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

A-La Park, Eui-Hyoung Hwang, Man-Suk Hwang, In Heo, Sun-Young Park, Jun-Hwan Lee, In-Hyuk Ha, Jae-Heung Cho and Byung-Cheul Shin
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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
Man-Suk Hwang: Department of Korean Medicine Rehabilitation, School of Korean Medicine, Pusan National University, Yangsan 50612, Korea
In Heo: Department of Korean Medicine Rehabilitation, School of Korean Medicine, Pusan National University, 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
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

IJERPH, 2021, vol. 18, issue 19, 1-13

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.

Keywords: cost-effectiveness; complementary and integrated medicine; Chuna manual therapy; neck pain; traffic accidents (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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