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A cost effectiveness of the PACE trial

Discussion in 'Latest ME/CFS Research' started by user9876, Aug 1, 2012.

  1. Esther12

    Esther12 Senior Member

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    Thanks.

    I can't remember if the PACE CBT manual includes stuff about 'overcoming a reliance on caregivers' type stuff. I've seen that sort of thing in other CBT plans...

    I just checked the shorter participants guide for CBT and found this:

    Ugh... I really felt dirty reading some of the other parts of that. I think that the more I read of this stuff, the more I hate it.

    More generally I think there would be a real danger that interventions founded upon models that assume patients have greater control over their symptoms would also be more likely to lead to a degree of response bias in questionnaires on the amount of support taken.

    I had a look though the APT participants guide and couldn't find anything similar.

    I don't think it's fair to assume that this would lead to people with APT to make use of more support, but I found it, so many as well post it here too.

    tbh, I didn't much like reading the APT guide either!
     
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  2. Dolphin

    Dolphin Senior Member

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    Yes, it's important to point out that the reliability of the whole supposed cost-effectiveness value for CBT and GET from a societal perspective largely depends on participants accurately reporting this one measure (as there wasn't much difference in anything else).
     
  3. Tom Kindlon

    Tom Kindlon Senior Member

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    My latest comment on the PACE Trial cost effectiveness paper:
     
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  4. Tom Kindlon

    Tom Kindlon Senior Member

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    I just posted another comment:
    http://www.plosone.org/annotation/listThread.action?root=78707
     
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  5. Dolphin

    Dolphin Senior Member

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    I just read:



    In the statistical analysis plan for the PACE Trial, one of the analyses mentioned was valuing the cost of informal care at zero. This was not reported in the paper proper.

    Also, in the
    This was not explicitly done but when the issue was brought up, Paul McCrone the corresponding author said the therapies were not cost effective if the estimated cost was increased by 50%. They were thus certainly not cost effective if they were increased by 100%.
     
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  6. user9876

    user9876 Senior Member

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    From an economics perspective it would be interesting to apply a supply and demand model to treatment costs since supply of treatment (being based on having trained staff) is not elastic and hence costs would be expected to increase (especially now we have a market for health in the UK). However, I seem to remember that the cost effectiveness was quite marginal so treatments would quickly become not cost effective.

    Also given the patient surveys showing serious deteriation with GET and CBT could they these costs be factored in and then their analysis would probably collapse.
     
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  7. Esther12

    Esther12 Senior Member

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    Has that been mentioned in the PLoS comments? I saw that some of these things had been.
     
  8. Dolphin

    Dolphin Senior Member

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    Yes, it has been.
     
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