Paucity of high-quality evaluations of the relative effectiveness, cost-effectiveness and safety of dental auxiliaries

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This new Cochrane review looks at studies assessing the effectiveness, costs and cost effectiveness of dental auxiliaries in providing care traditionally provided by dentists. Only 5 studies, the majority conducted more than 20 years ago could be included so no firm conclusions can be made.

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Joint crisis plans: cost-effective for whom?

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Chris Sampson looks at the economic outcomes of a recent RCT of joint crisis plans to reduce compulsory treatment for people with psychosis. The study reports the potential for gains specifically among Black patients.

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The cost-effectiveness of liaison psychiatry: the case of RAID

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Liaison psychiatry brings together medical and psychiatric staff in hospital wards and emergency departments, with the aim of more adequately addressing comorbidities between physical and mental health. It’s something that’s been discussed in the Woodland before, with recommendations for wider implementation. The Guardian recently published an article discussing the findings of a recent study and [read the full story…]

Is telephone peer support for the prevention of postnatal depression worth the cost?

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. Peer support has been a hot topic in the woodland recently. Although there appears to be a lack of evidence to support the clinical effectiveness of peer support interventions for people with severe mental illness, such as bipolar disorder and schizophrenia, it is an approach that is highly valued by many. It might be [read the full story…]

CBT is more cost-effective than SSRI alone as treatment for panic disorder

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In addition to its impact on quality of life, panic disorder can have a number of costly consequences such as lost productivity – particularly if also associated with agoraphobia. Cost-effectiveness is therefore an important consideration in choosing the optimal treatment for panic disorder, which might improve value via the cost side of the equation. A recent [read the full story…]

Cost effectiveness of surgery versus root planing in patients with chronic periodontitis

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Both surgical and non-surgical approaches can be used for the treatment of chronic periodontitis. The traditional approach being improving plaque control and non- surgical scaling and root planing (SRP) followed by surgical re-treatment where indicated. The main aim of this study was to compare immediate surgery with SRP in the treatment of advanced periodontal disease [read the full story…]

A strong business case exists for investing in early and community-based interventions for mental health, says report

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This report provides everything that is needed for people working in mental health services to make a business case for investing in early and community-based interventions. This includes, commissioners, practitioners, local authorities, policy-makers, providers, and social care. As part of this document, the authors have provided the evidence for the cost-effectiveness of a range of [read the full story…]

Is treatment for depression cost-effective in people with diabetes?

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There is evidence to suggest that people with diabetes are twice as likely to suffer from depression. It’s therefore important that the cost-effectiveness of treatments for comorbid depression be indentified. The elves have already reported on a review of the effectiveness of collaborative care for people with diabetes and depression, suggesting that the intervention might be effective. While [read the full story…]

Review finds lack of published, robust evidence on impact of advocacy in social care services

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Background A recent report from the Improving Health and Lives team suggested that over half of the advocacy organisations in the UK provide services for people with learning disabilities. The report pointed out that given the increasing move towards personalisation and the changes taking place in the organization of commissioning, that there was likely to [read the full story…]

Study suggests use of resin-bonded bridgework more cost effective than removable dental prostheses in older partially dentate patients

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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…]