Table 5

 Evidence of cost effectiveness for the proposed interventions

InterventionComparatorPerspectiveDurationDiscountingEffectivenessC1–C2E1–E2ICER
C1, total costs with intervention; C2, total costs with comparator; E1, effects with intervention; E2, effects with comparator; ICER, incremental cost effectiveness ratio, base case scenario; QALYs, quality adjusted life years.
Group physiotherapyHome exerciseInstitutional/payer1 yearNoPatients global health (VAS) cm$409–01.7–0.3292
Spa exercise therapyConventional treatmentInstitutional/payer40 weeksNoQALYs€3129–175412869
Education programmeConventional treatmentSocietal1 yearNoWork days lostSaving
Coxib (patients with OA/RA)Naproxen3rd party payerLife3%QALYs$16620–5037395324
Coxib (patients with OA/RA) (previous GI haemorrhage)Naproxen3rd party payerLife5%QALYs$19015–1429455803
NSAIDs+misoprostol (all patients with OA)NSAIDsCanadian Health services3 monthsNoGI events averted$32396–2562296–86684
NSAIDs+misoprostol (patients with OA aged ⩾65 years)NSAIDsCanadian Health services3 monthsNoGI events averted$28971–2562291–86644
InfliximabConventional treatmentSocietal2 years3%QALYs£25126–172400.17–06624