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Cost-Utility Analysis of Acupuncture for the Prevention of Episodic Migraine from a Lifetime Canadian Health System and Societal Perspective. 从加拿大健康系统和社会角度对针灸预防阵发性偏头痛的成本-效用分析。
IF 0.9
Medical Acupuncture Pub Date : 2025-12-08 eCollection Date: 2025-12-01 DOI: 10.1089/acu.2024.0102
Elizabeth C Wu, Rebecca Hancock-Howard, Brian C F Chan, Peter C Coyte
{"title":"Cost-Utility Analysis of Acupuncture for the Prevention of Episodic Migraine from a Lifetime Canadian Health System and Societal Perspective.","authors":"Elizabeth C Wu, Rebecca Hancock-Howard, Brian C F Chan, Peter C Coyte","doi":"10.1089/acu.2024.0102","DOIUrl":"https://doi.org/10.1089/acu.2024.0102","url":null,"abstract":"<p><strong>Objective: </strong>To assess the lifetime cost-effectiveness of acupuncture in the prevention of episodic migraine from both a Canadian public health care payer and societal perspective.</p><p><strong>Background: </strong>Acupuncture has been used for pain relief for thousands of years in China and could be an alternative to drugs in managing pain. Nevertheless, there is limited evidence to determine if acupuncture is cost-effective in migraine prevention in the Canadian setting.</p><p><strong>Methods: </strong>A cost-utility analysis with a decision-analytic Markov model was constructed to compare acupuncture with drug prophylaxis and no active treatment among adult patients with episodic migraine over their lifetime. The efficacy inputs (migraine days) were based on a Cochrane systematic literature review. Quality-adjusted life years (QALYs) were the modeled health outcome. Direct and indirect medical costs were derived from a Canadian burden of illness study on patients with migraine. All costs were inflated and reported as the present value of lifetime costs in 2021 Canadian dollars (CAD), discounting at 1.5%.</p><p><strong>Results: </strong>From a health system perspective, acupuncture was cost-effective when compared with no active treatment (CAD 35,060/QALY) and drug prophylaxis (CAD 47,128/QALY) at a willingness-to-pay threshold of CAD 50,000/QALY gained. Acupuncture was dominant compared with no active treatment and drug prophylaxis from a societal perspective. Cost savings were driven by reduced productivity loss from fewer migraine days with acupuncture treatment.</p><p><strong>Conclusion: </strong>Acupuncture could be a cost-effective option for patients with episodic migraine. Future studies are encouraged to inform decisions regarding the use of acupuncture in the management of episodic migraine.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"466-478"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Pearls: Acupuncture and Chinese Herbal Medicine for Chronic Venous Insufficiency. 临床珍珠：针灸与中药治疗慢性静脉功能不全。
IF 0.9
Medical Acupuncture Pub Date : 2025-12-08 eCollection Date: 2025-12-01 DOI: 10.1177/19336586251399612
Jieying Zhang, Pukai Jin, Guanhu Yang
{"title":"Clinical Pearls: Acupuncture and Chinese Herbal Medicine for Chronic Venous Insufficiency.","authors":"Jieying Zhang, Pukai Jin, Guanhu Yang","doi":"10.1177/19336586251399612","DOIUrl":"https://doi.org/10.1177/19336586251399612","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"491-492"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter: Open Letter to the AAMA. 信：致美国医学会的公开信。
IF 0.9
Medical Acupuncture Pub Date : 2025-12-08 eCollection Date: 2025-12-01 DOI: 10.1177/19336586251384772
Michael Freedman
{"title":"<i>Letter:</i> Open Letter to the AAMA.","authors":"Michael Freedman","doi":"10.1177/19336586251384772","DOIUrl":"https://doi.org/10.1177/19336586251384772","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"504-505"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Pearl: Management of Chronic Venous Insufficiency Through Acupuncture and Chinese Herbs. 临床明珠：针灸结合中药治疗慢性静脉功能不全。
IF 0.9
Medical Acupuncture Pub Date : 2025-12-08 eCollection Date: 2025-12-01 DOI: 10.1177/19336586251398983
Venkatalakshmi Saravanan, N Sheeja Begum, A Mooventhan
{"title":"Clinical Pearl: Management of Chronic Venous Insufficiency Through Acupuncture and Chinese Herbs.","authors":"Venkatalakshmi Saravanan, N Sheeja Begum, A Mooventhan","doi":"10.1177/19336586251398983","DOIUrl":"https://doi.org/10.1177/19336586251398983","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"497-499"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electroacupuncture to Improve Bowel Function in Patients with LARS after Low Anterior Resection for Rectal Cancer: Protocol of a Multicenter Cohort Study. 电针改善直肠癌低位前切除术后LARS患者的肠功能：一项多中心队列研究方案
IF 0.9
Medical Acupuncture Pub Date : 2025-12-08 eCollection Date: 2025-12-01 DOI: 10.1089/acu.2024.0070
Mengqi Wang, Hengchang Liu, Liyun He, Jin Xu, Wenyun Hou, Fang Wang, Xue Cao, Xin Wang, Yutong Lyu, Haipeng Chen, Jia Liu
