Report of recommendations to the Iowa Department of Education, Division of Vocational Rehabilitation Services, June 30, 2012

Report of recommendations to the Iowa Department of Education, Division of Vocational Rehabilitation Services for the year ended June 30, 2012

Report of recommendations to the Iowa Department of Education, Division of Vocational Rehabilitation Services, for the year ended June 30, 2004

Report of recommendations to the Iowa Department of Education, Division of Vocational Rehabilitation Services, for the year ended June 30, 2004

Report of recommendations to the Iowa Department of Education, Division of Vocational Rehabilitation Services, June 30, 2005

Report of recommendations to the Iowa Department of Education, Division of Vocational Rehabilitation Services, June 30

Cost-utility analysis of a three-month exercise programme vs usual care following multidisciplinary rehabilitation for chronic low back pain.

OBJECTIVE: To assess the cost-utility of an exercise programme vs usual care after functional multidisciplinary rehabilitation in patients with chronic low back pain. DESIGN: Cost-utility analysis alongside a randomized controlled trial. SUBJECTS/PATIENTS: A total of 105 patients with chronic low back pain. METHODS: Chronic low back pain patients completing a 3-week functional multidisciplinary rehabilitation were randomized to either a 3-month exercise programme (n = 56) or usual care (n = 49). The exercise programme consisted of 24 training sessions during 12 weeks. At the end of functional multidisciplinary rehabilitation and at 1-year follow-up quality of life was measured with the SF-36 questionnaire, converted into utilities and transformed into quality--adjusted life years. Direct and indirect monthly costs were measured using cost diaries. The incremental cost-effectiveness ratio was calculated as the incremental cost of the exercise programme divided by the difference in quality-adjusted life years between both groups. RESULTS: Quality of life improved significantly at 1-year follow-up in both groups. Similarly, both groups significantly reduced total monthly costs over time. No significant difference was observed between groups. The incremental cost-effectiveness ratio was 79,270 euros. CONCLUSION: Adding an exercise programme after functional multidisciplinary rehabilitation compared with usual care does not offer significant long-term benefits in quality of life and direct and indirect costs.

Iowa Division of Vocational Rehabilitation Services Performance Report, FY2004

Agency Performance Report

Iowa Division of Vocational Rehabilitation Services Performance Report, FY2005

Agency Performance Report

Iowa Division of Vocational Rehabilitation Services Performance Report, FY2006

Agency Performance Report

Iowa Division of Vocational Rehabilitation Services Performance Report, FY2009

Agency Performance Report

Iowa Division of Vocational Rehabilitation Services Performance Report, FY2007

Agency Performance Report

Iowa Division of Vocational Rehabilitation Services Performance Report, FY2008

Agency Performance Report

Iowa Division of Vocational Rehabilitation Services Performance Report, FY2010

Agency Performance Report

Iowa Division of Vocational Rehabilitation Services Performance Report, FY2011

Agency Performance Report

Iowa Division of Vocational Rehabilitation Services Performance Report, FY2012

Agency Performance Report

Department of Education, Iowa Vocational Rehabilitation Services Performance Plan, FY 2004

Agency Performance Plan, Department of Education, Iowa Vocational Rehabilitation Services