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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

Author

Listed:
  • A-La Park

    (Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, London WC2A 2AE, UK)

  • Eui-Hyoung Hwang

    (Department of Korean Medicine Rehabilitation, School of Korean Medicine, Pusan National University, Yangsan 50612, Korea
    Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan 50612, Korea)

  • Man-Suk Hwang

    (Department of Korean Medicine Rehabilitation, School of Korean Medicine, Pusan National University, Yangsan 50612, Korea
    Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan 50612, Korea)

  • In Heo

    (Department of Korean Medicine Rehabilitation, School of Korean Medicine, Pusan National University, Yangsan 50612, Korea
    Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan 50612, Korea)

  • Sun-Young Park

    (Department of Korean Medicine Rehabilitation, School of Korean Medicine, Pusan National University, Yangsan 50612, Korea)

  • Jun-Hwan Lee

    (Clinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon 34054, Korea
    Korean Medicine Life Science, Campus of Korea Institute of Oriental Medicine, University of Science & Technology (UST), Daejeon 34054, Korea)

  • In-Hyuk Ha

    (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean medicine, Seoul 02453, Korea)

  • Jae-Heung Cho

    (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea)

  • Byung-Cheul Shin

    (Department of Korean Medicine Rehabilitation, School of Korean Medicine, Pusan National University, Yangsan 50612, Korea
    Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan 50612, Korea)

Abstract

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.

Suggested Citation

  • A-La Park & Eui-Hyoung Hwang & Man-Suk Hwang & In Heo & Sun-Young Park & Jun-Hwan Lee & In-Hyuk Ha & Jae-Heung Cho & Byung-Cheul Shin, 2021. "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," IJERPH, MDPI, vol. 18(19), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:9994-:d:641082
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    References listed on IDEAS

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    1. Glick, Henry A. & Doshi, Jalpa A. & Sonnad, Seema S. & Polsky, Daniel, 2014. "Economic Evaluation in Clinical Trials," OUP Catalogue, Oxford University Press, edition 2, number 9780199685028.
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    3. Leth-Petersen, Søren & Rotger, Gabriel Pons, 2009. "Long-term labour-market performance of whiplash claimants," Journal of Health Economics, Elsevier, vol. 28(5), pages 996-1011, September.
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