Cost‐effectiveness of Acupuncture for Chronic Nonspecific Low Back Pain

@article{Taylor2014CosteffectivenessOA,
  title={Cost‐effectiveness of Acupuncture for Chronic Nonspecific Low Back Pain},
  author={Penny Taylor and Lynne Pezzullo and Suzanne J. Grant and Alan Bensoussan},
  journal={Pain Practice},
  year={2014},
  volume={14}
}
Cost‐effectiveness is a major criterion underpinning decisions in mainstream health care. Acupuncture is increasingly used in patients with chronic lower back pain (LBP), but there is a lack of evidence on cost‐effectiveness. The objective of this study was to assess the cost‐effectiveness of acupuncture in alleviating chronic LBP either alone or in conjunction with standard care compared with patients receiving routine care, and/or sham. To determine effectiveness, we undertook meta‐analyses… 
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References

SHOWING 1-10 OF 44 REFERENCES
Meta-Analysis: Acupuncture for Low Back Pain
TLDR
Evidence is found that acupuncture is more effective than sham or no treatment for patients with chronic low back pain, and the hypothesis that treatment effect size is correlated with study quality, treatment factors, and patient factors is addressed.
Longer term clinical and economic benefits of offering acupuncture care to patients with chronic low back pain.
TLDR
The acupuncture service was found to be cost-effective at 24 months and patients receiving acupuncture care reported a significantly greater reduction in worry about their back pain at 12 and 24 months compared with the usual care group, suggesting some usual care resource use was offset.
A randomized trial comparing acupuncture, simulated acupuncture, and usual care for chronic low back pain.
TLDR
Although acupuncture was found effective for chronic low back pain, tailoring needling sites to each patient and penetration of the skin appear to be unimportant in eliciting therapeutic benefits, which raises questions about acupuncture's purported mechanisms of action.
Pragmatic randomized trial evaluating the clinical and economic effectiveness of acupuncture for chronic low back pain.
TLDR
Acupuncture plus routine care was associated with marked clinical improvements in these patients and was relatively cost-effective, and nonrandomized patients had more severe symptoms at baseline and showed improvements in back function similar to those seen in randomized patients.
Acupuncture for chronic low back pain in older patients: a randomized, controlled trial.
TLDR
It is shown that acupuncture is an effective, safe adjunctive treatment for chronic LBP in older patients and fewer acupuncture subjects had medication-related side-effects compared with the control group.
Effectiveness of Acupuncture for Low Back Pain: A Systematic Review
TLDR
There is moderate evidence that acupuncture is more effective than no treatment, and strong evidence of no significant difference between acupuncture and sham acupuncture, for short-term pain relief, but the effectiveness of acupuncture compared with other forms of conventional therapies still requires further investigation.
Acupuncture for back pain: a meta-analysis of randomized controlled trials.
TLDR
Acupuncture was shown to be superior to various control interventions, although there is insufficient evidence to state whether it is superior to placebo.
Acupuncture and dry-needling for low back pain.
TLDR
The data suggest that acupuncture and dry-needling may be useful adjuncts to other therapies for chronic low-back pain, and there certainly is a further need for higher quality trials in this area.
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