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Abdominal massage for people with constipation: a cost utility analysis
Kristina Lämås1, Lars Lindholm, Birgitta Engström
1Department of Nursing, Umeå University, Sweden. kristina.lamas@nurs.umu.se
Journal of Advanced Nursing
|June 19, 2010
Summary
Abdominal massage significantly improves health-related quality of life for constipation patients. This intervention shows potential long-term cost-effectiveness, particularly with self-massage techniques.
Area of Science:
- Gastroenterology
- Health Economics
- Quality of Life Research
Background:
- Constipation is a prevalent condition negatively impacting patients' quality of life.
- Abdominal massage is a potential intervention to alleviate gastrointestinal symptoms.
- The effect of abdominal massage on health-related quality of life remains under-assessed.
Purpose of the Study:
- To evaluate changes in health-related quality of life (HRQoL) in constipation patients undergoing abdominal massage.
- To estimate the cost-effectiveness of two abdominal massage scenarios: self-massage and professional massage.
Main Methods:
- A randomized controlled trial with 60 participants in Sweden (2005-2007).
- Intervention group received abdominal massage; control group continued laxative use.
- Health-related quality of life assessed using EQ-5D, analyzed via linear regression; cost utility analysis conducted for two scenarios.
Main Results:
- Abdominal massage led to a statistically significant increase in HRQoL after 8 weeks.
- Approximately 40% of patients experienced a good effect from the massage.
- Cost per Quality Adjusted Life Year (QALY) for self-massage was €75,000 initially, dropping to €8,300 with continued use; for professional massage, it was €60,000, decreasing to €28,000.
Conclusions:
- Abdominal massage may offer long-term cost-effectiveness for constipation management.
- Considering abdominal massage as a therapeutic option for constipation is relevant.
- Identifying patient subgroups who benefit most from abdominal massage is crucial.
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