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Cost‐effectiveness of an individually tailored oral health educational programme based on cognitive behavioural strategies in non‐surgical periodontal treatment
Author(s) -
Jönsson Birgitta,
Öhrn Kerstin,
Lindberg Per,
Oscarson Nils
Publication year - 2012
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/j.1600-051x.2012.01898.x
Subject(s) - medicine , cognition , randomized controlled trial , physical therapy , cost–benefit analysis , cost effectiveness , dentistry , surgery , psychiatry , risk analysis (engineering) , ecology , biology
Aim The aim of this cost‐effectiveness analysis ( CEA ), performed from a societal perspective, was to compare costs and consequences of an individually tailored oral health educational programme ( ITOHEP ) based on cognitive behavioural strategies integrated in non‐surgical periodontal treatment compared with a standard treatment programme ( ST ). Material and Methods A randomized ( n = 113), evaluator‐blinded, controlled trial, with two different active treatments, was analysed with respect to their costs and consequences 12 months after non‐surgical treatment. Costs referred to both treatment costs and costs contributed by the patient. Consequences (outcome) were expressed as the proportion of individuals classified as having reached the pre‐set criteria for treatment success after non‐surgical treatment (“successful‐ NSPT ”). Results More individuals in the ITOHEP group reached the pre‐set criteria for treatment success than individuals in the ST group did. The CEA revealed an incremental cost‐effectiveness of SEK 1724 [€191.09; SEK9.02 = €1 (January 2007)] per “successful‐ NSPT ” case, of which treatment costs represented SEK 1189 (€131.82), using the unit cost for a dental hygienist. Conclusion The incremental costs per “successful‐ NSPT ” case can be considered as low and strengthens the suggestion that an ITOHEP integrated into non‐surgical periodontal treatment is preferable to a standardized education programme.