Am J Hosp Palliat Care. 2008 Aug-Sep;25(4):298-308. doi: 10.1177/1049909108315916. Epub 2008 Jun 6.
Acupuncture is underutilized in hospice and palliative medicine.
Standish LJ1, Kozak L, Congdon S.
Acupuncture is a complementary and alternative medical modality. A considerable body of acupuncture research has accumulated since 1998. Acupuncture has been integrated into palliative care settings in the United Kingdom but is yet to be widely offered in the United States. The literature was searched to identify clinical trials involving acupuncture, palliative care, hospice, chronic obstructive pulmonary disease, bone marrow, and cancer. Twenty-seven randomized controlled clinical trials of acupuncture were found that reported on conditions common to the hospice and palliative care setting, including dyspnea, nausea and vomiting, pain, and xerostomia, and 23 reported statistically significant results favoring acupuncture use for the conditions investigated. Acupuncture is safe and clinically cost-effective for management of common symptoms in palliative care and hospice patients. Acupuncture has potential as adjunctive care in palliative and end-of-life care, and the evidence warrants its inclusion in reimbursed palliative and end-of-life care in the United States.
Acupunct Med. 2012 Dec;30(4):273-85. doi: 10.1136/acupmed-2012-010178. Epub 2012 Oct 25.
A systematic review of cost-effectiveness analyses alongside randomised controlled trials of acupuncture.
Kim SY1, Lee H, Chae Y, Park HJ, Lee H.
Overall, this review demonstrates the cost-effectiveness of acupuncture. Despite such promising results, any generalisation of these results needs to be made with caution given the diversity of diseases and the different status of acupuncture in the various countries.
Eur J Health Econ. 2008 Aug;9(3):209-19. Epub 2007 Jul 19.
Quality of life and cost-effectiveness of acupuncture treatment in patients with osteoarthritis pain.
Reinhold T1, Witt CM, Jena S, Brinkhaus B, Willich SN.
In conclusion, acupuncture was a cost-effective treatment strategy in patients with chronic osteoarthritis pain.
Acupunct Med. 2012 Sep;30(3):170-5. doi: 10.1136/acupmed-2012-010151. Epub 2012 Aug 20.
Group acupuncture for knee pain: evaluation of a cost-saving initiative in the health service.
This is the first evaluation of nurse-led group (multibed) acupuncture clinics for patients with knee osteoarthritis to include a 2 year follow-up. It shows the practicability of offering a low-cost acupuncture service as an alternative to knee surgery and the service’s success in providing long-term symptom relief in about a third of patients. Using realistic assumptions, the cost consequences for the local commissioning group are an estimated saving of £100 000 a year. Sensitivity analyses are presented using different assumptions.
Complement Ther Med. 2012 Oct;20(5):364-74. doi: 10.1016/j.ctim.2012.05.002. Epub 2012 Jun 6.
Costs and consequences of acupuncture as a treatment for chronic pain: a systematic review of economic evaluations conducted alongside randomised controlled trials.
The cost per QALY gained in all seven cost-utility studies was found to be below typical thresholds of willingness to pay. Acupunctureappears to be a cost-effective intervention for some chronic pain conditions.
BMJ. 2006 Sep 23;333(7569):626. Epub 2006 Sep 15.
A randomised controlled trial of acupuncture care for persistent low back pain: cost effectiveness analysis.
Ratcliffe J1, Thomas KJ, MacPherson H, Brazier J.
A short course of traditional acupuncture for persistent non-specific low back pain in primary care confers a modest health benefit for minor extra cost to the NHS compared with usual care. Acupuncture care for low back pain seems to be cost effective in the longer term.
Am J Epidemiol. 2006 Sep 1;164(5):487-96. Epub 2006 Jun 23.
Pragmatic randomized trial evaluating the clinical and economic effectiveness of acupuncture for chronic low back pain.
