Chronic low back pain: a report positive long-term cost-effectiveness of acupuncture
,
Acupuncture seems to provide a small
but significant benefit to patients with chronic low back pain and also proves
cost-effective in the long term, suggest two studies published in the
"British Medical Journal" (BMJ).
Non-specific chronic low back pain are
a common problem causing high health expenditures health. In the UK, over 16%
of the adult population consult their GP each year for back pain. The annual
cost of back pain to the British health system has been estimated at over 703
million euros a year, say the authors of this study.
Acupuncture is used by about 2% of the
adult population each year for various indications including back pain.
However, no formal proof of the long-term effectiveness of such a gentle
therapy could be made.
To resolve this issue, Dr. Thomas of
the University of Sheffield (UK) and colleagues conducted a study of 241 adults
aged between 18 and 65 years old and suffering from chronic non-specific low
back pain for a period of 4 to 52 weeks. Participants were randomly divided
into two groups to receive either standard treatment patients) or a treatment consisting
of 10 sessions of traditional acupuncture (160 patients). The patients' pain
was then measured at regular intervals during the two years of follow-up.
According to their results, patients
who received acupuncture sessions reported a slight benefit in terms of pain
reduction after 12 months of treatment compared to patients who received
standard treatment. After 24 months of treatment, an increased benefit was
observed.
Despite the small difference in terms
of pain reduction between acupuncture and conventional treatment, this is a
valid clinical benefit corresponding to a "moderate" effect,
according to the authors.
In another study
published jointly, the same team of researchers evaluated the
cost-effectiveness of acupuncture in the treatment of chronic nonspecific low
back pain in the same group of patients. Their results show a cost-effective
long-term positive for this therapeutic approach that provides a moderate
benefit for a relatively small additional cost compared to standard treatmentAuthor: Mohammad
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