Specialist inpatient rehabilitation is a cost-effective strategy that can improve the clinical outcomes of patients with multiple sclerosis (MS), particularly those at more advanced stages of the disease, a study in the United Kingdom (U.K.) found.
The study, “Cost-efficiency of specialist inpatient rehabilitation for adults with multiple sclerosis: A multicentre prospective cohort analysis of the UK Rehabilitation Outcomes Collaborative national clinical dataset for rehabilitation centres in England,” was published in the Multiple Sclerosis Journal – Experimental, Translational and Clinical.
MS is a neurodegenerative and autoimmune disease that affects the central nervous system (consisting of the brain and spinal cord). It can cause physical, cognitive, and mental deficits that reduce the autonomy and quality of life of those with the disease.
A growing body of evidence supports the effectiveness of rehabilitation at improving the clinical outcomes of those with MS.
“By improving independence and autonomy, rehabilitation has the potential to reduce the burden and costs of care, both for family and society,” researchers wrote. “Specialist rehabilitation is increasingly recognized as an essential component of healthcare for this group of patients, but it can be a costly intervention and systematic evaluation is required to demonstrate that [programs] are both effective and cost-efficient.”
To evaluate the functional outcomes, care needs, and cost-efficiency of specialist inpatient rehabilitation for adults with MS, investigators at King’s College London conducted a large group study based on data from the U.K. Rehabilitation Outcomes Collaborative (ROC) national database.
The study included data from 1,007 MS patients (63% women, with a mean age of 51.7 years at admission) who were admitted to specialist inpatient rehabilitation in England from 2010 to 2018.
The Northwick Park Dependency Scale (NPDS) was used to evaluate patients’ dependency on nursing staff, and the Northwick Park Care Needs Assessment (NPCNA) to estimate the number of care hours and total costs per week. The U.K. Functional Assessment Measure was used to assess patients’ disability.
We are sorry that this post was not useful for you!
Let us improve this post!
Tell us how we can improve this post?