Witt CM1, Jena S, Selim D, Brinkhaus B, Reinhold T, Wruck K, Liecker B, Linde K, Wegscheider K, Willich SN.
Acupuncture plus routine care was associated with marked clinical improvements in these patients and was relatively cost-effective.
Pain. 2006 Nov;125(1-2):107-13. Epub 2006 Jul 13.
Cost-effectiveness of acupuncture treatment in patients with chronic neck pain.
Willich SN1, Reinhold T, Selim D, Jena S, Brinkhaus B, Witt CM.
According to international cost-effectiveness threshold values, acupuncture is a cost-effective treatment strategy in patients with chronic neck pain.
Complement Ther Med. 1999 Jun;7(2):91-100.
Longer-term clinical and economic benefits of offering acupuncture to patients with chronic low back pain assessed as suitable for primary care management.
Thomas KJ1, Fitter M, Brazier J, MacPherson H, Campbell M, Nicholl JP, Roman M.
Pain Pract. 2014 Sep;14(7):599-606. doi: 10.1111/papr.12116. Epub 2013 Oct 21.
Cost-effectiveness of Acupuncture for Chronic Nonspecific Low Back Pain.
Taylor P1, Pezzullo L1, Grant SJ2, Bensoussan A2.
According to the WHO cost-effectiveness threshold values, acupuncture is a cost-effective treatment strategy in patients with chronic LBP.
BMC Complement Altern Med. 2012 Jun 14;12:75. doi: 10.1186/1472-6882-12-75.
Health economic evaluation of acupuncture along meridians for treating migraine in China: results from a randomized controlled trial.
Treatment of specific acupoints in Shaoyang meridians is more cost-effective than that of non-acupoints, representing a dramatic improvement in the quality of life of people with migraine and a significant reduction in cost. Compared with the other 3 groups, Shaoyang-specific acupuncture is a relatively cost-effective treatment for migraine prophylaxis in China.
Neurol Sci. 2011 May;32 Suppl 1:S15-8. doi: 10.1007/s10072-011-0548-x.
Acupuncture in primary headache treatment.
Schiapparelli P1, Allais G, Rolando S, Airola G, Borgogno P, Terzi MG, Benedetto C.
The recent Cochrane systematic reviews on acupuncture in migraine and in TTH suggest that acupuncture is an effective and valuable option for patients suffering from migraine or frequent TTH. Moreover, acupuncture seems to be a cost-effective treatment.
Cephalalgia. 2008 Apr;28(4):334-45. doi: 10.1111/j.1468-2982.2007.01504.x.
Cost-effectiveness of acupuncture treatment in patients with headache.
Witt CM1, Reinhold T, Jena S, Brinkhaus B, Willich SN.
The aim was to assess costs and cost-effectiveness of additional acupuncture treatment in patients with headache compared with patients receiving routine care alone. A randomized, controlled trial was conducted, including patients (> or =18 years old) with primary headache (more than 12 months, at least two headaches/month). Outcome parameters were quality of life (Short Form 36), direct and indirect costs differences during the 3-month study period and the incremental cost-effectiveness ratio (ICER) of acupuncture treatment. A total of 3182 patients (1613 acupuncture; 1569 controls) with headache were included (77.4% women, mean age and standard deviation 42.6 +/- 12.3; 22.6% men, 47.2 +/- 13.4). Over 3 months costs were higher in the acupuncture group compared with the control [euro857.47; 95% confidence interval 790.86, 924.07, vs. euro527.34 (459.81, 594.88), P < 0.001, mean difference: euro330.12 (235.27, 424.98)]. This cost increase was primarily due to costs of acupuncture [euro365.64 (362.19, 369.10)]. The ICER was euro11 657 per QALY gained. According to international cost-effectiveness threshold values, acupuncture is a cost-effective treatment in patients with primary headache.
Health Technol Assess. 2004 Nov;8(48):iii, 1-35.
