| Titre : | Cost-Effectiveness of Acupuncture in Women and Men With Allergic Rhinitis : A Randomized Controlled Study in Usual Care. (2009) |
| Auteurs : | Claudia-M WITT ; Benno BRINKHAUS ; Susanne JENA ; Thomas REINHOLD ; Stefan-N WILLICH ; Institute for Social Medicine Epidemiology and Health Economics. Charité University Medical Center. Berlin. DEU |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 169, n° 5, 2009) |
| Pagination : | 562-571 |
| Langues: | Anglais |
| Mots-clés : | Allergie ; Analyse coût efficacité ; Economie santé ; Acupuncture ; Femme ; Homme ; Randomisation ; Soins ; Analyse coût avantage ; Variation saisonnière ; Epidémiologie ; Thérapeutique ; Médecine traditionnelle ; Immunopathologie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0xFtF7H. Diffusion soumise à autorisation]. To assess quality of life and cost-effectiveness of additional acupuncture treatment for allergic rhinitis, patients were randomly allocated to 2 groups ; both received usual care, but one group received an additional 10 acupuncture sessions. Quality of life (according to the SF-36 Health Survey), and direct and indirect costs, were assessed at baseline and after 3 months, and the incremental cost-effectiveness ratio of acupuncture treatment was calculated. This German study (December 2000-June 2004) involved 981 patients (64% women, mean age 40.9 years (standard deviation, 11.2) ; 36% men, mean age 43.2 years (standard deviation, 13.0)). At 3 months, quality of life was higher in the acupuncture group than in the control group (mean Physical Component Score 51.99 (standard error (SE), 0.33) vs. 48.25 (SE, 0.33), P<0.001 ; mean Mental Component Score 48.55 (SE, 0.42) vs. 45.35 (SE, 0.42), respectively, P<0.001). Overall costs in the acupuncture group were significantly higher than those in the control group (Euro ( ? 1=US $1.27) 763,95% confidence interval : 683,844 vs. ? 332,95% confidence interval : 252,412 ; mean difference ? 432,95% confidence interval : 318,545). The incremental cost-effectiveness ratio was ? 17,377 per quality-adjusted life year (women, 10,155 ; men, 44,871) and was robust in sensitivity analyses. Acupuncture, supplementary to routine care, was beneficial and, according to international benchmarks, cost-effective. However, because of the study design, it remains unclear whether the effects are acupuncture specific. |
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