COST-EFFECTIVENESS OF ACUPUNCTURE TREATMENT IN MENTAL DISORDER- A SYSTEMATIC REVIEW
Author(s)
Kim J1, Kim B2, Kim H3, Jung IC4, Shin S5
1Korea Istitute of Oriental Medicine, Daejeon, South Korea, 2Dongeui University, Pusan, South Korea, 3Semyung University, Jecheon, South Korea, 4Daejeon University, Daejeon, South Korea, 5National Evidence based Health-care Collaborating Agency, Seoul, South Korea
OBJECTIVES: Acupuncture is widely used for various mental disorders including depression, anxiety, neurocognitive disorder, and insomnia disorder, however the cost-effectiveness of acupuncture are still unclear. This systematic review aims to critically summarize and evaluate the evidence for economic evaluation of acupuncture in mental disorder. METHODS: We searched Ovid-Medline, Ovid-EMBASE, the Cochrane library, PsycINFO, NHS EED, AMED and 6 other Korean databases up to August 2015 without language restrictions. The search terms used were ‘mental disorders’, ‘sleep’, ‘cognition disorder’, ‘depression’ and ‘anxiety’ with ‘acupuncture’. Studies using economic analytic methods, such as cost analysis or cost-effectiveness, cost-benefit or cost-utility analysis, were included. The quality of included studies was assessed using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS). RESULTS: A total of 3,788 studies were searched, and 2,661 related articles were identified after removing duplicates. Among those, two studies that met the eligibility criteria were included and reviewed qualitatively. A study based on the clinical trial for depression reported that acupuncture showed better cost-effectiveness with an incremental cost effectiveness ration (ICER) of €4,560 per quality adjusted life years (QALYs) when compared to usual care. The other study that examined cost effectiveness of complementary and alternative medicine for various mental disorders including depression reported that it was not cost effective, and the reporting quality was unclear for certain items. CONCLUSIONS: This systematic review provides summary of current economic literature relevant to acupuncture for mental disorder, however including studies were very few and related evidences are lacking. The more number of economic evaluations of acupuncture are required to firm the evidence.
Conference/Value in Health Info
2016-10, ISPOR Europe 2016, Vienna, Austria
Value in Health, Vol. 19, No. 7 (November 2016)
Code
PMH7
Topic
Clinical Outcomes
Topic Subcategory
Comparative Effectiveness or Efficacy
Disease
Mental Health