside efficacy, the cost-effectiveness of interventions is important when prioritizing and allocating public resources. Objective This study evaluated the cost-effectiveness of an 8-month dance and yoga intervention for girls with functional abdominal pain or irritable bowel syndrome, based on a randomized control trial called ‘Just in TIME’. Methods The intervention, performed in Sweden, was studied using a decision analysis tool, i.e., a decision tree within the trial followed by a Markov model with a time horizon of 10 years. The base case considered healthcare costs as well as productivity losses, measuring the effects in gained quality-adjusted life-years (QALYs) and presenting an incremental cost-effectiveness ratio (ICER). Results The base case results show that the intervention, compared with current practice, was the dominant strategy from both the 12-month and long-term perspectives. The sensitivity analyses indicated that the long-term, but not the short-term, findings were robust for different assumptions and changes in parameter estimates, resulting in ICERs similar to those of the base case scenario. Conclusions Offering dance and yoga to young girls with FAPDs generates small QALY gains and monetary savings compared with standard healthcare and is likely cost-effective. These findings make a valuable contribution to an area where evidence-based and cost-effective treatment interventions are needed. Clinical Trials Registration Number ClinicalTrials.gov identifier: NCT02920268; Name: Just in TIME—Intervention With Dance and Yoga for Girls With Recurrent Abdominal Pain

Date: 2023
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DOI: 10.1007/s41669-022-00384-w

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