Acupuncture of chronic headache disorders in primary care: randomised controlled trial and economic analysis.
Vickers AJ1, Rees RW, Zollman CE, McCarney R, Smith CM, Ellis N, Fisher P, Van Haselen R, Wonderling D, Grieve R.
The study suggests that acupuncture leads to persisting, clinically relevant benefits for primary care patients with chronic headache, particularly migraine. It is relatively cost-effective compared with a number of other interventions provided by the NHS. Further studies could examine the duration of acupuncture effects beyond 1 year and the relative benefit to patients with migraine with compared to tension-type headache. Trials are also warranted examining the effectiveness and cost-effectiveness of acupuncture in patients with headache receiving more aggressive pharmacological management.
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.
MMW Fortschr Med. 2002 Mar 14;144(11):12.
[Botulinum toxin in migraine. Acupuncture is cheaper].
[Article in German]
Zhongguo Zhen Jiu. 2015 Apr;35(4):377-83.
[Questionnaire investigation on cost-effectiveness analysis of acupuncture for migraine].
[Article in Chinese]
Wang J, Wu Z, Huo J, Yuan Y.
The acupoint catgut embedding is one ideal preventive treatment for migraine, which has higher cost-effectiveness, however, currently it is not widely applied. In future advertisement and training program should be strengthened to perform targeted popularization of acupoint catgut embedding for migraine.
Zhongguo Zhen Jiu. 2011 Oct;31(10):883-6.
[Comparation of effect and cost-benefit analysis between acupoint catgut-embedding and electroacupuncture on simple obesity].
Acupoint catgut-embedding has significant effect in treating simple obesity with low cost and fine economics benefit.
Am J Obstet Gynecol. 2008 Feb;198(2):166.e1-8. doi: 10.1016/j.ajog.2007.07.041.
Acupuncture in patients with dysmenorrhea: a randomized study on clinical effectiveness and cost-effectivenessin usual care.
Witt CM1, Reinhold T, Brinkhaus B, Roll S, Jena S, Willich SN.
Additional acupuncture in patients with dysmenorrhea was associated with improvements in pain and quality of life as compared to treatment with usual care alone and was cost-effective within usual thresholds.
Complement Ther Med. 2010 Apr;18(2):67-77. doi: 10.1016/j.ctim.2010.01.003. Epub 2010 Feb 7.
Cost-effectiveness of breech version by acupuncture-type interventions on BL 67, including moxibustion, for women with a breech foetus at 33 weeks gestation: a modelling approach.
The results suggest that offering BVA-T to women with a breech foetus at 33 weeks gestation reduces the number of breech presentations at term, thus reducing the number of caesarean sections, and is cost-effective compared to expectant management, including external cephalic version.
Acupunct Med. 2015 Apr;33(2):136-41. doi: 10.1136/acupmed-2014-010696. Epub 2015 Feb 10.
Cost effectiveness of using moxibustion to correct non-vertex presentation.
García-Mochón L1, Martín JJ2, Aranda-Regules JM3, Rivas-Ruiz F4, Vas J5.
Moxibustion treatment applied at acupuncture point BL67 can avoid the need for caesarean section and achieve cost savings for the healthcare system in comparison with conventional treatment.
J Altern Complement Med. 1999 Oct;5(5):405-13.
Addition of acupuncture and self-care education in the treatment of patients with severe angina pectoris may be cost beneficial: an open, prospective study.
Ballegaard S1, Johannessen A, Karpatschof B, Nyboe J.
The addition of acupuncture and self-care education was found to be cost beneficial in patients with advanced angina pectoris. The results invite further testing in a randomized controlled trial.
Acupunct Electrother Res. 1996 Jul-Dec;21(3-4):187-97.
Cost-benefit of combined use of acupuncture, Shiatsu and lifestyle adjustment for treatment of patients with severe angina pectoris.
Ballegaard S1, Nørrelund S, Smith DF.
