Acupuncture in patients with dysmenorrhea: a randomized study on clinical effectiveness and cost-effectiveness in usual care

被引：82

作者：

Witt, Claudia M. ^{[1
]}

Reinhold, Thomas ^{[1
]}

Brinkhaus, Benno ^{[1
]}

Roll, Stephanie ^{[1
]}

Jena, Susanne ^{[1
]}

Willich, Stefan N. ^{[1
]}

机构：

[1] Charite Univ Med Ctr, Inst Social Med Epidemiol & Hlth Econ, D-10098 Berlin, Germany

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2008年 / 198卷 / 02期

关键词：

acupuncture; complementary medicine; cost-effectiveness; dysmenorrhea; randomized controlled trial;

D O I：

10.1016/j.ajog.2007.07.041

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: To investigate the clinical effectiveness and cost-effectiveness of acupuncture in patients with dysmenorrhea. STUDY DESIGN: In a randomized controlled trial plus non- randomized cohort, patients with dysmenorrhea were randomized to acupuncture (15 sessions over three months) or to a control group (no acupuncture). Patients who declined randomization received acupuncture treatment. All subjects were allowed to receive usual medical care. RESULTS: Of 649 women ( mean age 36.1 +/- 7.1 years), 201 were randomized. After three months, the average pain intensity (NRS 0-10) was lower in the acupuncture compared to the control group: 3.1 (95% CI 2.7; 3.6) vs. 5.4 (4.9; 5.9), difference -2.3 (-2.9; -1.6); P <.001. The acupuncture group had better quality of life and higher costs. (overall ICER (SIC)3,011 per QALY). CONCLUSION: 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.

引用

页码：166.e1 / 166.e8

页数：8

共 32 条

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