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Wonderling, D; Vickers, AJ; Grieve, R; McCarney, R (2004)
Publisher: BMJ Publishing Group
Languages: English
Types: Article
Subjects: Primary Care

Classified by OpenAIRE into

mesheuropmc: health care economics and organizations
OBJECTIVE: To evaluate the cost effectiveness of acupuncture in the management of chronic headache. DESIGN: Cost effectiveness analysis of a randomised controlled trial. SETTING: General practices in England and Wales. PARTICIPANTS: 401 patients with chronic headache, predominantly migraine. Interventions Patients were randomly allocated to receive up to 12 acupuncture treatments over three months from appropriately trained physiotherapists, or to usual care alone. MAIN OUTCOME MEASURE: Incremental cost per quality adjusted life year (QALY) gained. RESULTS: Total costs during the one year period of the study were on average higher for the acupuncture group ( pound 403; $768; 598) than for controls ( pound 217) because of the acupuncture practitioners' costs. The mean health gain from acupuncture during the one year of the trial was 0.021 quality adjusted life years (QALYs), leading to a base case estimate of pound 9180 per QALY gained. This result was robust to sensitivity analysis. Cost per QALY dropped substantially when the analysis incorporated likely QALY differences for the years after the trial. CONCLUSIONS: Acupuncture for chronic headache improves health related quality of life at a small additional cost; it is relatively cost effective compared with a number of other interventions provided by the NHS.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1 Blau JN, Drummond MF. Migraine. London: Office of Health Economics, 1991.
    • 2 Bosanquet N, Zammit-Lucia J. Migraine: prevention or cure? Br J Med Econ 1992;2:81- 91.
    • 3 Solomon GD, Price KL. Burden of migraine: a review of its socioeconomic impact, PharmacoEconomics 1997;11(suppl 1):1-10.
    • 4 Cull RE, Wells NE, Moiechevich ML. The economic cost of migraine. Br J Med Econ 1992;2:81-91.
    • 5 Melchart D, Linde K, Fischer P, Berman B, White A, Vickers A, et al. Acupuncture for idiopathic headacnes. Cochrane Database Syst Rev 2001;(1):CD001218.
    • 6 Vickers AJ, Rees RW, Zollman CE, McCarney R, Smith C, Ellis N, et al. Acupuncture for migraine and chronic tension headache in primary care: a large, pragmatic, randomised trial. BMJ 2004;328:000.
    • 7 Brazier J, Roberts J, Deverill M. The estimation of a preference-based measure of health from the SF-36. J Health Econ 2002;21(2):271-92.
    • 8 Office for National Statistics. First release: consumer prices indices May 2003. London: ONS, 2003.
    • 9 Netten A, Curtis L. Unit costs of health and social care. Canterbury: Personal Social Services Research Unit, University of Kent and Canterbury, 2002.
    • 10 Joint Formulary Committee. British National Formulary. 44 ed. London: British Medical Association and Royal Pharmaceutical Society of Great Britain; 2002.
    • 11 Office for National Statistics. Average earnings index 1963-2003 London: ONS, 2003. www.statistics.gov.uk/statbase (accessed 14 May 2003).
    • 12 Office for National Statistics. Labour market statistics May 2003. London: ONS, 2003.
    • 13 Downey P. Acupuncture in the normal general practice consultation: an assessment of clinical and cost-effectiveness. Acupuncture Med 1995;13:45-7.
    • 14 Van Hout BA, Al MJ, Gordon GS, Rutten FF. Costs, effects and C/E-ratios alongside a clinical trial. Health Econ 1994;3:309-19.
    • 15 Stinnett AA, Mullahy J. Net health benefits: a new framework for the analysis of uncertainty in cost-effectiveness analysis. Med Decis Making 1998;18(2 suppl):S68-80.
    • 16 Raftery J. NICE: faster access to modern treatments? Analysis of guidance on health technologies. BMJ 2001;323:1300-3.
    • 17 Briggs AH, Gray AM. Handling uncertainty in economic evaluations of healthcare interventions. BMJ 1999;319:635-8.
    • 18 HM Treasury. Appraisal and evaluation in central government. London: Stationery Office, 1997.
    • 19 Willan AR. Analysis, sample size, and power for estimating incremental net health benefit from clinical trial data. Control Clin Trials. 2001;22:228-37.
    • 20 Lindall S. Is acupuncture for pain relief cost-effective? Acupuncture Med 1999;17:97- 100.
    • 21 Myers CP. Acupuncture in general practice: effect on drug expenditure. Acupuncture Med 1991;9:71-2.
    • 22 Ballegaard M D, Johannessen A, Karpatschof B, Nyboe J. Addition of acupuncture and self-care education in the treatment of patients with severe angina pectoris may be cost beneficial: an open, prospective study. J Altern Complement Med 1999;5:405-13.
    • 23 White AR, Ernst E Economic analysis of complementary medicine: a systematic review. Complement Ther Med 2000 8;111-8.
    • 24 Evans KW, Boan JA, Evans JL, Shuaib A. Economic evaluation of oral sumatriptan compared with oral caffeine/ergotamine for migraine. Pharmacoeconomics 1997;12:565-77.
    • (Accepted 21 January 2004)
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