The study suggests that the combined treatment with acupuncture, Shiatsu and lifestyle adjustment may be highly cost effective for patients with advanced angina products.
J Acupunct Meridian Stud. 2015 Jun;8(3):127-33. doi: 10.1016/j.jams.2015.04.002. Epub 2015 Apr 23.
Patient-reported Outcomes of Acupuncture for Symptom Control in Cancer.
Thompson LM1, Osian SR2, Jacobsen PB3, Johnstone PA3.
The majority were satisfied with the service. The results of this study suggest that acupuncture may be useful as an adjunct treatment for cancer symptom management. While high-quality trials are still needed to establish the treatment’s efficacy, patients may benefit from these primarily safe, low-cost services.
Evid Based Complement Alternat Med. 2015;2015:802846. doi: 10.1155/2015/802846. Epub 2015 May 3.
Efficacy and Cost Effectiveness of the Acupuncture Treatment Using a New Skin Stimulus Tool Called M-Test Which Is a Measure Based on Symptoms Accompanied with Body Movements: A Pragmatic RCT Targeting Hemodialysis Patients.
Ono S1, Mukaino Y2.
As a result, almost all of the dialysis patients’ complaints have been relieved while the score of HR-QOL increased. According to our calculation of cost effectiveness, it confirmed that it is very cost-effective.
PLoS One. 2014 Nov 26;9(11):e113726. doi: 10.1371/journal.pone.0113726. eCollection 2014.
Cost-effectiveness analysis of acupuncture, counselling and usual care in treating patients with depression: the results of the ACUDep trial.
Spackman E1, Richmond S2, Sculpher M1, Bland M2, Brealey S2, Gabe R2, Hopton A2, Keding A2, Lansdown H2, Perren S2, Torgerson D2, Watt I3, MacPherson H2.
Acupuncture is cost-effective compared with counselling or usual care alone, although the ranking of counselling and acupuncturedepends on the relative cost of delivering these interventions. For patients in whom acupuncture is unavailable or perhaps inappropriate, counselling has an ICER less than most cost-effectiveness thresholds. However, further research is needed to determine the most cost-effective treatment pathways for depressed patients when the full range of available interventions is considered.
Evid Based Complement Alternat Med. 2013;2013:969032. doi: 10.1155/2013/969032. Epub 2013 May 27.
Sleep ameliorating effects of acupuncture in a psychiatric population.
Bosch P1, van Luijtelaar G, van den Noort M, Lim S, Egger J, Coenen A.
Moreover, it was found that the effectiveness of the acupuncture treatment was higher in the patients with schizophrenia than in the patients with depression. Acupuncture seems able to improve sleep in this convenient sample of patients with long-lasting psychiatric problems and may be a suitable and cost-effective add-on treatment for this group, particularly if conducted group-wise.
J Altern Complement Med. 2014 Mar;20(3):169-77. doi: 10.1089/acm.2012.0719. Epub 2013 Nov 20.
Acupuncture in patients suffering from allergic asthma: is it worth additional costs?
Reinhold T1, Brinkhaus B, Willich SN, Witt C.
Treating patients who have allergic bronchial asthma with acupuncture in addition to routine care resulted in additional costs and better effects in terms of patients’ quality of life. Acupuncture therefore seems to be a useful and cost-effective add-on treatment.
BMC Gastroenterol. 2012 Oct 24;12:149. doi: 10.1186/1471-230X-12-149.
Cost-effectiveness of acupuncture for irritable bowel syndrome: findings from an economic evaluation conducted alongside a pragmatic randomised controlled trial in primary care.
Stamuli E1, Bloor K, MacPherson H, Tilbrook H, Stuardi T, Brabyn S, Torgerson D
Acupuncture as an adjunct to usual care is not a cost-effective option for the whole IBS population; however it may be cost-effective for those with more severe irritable bowel syndrome.