Economic analysis of acupuncture for migraine prophylaxis

Jitka Pokladnikova,1,2 Petra Maresova,3 Josef Dolejs,3 A-La Park,4 Bo Wang,5 Xin Guan,5 Frantisek Musil1 1Czech-Chinese Centre for Traditional Chinese Medicine, University Hospital in Hradec Kralove, Hradec Kralove, Czech Republic; 2Faculty of Pharmacy in Hradec Kralove, Charles University...

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Autores principales:	Pokladnikova J, Maresova P, Dolejs J, Park AL, Wang B, Guan X, Musil F
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	acupuncture cost effectiveness migraine prophylaxis Traditional Chinese Medicine Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/acdf31c305444973a6e58c79906429fa
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spelling	oai:doaj.org-article:acdf31c305444973a6e58c79906429fa2021-12-02T04:28:59ZEconomic analysis of acupuncture for migraine prophylaxis1178-2021https://doaj.org/article/acdf31c305444973a6e58c79906429fa2018-11-01T00:00:00Zhttps://www.dovepress.com/economic-analysis-of-acupuncture-for-migraine-prophylaxis-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Jitka Pokladnikova,1,2 Petra Maresova,3 Josef Dolejs,3 A-La Park,4 Bo Wang,5 Xin Guan,5 Frantisek Musil1 1Czech-Chinese Centre for Traditional Chinese Medicine, University Hospital in Hradec Kralove, Hradec Kralove, Czech Republic; 2Faculty of Pharmacy in Hradec Kralove, Charles University, Hradec Kralove, Czech Republic; 3Faculty of Informatics and Management, University of Hradec Kralove, Hradec Kralove, Czech Republic; 4Personal Social Services Research Unit, Department of Health Policy, London School of Economics and Political Science, London, UK; 5Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China Background: Acupuncture has become a viable option for migraine prophylaxis in Europe; however, despite its wide use, more data on the short- and long-term cost-effectiveness are needed when considering the perspectives of a paying third-party, the patient, and of society in general. The aim was to evaluate the cost and effectiveness of adjuvant acupuncture to pharmacologic treatment vs pharmacologic treatment alone in migraine patients after a 3-month acupuncture course and a 6-month follow-up from all perspectives.Methods: The study involved an open-label randomized clinical trial of patients receiving acupuncture (n=42), and a waiting list control group (n=44). The number of migraine days during the last 28 days, as well as direct and indirect costs were considered. The trial was registered under DRKS00009803.Results: The total cost per patient reached €696 vs €285 after 3 months of acupuncture and €66 vs €132 in the acupuncture and control groups after a 6-month follow-up, respectively (P=0.071). The trends observed in effectiveness and costs from all perspectives are discussed.Conclusion: The inclusion of acupuncture in health care results beneficial mainly for its observed trend in reduced losses of productivity and income, with the latter often exceeding the costs of acupuncture treatment. As such, acupuncture may be recommended as an adjuvant treatment in migraine prophylaxis to standard pharmacotherapy. Keywords: acupuncture, cost, effectiveness, migraine, prophylaxis, Traditional Chinese MedicinePokladnikova JMaresova PDolejs JPark ALWang BGuan XMusil FDove Medical PressarticleacupuncturecosteffectivenessmigraineprophylaxisTraditional Chinese MedicineNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 3053-3061 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	acupuncture cost effectiveness migraine prophylaxis Traditional Chinese Medicine Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	acupuncture cost effectiveness migraine prophylaxis Traditional Chinese Medicine Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Pokladnikova J Maresova P Dolejs J Park AL Wang B Guan X Musil F Economic analysis of acupuncture for migraine prophylaxis
description	Jitka Pokladnikova,1,2 Petra Maresova,3 Josef Dolejs,3 A-La Park,4 Bo Wang,5 Xin Guan,5 Frantisek Musil1 1Czech-Chinese Centre for Traditional Chinese Medicine, University Hospital in Hradec Kralove, Hradec Kralove, Czech Republic; 2Faculty of Pharmacy in Hradec Kralove, Charles University, Hradec Kralove, Czech Republic; 3Faculty of Informatics and Management, University of Hradec Kralove, Hradec Kralove, Czech Republic; 4Personal Social Services Research Unit, Department of Health Policy, London School of Economics and Political Science, London, UK; 5Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China Background: Acupuncture has become a viable option for migraine prophylaxis in Europe; however, despite its wide use, more data on the short- and long-term cost-effectiveness are needed when considering the perspectives of a paying third-party, the patient, and of society in general. The aim was to evaluate the cost and effectiveness of adjuvant acupuncture to pharmacologic treatment vs pharmacologic treatment alone in migraine patients after a 3-month acupuncture course and a 6-month follow-up from all perspectives.Methods: The study involved an open-label randomized clinical trial of patients receiving acupuncture (n=42), and a waiting list control group (n=44). The number of migraine days during the last 28 days, as well as direct and indirect costs were considered. The trial was registered under DRKS00009803.Results: The total cost per patient reached €696 vs €285 after 3 months of acupuncture and €66 vs €132 in the acupuncture and control groups after a 6-month follow-up, respectively (P=0.071). The trends observed in effectiveness and costs from all perspectives are discussed.Conclusion: The inclusion of acupuncture in health care results beneficial mainly for its observed trend in reduced losses of productivity and income, with the latter often exceeding the costs of acupuncture treatment. As such, acupuncture may be recommended as an adjuvant treatment in migraine prophylaxis to standard pharmacotherapy. Keywords: acupuncture, cost, effectiveness, migraine, prophylaxis, Traditional Chinese Medicine
format	article
author	Pokladnikova J Maresova P Dolejs J Park AL Wang B Guan X Musil F
author_facet	Pokladnikova J Maresova P Dolejs J Park AL Wang B Guan X Musil F
author_sort	Pokladnikova J
title	Economic analysis of acupuncture for migraine prophylaxis
title_short	Economic analysis of acupuncture for migraine prophylaxis
title_full	Economic analysis of acupuncture for migraine prophylaxis
title_fullStr	Economic analysis of acupuncture for migraine prophylaxis
title_full_unstemmed	Economic analysis of acupuncture for migraine prophylaxis
title_sort	economic analysis of acupuncture for migraine prophylaxis
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/acdf31c305444973a6e58c79906429fa
work_keys_str_mv	AT pokladnikovaj economicanalysisofacupunctureformigraineprophylaxis AT maresovap economicanalysisofacupunctureformigraineprophylaxis AT dolejsj economicanalysisofacupunctureformigraineprophylaxis AT parkal economicanalysisofacupunctureformigraineprophylaxis AT wangb economicanalysisofacupunctureformigraineprophylaxis AT guanx economicanalysisofacupunctureformigraineprophylaxis AT musilf economicanalysisofacupunctureformigraineprophylaxis
_version_	1718401209365168128

Economic analysis of acupuncture for migraine prophylaxis

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