110796 20240319080949.0 doi 10.3390/healthcare10010160 sideral 126696 ART-2022-126696 eng Fernández-Sanchis, Daniel Cost-Effectiveness of Upper Extremity Dry Needling in Chronic Stroke 2022 Access copy available to the general public Unrestricted Introduction: Dry needling is a non-pharmacological approach that has proven to be effective in different neurological conditions. Objective: The aim of this study was to evaluate the cost-effectiveness of a single dry needling session in patients with chronic stroke. Methods: A cost-effectiveness analysis was performed based on a randomized controlled clinical trial. The results obtained from the values of the EuroQol-5D questionnaire and the Modified Modified Ashworth Scale were processed in order to obtain the percentage of treatment responders and the quality-adjusted life years (QALYs) for each alternative. The cost analysis was that of the hospital, clinic, or health center, including the equipment and physiotherapist. The cost per respondent and the incremental cost-effectiveness ratio of each alternative were assessed. Results: Twenty-three patients with stroke were selected. The cost of DN treatment was EUR 14.96, and the data analysis showed a favorable cost-effectiveness ratio of both EUR/QALY and EUR/responder for IG, although the sensitivity analysis using limit values did not confirm the dominance (higher effectiveness with less cost) of the dry needling over the sham dry needling. Conclusions: Dry needling is an affordable alternative with good results in the cost-effectiveness analysis—both immediately, and after two weeks of treatment—compared to sham dry needling in persons with chronic stroke. info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 2.8 2022 HEALTH POLICY & SERVICES 43 / 87 = 0.494 2022 Q2 T2 HEALTH CARE SCIENCES & SERVICES 57 / 106 = 0.538 2022 Q3 T2 0.55 2022 Health Policy 2022 Q2 Leadership and Management 2022 Q2 Health Informatics 2022 Q3 Health Information Management 2022 Q3 2.7 2022 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Brandín-de la Cruz, Natalia Jiménez-Sánchez, Carolina Gil-Calvo, Marina Universidad de Zaragoza (orcid)0000-0003-4792-1782 Herrero, Pablo Universidad de Zaragoza (orcid)0000-0002-9201-0120 Calvo, Sandra Universidad de Zaragoza (orcid)0000-0002-1674-7788 1006 245 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Educación Física y Depor. 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 10, 1 (2022), 160 [11 pp.] Healthcare (Basel) Healthcare (Switzerland) 2227-9032 897710 http://zaguan.unizar.es/record/110796/files/texto_completo.pdf Versión publicada 2679896 http://zaguan.unizar.es/record/110796/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:110796 articulos driver 2024-03-18-12:51:21 ARTICLE