Joanne Lord

Anne Ngunjiri2
Louise Longworth2
2Anne Ngunjiri
2Louise Longworth
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AIM This study models the cost-effectiveness of brief advice (BA) in primary care for physical activity (PA) addressing the limitations in the current limited economic literature through the use of a time-based modelling approach. METHODS A Markov model was used to compare the lifetime costs and outcomes of a cohort of 100 000 people exposed to BA versus(More)
BACKGROUND Low back pain is a common and disabling condition leading to large health service and societal costs. Although there are several treatment options for back pain little is known about how to improve patient choice in treatment selection. The purpose of this study was to pilot a decision support package to help people choose between low back pain(More)
BACKGROUND Published cost-effectiveness estimates can vary considerably, both within and between countries. Despite extensive discussion, little is known empirically about factors relating to these variations. OBJECTIVES To use multilevel statistical modeling to integrate cost-effectiveness estimates from published economic evaluations to investigate(More)
BACKGROUND Increased mortality rates associated with weekend hospital admission (the so-called weekend effect) have been attributed to suboptimum staffing levels of specialist consultants. However, evidence for a causal association is elusive, and the magnitude of the weekend specialist deficit remains unquantified. This uncertainty could hamper efforts by(More)
  • Claire M Nolan, Louise Longworth, Joanne Lord, Jane L Canavan, Sarah E Jones, Samantha S C Kon +1 other
  • 2016
BACKGROUND The EQ-5D, a generic health status questionnaire that is widely used in health economic evaluation, was recently expanded to the EQ-5D-5L to address criticisms of unresponsiveness and ceiling effect. AIMS To describe the validity, responsiveness and minimum important difference of the EQ-5D-5L in COPD. METHODS Study 1: The validity of the(More)
For pragmatic reasons, cost-effectiveness analyses performed for NICE Clinical Guidelines use a piecemeal approach, evaluating only selected aspects of diagnosis, treatment or care. A Whole Pathway approach, considering diagnosis-to-death, may provide more realistic estimates of costs and health outcomes, taking account of the healthcare context and(More)
OBJECTIVE To develop a decision support package for people with low back pain (LBP) referred for physiotherapy. METHODS We used a program of exploratory work, including literature reviews, a Delphi study, a nominal group with physiotherapists, focus groups with patients, and secondary analysis of existing interview data. RESULTS We developed an(More)
A routine part of the process for developing National Institute for Health and Care Excellence (NICE) medical technologies guidance is a submission of clinical and economic evidence by the technology manufacturer. The Birmingham and Brunel Consortium External Assessment Centre (EAC; a consortium of the University of Birmingham and Brunel University)(More)
BACKGROUND Although many studies have identified public preferences for prioritising health care interventions based on characteristics of recipient or care, very few of them have examined the reasons for the stated preferences. We conducted an on-line person trade-off (PTO) study (N=1030) to investigate whether the public attach a premium to the avoidance(More)
OBJECTIVES The aim of this study is to describe and illustrate a method to obtain early estimates of the effectiveness of a new version of a medical device. METHODS In the absence of empirical data, expert opinion may be elicited on the expected difference between the conventional and modified devices. Bayesian Mixed Treatment Comparison (MTC)(More)
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