Home > Journals > Panminerva Medica > Past Issues > Panminerva Medica 2003 September;45(3) > Panminerva Medica 2003 September;45(3):211-7



To subscribe PROMO
Submit an article
Recommend to your librarian





Panminerva Medica 2003 September;45(3):211-7


language: English

Clinical efficacy and cost-effectiveness evidence of SPA therapy in osteoarthritis. The results of “Naiade” Italian Project

Fioravanti A. 1, Valenti M. 2, Altobelli E. 2, Di Orio F. 2, Nappi G. 3, Crisanti A. 1, Cantarini L. 1, Marcolongo R. 1

1 Institute of Rheumatology University of Siena, Siena, Italy 2 Section of Epidemiology and Biostatistics University of l’Aquila, L’Aquila, Italy 3 Section of Clinical Hydrology, University of Milano, Milano, Italy


Aim. The “Naiade” Project was car­ried out in exe­cu­tion of the Decree of December 1994 by the Italian Ministry of Health, ­with the objec­tive of defin­ing the ther­a­peu­tic ­role of spa ther­a­py in the var­i­ous sec­tors of med­i­cine. In ­this ­study the ­authors ­refer to the ­results ­obtained in oste­oar­thritis (OA).
Methods. The OA ­study includ­ed the obser­va­tion of ­patients for 2 con­sec­u­tive ­years, ­with the com­pi­la­tion of a ­series of clin­i­cal and ­socio-eco­nom­ic ­data. The ­initial sam­ple was of 11437 ­patients suf­fer­ing ­from pri­mary and sec­on­dary OA, and in the 2nd ­year the ­total num­ber of assess­able ­patients was 6111 (53.4%). All ­patients under­went 1 annu­al ­cycle of bal­ne­o­ther­a­py and mud ­packs ther­a­py for 2 con­sec­u­tive ­years. The ther­mal treat­ments ­were car­ried out in 98 Italian ­spas ­with sul­phur­ous ­water, sodi­um chlo­ride-bro­mide-­iodide ­water, sul­phate ­water, and bicar­bo­nate ­water. Analysis of the ­data col­lect­ed con­firmed the clin­i­cal effi­ca­cy of spa treat­ments for OA, par­tic­u­lar­ly for local­isa­tions in the cer­vi­cal and lum­bar ­spine. The ben­e­fits of ­these treat­ments and the per­sis­tence of the ther­a­peu­tic ­effects ­over ­time ­were clear­ly dem­on­strat­ed by the col­lec­tion of ­some ­socio-eco­nom­ic indi­ca­tors rel­a­tive to the ­year ­before ­each ­cycle of ther­mal ther­a­py.
Results. In ­fact, the anal­y­sis of ­these indi­ca­tors ­showed a sig­nif­i­cant reduc­tion in ­recourse to addi­tion­al treat­ments (hos­pi­tal admis­sions, phys­i­cal and phar­mac­o­log­i­cal ther­a­pies) and ­absence ­from ­work.
Conclusion. The ­obtained ­data was par­tic­u­lar­ly inter­est­ing for the num­ber of sam­ples exam­ined, the fol­low-up ­over a peri­od of 2 ­years, and the col­lec­tion of clin­i­cal and, espe­cial­ly, ­socio-eco­nom­ic param­e­ters. The ­results of the Naiade Project con­firmed the val­ue of spa ther­a­pies in the treat­ment of OA.

top of page