Abstract
Background
Information about the cost-effectiveness of early intervention programmes for first-episode psychosis is limited.
Aims
To evaluate the cost-effectiveness of an intensive early-intervention programme (called OPUS) (trial registration NCT00157313) consisting of enriched assertive community treatment, psychoeducational family treatment and social skills training for individuals with first-episode psychosis compared with standard treatment.
Method
An incremental cost-effectiveness analysis of a randomised controlled trial, adopting a public sector perspective was undertaken.
Results
The mean total costs of OPUS over 5 years (€123 683, s.e. = 8970) were not significantly different from that of standard treatment (€148 751, s.e. = 13073). At 2-year follow-up the mean Global Assessment of Functioning (GAF) score in the OPUS group (55.16, s.d. = 15.15) was significantly higher than in standard treatment group (51.13, s.d. = 15.92). However, the mean GAF did not differ significantly between the groups at 5-year follow-up (55.35 (s.d. = 18.28) and 54.16 (s.d. = 18.41), respectively). Cost-effectiveness planes based on non-parametric bootstrapping showed that OPUS was less costly and more effective in 70% of the replications. For a willingness-to-pay up to €50 000 the probability that OPUS was cost-effective was more than 80%.
Conclusions
The incremental cost-effectiveness analysis showed that there was a high probability of OPUS being cost-effective compared with standard treatment.
Information about the cost-effectiveness of early intervention programmes for first-episode psychosis is limited.
Aims
To evaluate the cost-effectiveness of an intensive early-intervention programme (called OPUS) (trial registration NCT00157313) consisting of enriched assertive community treatment, psychoeducational family treatment and social skills training for individuals with first-episode psychosis compared with standard treatment.
Method
An incremental cost-effectiveness analysis of a randomised controlled trial, adopting a public sector perspective was undertaken.
Results
The mean total costs of OPUS over 5 years (€123 683, s.e. = 8970) were not significantly different from that of standard treatment (€148 751, s.e. = 13073). At 2-year follow-up the mean Global Assessment of Functioning (GAF) score in the OPUS group (55.16, s.d. = 15.15) was significantly higher than in standard treatment group (51.13, s.d. = 15.92). However, the mean GAF did not differ significantly between the groups at 5-year follow-up (55.35 (s.d. = 18.28) and 54.16 (s.d. = 18.41), respectively). Cost-effectiveness planes based on non-parametric bootstrapping showed that OPUS was less costly and more effective in 70% of the replications. For a willingness-to-pay up to €50 000 the probability that OPUS was cost-effective was more than 80%.
Conclusions
The incremental cost-effectiveness analysis showed that there was a high probability of OPUS being cost-effective compared with standard treatment.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | British Journal of Psychiatry |
| Vol/bind | 202 |
| Udgave nummer | 1 |
| Sider (fra-til) | 35-41 |
| ISSN | 0007-1250 |
| DOI | |
| Status | Udgivet - 2013 |
Citer dette
Hastrup, L. H., Kronborg, C., Bertelsen, M., Jeppesen, P., Jørgensen, P., Petersen, L., Thorup, A., Simonsen, E., & Nordentoft, M. (2013). Cost-effectiveness of early intervention in first-episode psychosis: economic evaluation of a randomised controlled trial (the OPUS study). British Journal of Psychiatry, 202(1), 35-41. https://doi.org/10.1192/bjp.bp.112.112300