{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:05:16Z","timestamp":1787162716421,"version":"build-2736575974"},"reference-count":33,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"4","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>OBJECTIVE: To conduct a cost-utility analysis of a group physiotherapy intervention, compared to usual care, for musculoskeletal disorders in Canadian military personnel.<\/jats:p>\n                  <jats:p>DESIGN: Economic evaluation alongside a pragmatic randomized clinical trial.<\/jats:p>\n                  <jats:p>METHODS: One hundred and twenty military members presenting with shoulder, knee, ankle, or low back pain were randomized to receive either usual one-on-one physiotherapy care or a group intervention. Cumulative health care costs were prospectively collected over 26 weeks from the perspective of the Canadian Armed Forces. The clinical outcome of the cost-utility analysis was the quality-adjusted life-year (QALY) estimated by the ED-5Q-5L (European Quality of Life 5 Dimensions 5 Level Version) at baseline, 6, 12, and 26 weeks. The incremental cost-effectiveness ratio (ICER) was estimated by the cost difference between interventions (in 2023 Canadian dollars [CAD$]) divided by the effect difference.<\/jats:p>\n                  <jats:p>RESULTS: The mean QALY gain was 0.011 in the group intervention, and 0.010 in the usual care. The average cost for a patient was CAD $532 in the group intervention and CAD $599 in the usual care. The ICER (\u2013$67 000\/QALY) indicated that the group intervention was cost-effective, as it costs less than usual care while providing comparable effectiveness.<\/jats:p>\n                  <jats:p>CONCLUSION: Group interventions were cost-effective compared to usual care for treating musculoskeletal disorders in military personnel. J Orthop Sports Phys Ther 2025;55(4):295-304. Epub 26 Feb 2025. doi: 10.2519\/jospt.2025.12888<\/jats:p>","DOI":"10.2519\/jospt.2025.12888","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T09:25:25Z","timestamp":1740561925000},"page":"295-304","update-policy":"https:\/\/doi.org\/10.2519\/jospt.crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Is Group-Based Physiotherapy a Cost-Effective Intervention Compared to Usual One-on-One Physiotherapy Care in the Management of Musculoskeletal Disorders in Active Military Personnel? An Economic Evaluation Alongside a Pragmatic Randomized Clinical Trial"],"prefix":"10.2519","volume":"55","author":[{"given":"Fr\u00e9d\u00e9rique","family":"Dupuis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason Robert","family":"Guertin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose","family":"Gagnon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Larue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maj. 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