The aim of this study was to assess the cost-effectiveness analysis of two different tooth replacement strategies for partially dentate older patients; partial removable dental prostheses (RDP) and functionally orientated treatment based on the shortened dental arch concept (SDA). Partially dentate patients aged 65 years and older seeking replacement of missing natural teeth, had a [read the full story…]
Herbal medicines often represent a cheaper alternative, or a low-cost complement, to standard pharmacotherapy. As a result, improved cost-effectiveness is often touted as a likely benefit of the use of complementary and alternative medicine (CAM). Many, myself included, have been openly critical of CAM research, while others have suggested ways in which CAM research could [read the full story…]
Temporomandibular joint disorders (TMD) are normally managed conservatively however it has been estimated that aroung 5% require a surgical interventions (arthrocentesis, arthroscopy, condylotomy, and disc repair or removal (menisectomy). A small subset of patietsn may require Temporomandibular Joint (TMJ) replacement . Indications for replacement include:- bony ankylosis failed previous alloplastic and autogenous joint replacement post-traumatic [read the full story…]
When two interventions are demonstrably equivalent in terms of clinical outcomes, it is unclear which should be provided. One obvious decision rule in this case is to implement the intervention that is least costly and therefore most cost-effective. A recent economic evaluation by Patel and colleagues estimates the cost-effectiveness of adherence therapy for people with [read the full story…]
A key question facing commissioners of support services is how to develop personalised quality services for people within an increasingly tighter financial envelope. Some recent research published by Social Finance and Community Catalysts, may suggest one approach that could prove to be of benefit in developing community connections for people as well as reducing costs. [read the full story…]
This study explores the cost effectiveness of two weight loss programmes evaluated as part of a randomised controlled trial: (1) referral to a commercial provider (2) weight loss advice delivered through primary care channels, via GP or nurse. Participants (who were over 18 years old and had a BMI of 27-35 with at least one [read the full story…]
Bulimia nervosa (BN) is an eating disorder; the diagnosis of which requires: persistent preoccupation with eating and an irresistible craving for food, episodes of overeating in which large amounts of food are consumed over a short period of time and potentially attempts to counteract the “fattening” effects of food by self-induced vomiting or laxative abuse. [read the full story…]
Young people with learning disabilities with behaviour that presents a challenge to services will usually have significant and complex needs which present additional challenges for planning transition from support from children’s to adult services. The authors of this paper carried out a survey of all the young people, between 16 and 18 years of age [read the full story…]
In March 2008 the National Institute for Health and Clinical Excellence (NICE) produced new guidance recommending the cessation of antibiotic prophylaxis for all patients at risk of infective endocarditis undergoing dental and a wide range of other invasive procedures. At the time this was controversial and although there were similar changes to recommendations in American [read the full story…]
This cost effectiveness study is based on a data from a randomised controlled trial published by Jönsson et al (2010), that trial compared an individually tailored oral health educational programme (ITOHEP) on periodontal health with a standard oral health educational programme. and found, ITOHEP intervention in combination with scaling is preferable to the standard programme [read the full story…]
