{
    "abstract": "Internet-based treatment (IBT) for provoked vulvodynia (PVD) may reduce pain during intercourse and increases pain acceptance. However, a there is still a\u00a0knowledge gap regarding the cost-effectiveness of IBT for PVD. The aim of this study was to perform a health economic evaluation of guided internet-based intervention for PVD as an addition to standard treatment. The sample consisted of 99 women with a PVD diagnosis. Healthcare related costs, health-related quality of life, and quality-adjusted life-years (QALYs) and incremental cost-effectiveness ratio (ICER) were analyzed. After the IBT, the intervention group had fewer visits to a midwife than the control group (p\u2009=\u20090.03), but no between-group differences were found for visits to other professionals, treatment length, health-related quality of life, QALYs, and costs for treatment. It was estimated a cost of 260.77 \u20ac for a clinical meaningful change in pain acceptance. Internet-based treatment as add-on to clinical treatment may lower number of visits to a healthcare.",
    "authors": [
        {
            "affiliation": "Department of Women's and Children's Health, Uppsala University, BOX 593, 751 24, Uppsala, Sweden. andrea.hess.engstrom@kbh.uu.se.\nCentre for Clinical Research, V\u00e4stmanland County Hospital, Uppsala University, V\u00e4ster\u00e5s, Sweden. andrea.hess.engstrom@kbh.uu.se.",
            "firstname": "A",
            "initials": "A",
            "lastname": "Hess Engstr\u00f6m"
        },
        {
            "affiliation": "Division of Obstetrics and Gynecology, Department of Clinical Sciences, Karolinska Institute, Solna, Sweden.",
            "firstname": "N",
            "initials": "N",
            "lastname": "Bohm-Starke"
        },
        {
            "affiliation": "Division Clinical Psychology, Department of Psychology, Uppsala University, Uppsala, Sweden.",
            "firstname": "M",
            "initials": "M",
            "lastname": "Buhrman"
        },
        {
            "affiliation": "Department of Women's and Children's Health, Uppsala University, BOX 593, 751 24, Uppsala, Sweden.",
            "firstname": "U",
            "initials": "U",
            "lastname": "H\u00f6gberg"
        },
        {
            "affiliation": "Department of Women's and Children's Health, Uppsala University, BOX 593, 751 24, Uppsala, Sweden.",
            "firstname": "A",
            "initials": "A",
            "lastname": "Skalkidou"
        },
        {
            "affiliation": "Department of Medical Sciences, Uppsala University, Uppsala, Sweden.",
            "firstname": "S",
            "initials": "S",
            "lastname": "Lagenski\u00f6ld"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2023. The Author(s).",
    "doi": "10.1038/s41598-023-33406-6\n10.1016/j.jogoh.2019.04.011\n10.1097/LGT.0000000000000461\n10.1111/ajo.13423\n10.1002/ejp.1668\n10.1002/ejp.1841\n10.1080/0092623X.2020.1766611\n10.1111/papr.12274\n10.1038/s41572-020-0164-2\n10.1016/j.ajog.2020.08.038\n10.1016/j.sxmr.2017.02.003\n10.1016/j.sxmr.2021.03.002\n10.1037/ccp0000631\n10.1037/ccp0000072\n10.1007/s12671-013-0273-z\n10.1016/j.jsxm.2019.04.002\n10.1016/j.brat.2021.103995\n10.1002/ejp.1723\n10.3389/fpsyg.2017.02350\n10.1016/j.brat.2015.09.001\n10.1016/j.invent.2021.100396\n10.1016/j.jsxm.2021.11.019\n10.1016/j.srhc.2022.100756\n10.1185/03007995.2012.666963\n10.1016/j.brat.2013.02.010\n10.1093/humrep/dex057\n10.1007/s11136-012-0322-4\n10.1037/rep0000342\n10.1016/j.pain.2003.10.012\n10.1016/j.ejpain.2009.08.003\n10.1016/j.ejpain.2008.09.003\n10.1007/s40273-020-00905-7\n10.1186/s12888-016-0895-5\n10.1037/0022-006X.59.1.12\n10.1016/S1701-2163(16)30049-4\n10.1089/jwh.2021.0086\n10.1016/j.jpain.2020.11.003\n10.1002/ejp.509\n10.1016/j.jpain.2018.07.012\n10.1007/s40273-020-00893-8\n10.1136/bmjopen-2018-023390\n10.1016/j.ajog.2013.09.033\n10.1016/j.ejogrb.2020.05.052\n10.1111/pme.12151\n10.1016/j.amepre.2016.05.007",
    "journal": "Scientific reports",
    "keywords": [],
    "methods": null,
    "publication_date": "2023-04-18",
    "pubmed_id": "37069199\n31051298\n30768446\n34463957\n33001545\n34288269\n32460678\n25581081\n32355269\n32818475\n28363763\n34127429\n34014693\n26727408\n31103481\n34800873\n33460240\n29375451\n26409158\n33996511\n34972640\n35870352\n22356119\n23548250\n28383700\n23184421\n33591792\n14715402\n19819172\n18926744\n32307663\n16826718\n27267986\n2002127\n26629720\n34520267\n33227510\n24777973\n30107241\n32180162\n30967405\n24080300\n32563924\n23742116\n27745685",
    "results": null,
    "title": "Health economic evaluation of a randomized controlled trial (EMBLA study), an internet-based treatment for provoked vulvodynia.",
    "xml": "<Element 'PubmedArticle' at 0x788503de6a20>"
}