Physiotherapy after arthroscopic partial meniscectomy surgery: an assessment of costs to the National Health Service, patients, and society.
OBJECTIVE
The purpose of this study was to determine and inform clinicians, managers, and budget allocators of the costs incurred to the British National Health Service (NHS), patient, and society when attending clinic-based physiotherapy compared with not attending clinic-based physiotherapy after arthroscopic partial meniscectomy surgery.


METHODS
The valuation principle used in this study was the economic concept of opportunity cost. Costs were referred to as direct medical (NHS), direct nonmedical (patient), and indirect (societal) costs. Due to the difficulties of their measurement and valuation, intangible costs, in the form of pain and anxiety related to the effect of receiving or not receiving treatment, have not been considered in this analysis.


RESULTS
Providing clinic-based physiotherapy after knee arthroscopic partial meniscectomy surgery is more costly to the NHS and patient, but no more costly to society than when not providing it and does not result in reduced contact with the NHS.


CONCLUSIONS
Clinic-based physiotherapy after knee arthroscopic partial meniscectomy surgery is costly and evidence is needed that its effectiveness is high enough to support its use.
Goodwin
Peter Charles
PC
Department of Physiotherapy, Manchester Metropolitan University, Hathersage Road, Manchester M13 0JA, UK. p.goodwin@mmu.ac.uk
Ratcliffe
Julie
J
Morrissey
Matthew Charles
MC
D000293:Adolescent; D000328:Adult; D001182:Arthroscopy; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery*; D008875:Middle Aged; D009313:National Health Programs / Q000191:economics*; D010361:Patients; D026761:Physical Therapy Specialty / Q000191:economics*; D012952:Societies / Q000191:economics*; D006113:United Kingdom