Using economic evaluations to support acupuncture reimbursement decisions: current evidence and gaps

Li, Hongchao; Jin, Xuejing; Herman, Patricia M.; Witt, Claudia M.; Chen, Yingyao; Gang, Wei-Juan; Jing, Xiang-Hong; Song, Ping; Yang, Long-Hui; Ollendorf, Dan; Zhang, Yuan; Guyatt, Gordon; Huang, Luqi; Zhang, Yuqing

doi:10.1136/bmj-2021-067477

Cited by 9 publications

(7 citation statements)

References 36 publications

(59 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To enhance the credibility of economic models, researchers need to consider both contextual factors and long-term outcomes, improve the quality of reporting, and foster collaboration with acupuncture and moxibustion providers. [32]…”

Section: Evidence-based Methods Support New Progress In Clinical Rese...mentioning

confidence: 99%

“…To enhance the credibility of economic models, researchers need to China Association of Chinese Medicine Volume 1 Issue 2 2023 journals.lww.com/stcm consider both contextual factors and long-term outcomes, improve the quality of reporting, and foster collaboration with acupuncture and moxibustion providers. [32] 3.1.3. Research value This collection of studies promotes the integration, application, and practice of TCM and evidence-based medicine, specifically acupuncture and moxibustion.…”

Section: Strengthening Economic Evaluations To Support Acupuncture An...mentioning

confidence: 99%

See 1 more Smart Citation

Top 10 academic progress on traditional Chinese medicine in 2022

2023

Sci Tradit Chin Med

View full text Add to dashboard Cite

Background To implement the spirit of the 20th National Congress of the Communist Party of China and the Opinions on Promoting the Inheritance, Innovation, and Development of Traditional Chinese Medicine (TCM), regularly summarize the research results of TCM, present the academic progress on TCM dynamically, and fully leverage the academic leadership of academic groups, the China Association of Chinese Medicine organized the selection of the top 10 academic progress on TCM in 2022. The selection process adhered to 4 orientations, eliminated any biases, highlighted the solutions to clinical problems, answered scientific questions, and led the industry’s development. It reflected an exploratory and forward-looking approach, emphasizing innovation and breakthroughs. The selection focused on new laws, new discoveries, new methods, new products, and new theories in the field of basic research and applied basic research in TCM. Through a process of dynamic collection, preliminary examination, review, and final judgment, the top 10 academic progress of TCM in 2022 were determined.

show abstract

Section: Evidence-based Methods Support New Progress In Clinical Rese...mentioning

confidence: 99%

Section: Strengthening Economic Evaluations To Support Acupuncture An...mentioning

confidence: 99%

Top 10 academic progress on traditional Chinese medicine in 2022

2023

Sci Tradit Chin Med

View full text Add to dashboard Cite

show abstract

“…In several countries worldwide, it has gradually become one of the most critical factors determining whether a drug or a health technology can enter the reimbursement list. 15 In China, the HTA or pharmacoeconomic evaluation evidence and procedures have been included in the National Reimbursement Drug List (NRDL) updating since 2017. 16 , 17 In 2020, National Healthcare Security Administration enrolled 59 cataloged TCM for renewal in NRDL (2020 version), through economic evaluation and budget impact analysis negotiation.…”

Section: Introductionmentioning

confidence: 99%

Reporting quality of economic evaluations of the negotiated Traditional Chinese Medicines in national reimbursement drug list of China: A systematic review

Yan

Bao

Liu

et al. 2023

Integrative Medicine Research

View full text Add to dashboard Cite

“…Acupuncture has been practiced for more than 2000 years and has acquired abundant experience in poststroke rehabilitation [ 18 , 19 ]. With the advantage of effectiveness, acupuncture has been applied in more than 183 countries and areas all over the world [ 20 , 21 ]. Meanwhile, the safety of acupuncture has been approved by quantitative evidence.…”

Section: Introductionmentioning

confidence: 99%

Cerebral Blood Flow Velocity Modulation and Clinical Efficacy of Acupuncture for Posterior Circulation Infarction Vertigo: A Systematic Review and Meta-Analysis

Zhao

et al. 2022

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

Background. Vertigo is a cardinal symptom of posterior circulation infarction (POCI). Acupuncture is demonstrated to have a beneficial effect on posterior circulation infarction vertigo (PCIV). However, the mechanism of acupuncture therapy is not clarified. This study aims to assess the cerebral blood flow velocity modulation and clinical efficacy of acupuncture for PCIV patients. Methods. We conducted this systematic review for clinical randomized controlled trials (RCTs) regarding acupuncture on PCIV. The study duration was from September 2020 to September 2021. We searched the PubMed, EMBASE, Cochrane Library, Web of Science, Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), Wanfang Database, and VIP. The publication date was set from inception to August 31, 2020. Based on the inclusion and exclusion criteria, two researchers independently screened literature and extracted data including basic study information, intervention details, outcome details, and adverse events. Outcome measures included the blood flow velocities of vertebrobasilar arteries and the Clinical Effective Rate of posterior circulation infarction vertigo. Pooled data were presented as standardized mean differences (SMDs) and relative risks (RR), with 95% confidence intervals (CIs). The meta-analysis was conducted using Review Manager software version 5.3.0. Results. A total of 20 eligible RCTs (1541 participants) were included in this review, which compared acupuncture therapy (1 RCT) or acupuncture combined with pharmaceutical therapy (19 RCTs) to pharmaceutical therapy in patients with posterior circulation infarction vertigo. 7 studies assessed the blood flow velocities of the basilar artery examined by Transcranial Doppler (TCD), 8 studies assessed the bilateral vertebral arteries, and 13 studies evaluated the Clinical Effective Rate of posterior circulation infarction vertigo. Meta-analysis results showed that blood flow velocities of the basilar artery (SMD = 0.58, 95% CI = 0.40–0.76; P < 0.05 ), left vertebral artery (SMD = 0.48, 95% CI = 0.22–0.73; P < 0.05 ), and right vertebral artery (SMD = 0.44, 95% CI = 0.19–0.69; P < 0.05 ) were significantly higher in the acupuncture group compared with the control group. Clinical Effective Rate (RR = 1.22, 95% CI = 1.15–1.29; P = 0.792 ) was significantly better in the acupuncture group compared with the control group. Conclusions. This study shows that acupuncture therapy is useful in improving the blood flow velocity of vertebrobasilar arteries and Clinical Effective Rate in patients with posterior circulation infarction vertigo. However, double-blind, sham-controlled trials with large sample sizes are required to support our conclusions.

show abstract

Using economic evaluations to support acupuncture reimbursement decisions: current evidence and gaps

Abstract: We have read and understood BMJ policy on declaration of interests, and we have no conflicts of interest to declare.Provenance and peer review: Commissioned; externally peer reviewed.

Cited by 9 publications

References 36 publications

Top 10 academic progress on traditional Chinese medicine in 2022

Top 10 academic progress on traditional Chinese medicine in 2022

Reporting quality of economic evaluations of the negotiated Traditional Chinese Medicines in national reimbursement drug list of China: A systematic review

Cerebral Blood Flow Velocity Modulation and Clinical Efficacy of Acupuncture for Posterior Circulation Infarction Vertigo: A Systematic Review and Meta-Analysis

Contact Info

Product

Resources

About