Cost-Effectiveness of Chuna Manual Therapy and Usual Care, Compared with Usual Care Only for People with Neck Pain following Traffic Accidents: A Multicenter Randomized Controlled Trial

International Journal of Environmental Research and Public Health

A-La Park¹  Jun-Hwan Lee²  Jae-Heung Cho³  In-Hyuk Ha⁴  Man-Suk Hwang⁵  Sun-Young Park⁵  In Heo⁵  Byung-Cheul Shin⁵  Eui-Hyoung Hwang⁵ 

[1] Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, London WC2A 2AE, UK;Clinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon 34054, Korea;Department of Korean Medicine Rehabilitation, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea;Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean medicine, Seoul 02453, Korea;Department of Korean Medicine Rehabilitation, School of Korean Medicine, Pusan National University, Yangsan 50612, Korea;

关键词: cost-effectiveness;    complementary and integrated medicine;    Chuna manual therapy;    neck pain;    traffic accidents;   

DOI  :  10.3390/ijerph18199994

来源: DOAJ

【 摘 要 】

This is the first cost-effectiveness analysis of Chuna manual therapy (CMT) plus usual Korean traditional medicine for traffic accident victims using a randomized controlled trial. A total of 132 participants were equally allocated to the intervention group receiving 6–11 sessions of CMT plus usual Korean traditional medicine care for three weeks or usual care including acupuncture, cupping, herbal medicine, moxibustion, and traditional physiotherapy at three hospitals. At 12 weeks, from a healthcare perspective, the intervention group had significantly higher costs (mean (SD), $778 (435) vs. $618 (318); difference, $160; 95% CI, $15 to $289; p = 0.005). From a societal perspective, total costs were insignificantly lower in the intervention group (mean (SD), $1077 (1081) vs. $1146 (1485); difference, $−69; 95% CI, $−568 to $377; p = 0.761). The intervention group dominated, with significantly higher QALYs gained at lower overall cost with a 72% chance of being cost-effective. From a societal perspective, the intervention was cost-saving for individuals who had neck pain after car accidents, although it was not cost-effective from the healthcare perspective ($40,038 per QALY gained). Findings support use of CMT as an integrated care treatment for whiplash from a societal perspective. Further studies with larger sample sizes are needed to determine cost-effectiveness in other cultural contexts.

【 授权许可】

Unknown