{"title":"Electroacupuncture to Improve Bowel Function in Patients with LARS after Low Anterior Resection for Rectal Cancer: Protocol of a Multicenter Cohort Study.","authors":"Mengqi Wang, Hengchang Liu, Liyun He, Jin Xu, Wenyun Hou, Fang Wang, Xue Cao, Xin Wang, Yutong Lyu, Haipeng Chen, Jia Liu","doi":"10.1089/acu.2024.0070","DOIUrl":"https://doi.org/10.1089/acu.2024.0070","url":null,"abstract":"<p><strong>Background: </strong>Low anterior resection syndrome (LARS) comprises a series of bowel symptoms after low anterior resection for rectal cancer that seriously decrease the patients' quality of life. Current treatments for LARS include antidiarrheal medications, pelvic floor muscle exercises, biofeedback training, and transanal irrigation, all of which lack high-quality supporting evidence or have low patient acceptance. Acupuncture has been found to have a therapeutic effect on LARS; however, further research is warranted because the available clinical studies have small sample sizes and different acupuncture treatment protocols and durations of treatment. This study is designed to investigate the effectiveness and safety of electroacupuncture in clinical settings.</p><p><strong>Methods: </strong>This is a multicenter, prospective, observational, comparative study of data obtained from a registry platform. Patients are classified into electroacupuncture and non-electroacupuncture exposure groups based on whether they receive electroacupuncture treatment or not, and the exposure dose is categorised in accordance with the timing and frequency of electroacupuncture treatment. The bowel function and quality of life will be compared between the two groups during a 6-month follow-up period. Propensity score matching and the inverse probability of weighting method will be used to reduce the risk of bias and control confounding factors.</p><p><strong>Discussion: </strong>This prospective, observational, comparative study aims to evaluate the effectiveness and safety of electroacupuncture at BL33, BL35, and SP6 in improving the defecation function of patients with LARS, and to explore the dose-response relationship of electroacupuncture and defecation function. The results of this study will provide support for further research.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"459-465"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Pearls: The Role of Acupuncture in Chronic Venous Insufficiency. 临床珍珠：针灸在慢性静脉功能不全中的作用。
IF 0.9
Medical Acupuncture Pub Date : 2025-12-08 eCollection Date: 2025-12-01 DOI: 10.1177/19336586251399625
Riri Kumala Sari, Ellen Ellen, Nisa Ashila, Hasan Mihardja
{"title":"Clinical Pearls: The Role of Acupuncture in Chronic Venous Insufficiency.","authors":"Riri Kumala Sari, Ellen Ellen, Nisa Ashila, Hasan Mihardja","doi":"10.1177/19336586251399625","DOIUrl":"https://doi.org/10.1177/19336586251399625","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"493-494"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Potential Effect of Laser Acupuncture for Chronic Venous Insufficiency Treatment. 激光针刺治疗慢性静脉功能不全的潜在效果。
IF 0.9
Medical Acupuncture Pub Date : 2025-12-08 eCollection Date: 2025-12-01 DOI: 10.1177/19336586251399620
Yoshua Viventius, Wahyuningsih Djaali
{"title":"Potential Effect of Laser Acupuncture for Chronic Venous Insufficiency Treatment.","authors":"Yoshua Viventius, Wahyuningsih Djaali","doi":"10.1177/19336586251399620","DOIUrl":"https://doi.org/10.1177/19336586251399620","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"492-493"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chronic Venous Insufficiency. 慢性静脉功能不全。
IF 0.9
Medical Acupuncture Pub Date : 2025-12-08 eCollection Date: 2025-12-01 DOI: 10.1177/19336586251400588
Poovadan Sudhakaran
{"title":"Chronic Venous Insufficiency.","authors":"Poovadan Sudhakaran","doi":"10.1177/19336586251400588","DOIUrl":"https://doi.org/10.1177/19336586251400588","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"500-501"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evidence-Based Medicine: Reflections on a Paradigm Shift. 循证医学：对范式转变的反思。
IF 0.9
Medical Acupuncture Pub Date : 2025-12-08 eCollection Date: 2025-12-01 DOI: 10.1177/19336586251403552
Jennifer A M Stone
{"title":"Evidence-Based Medicine: Reflections on a Paradigm Shift.","authors":"Jennifer A M Stone","doi":"10.1177/19336586251403552","DOIUrl":"https://doi.org/10.1177/19336586251403552","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"425-426"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How You Treat Chronic Venous Insufficiency with Acupuncture and/or Chinese Herbs. 如何用针灸和/或中药治疗慢性静脉功能不全。
IF 0.9
Medical Acupuncture Pub Date : 2025-12-08 eCollection Date: 2025-12-01 DOI: 10.1177/19336586251400585
Felipe Abreu Márquez, Doménica Denisse Villacís Ponce
{"title":"How You Treat Chronic Venous Insufficiency with Acupuncture and/or Chinese Herbs.","authors":"Felipe Abreu Márquez, Doménica Denisse Villacís Ponce","doi":"10.1177/19336586251400585","DOIUrl":"https://doi.org/10.1177/19336586251400585","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"495-496"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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