PMID- 10537240
OWN - NLM
STAT- MEDLINE
DCOM- 19991201
LR  - 20061115
IS  - 1075-5535 (Print)
IS  - 1075-5535 (Linking)
VI  - 5
IP  - 5
DP  - 1999 Oct
TI  - Addition of acupuncture and self-care education in the treatment of patients with 
      severe angina pectoris may be cost beneficial: an open, prospective study.
PG  - 405-13
AB  - OBJECTIVES: A cost-benefit analysis of acupuncture and self-care education in the 
      treatment of patients with angina pectoris. DESIGN: An open prospective study on 
      an unselected group of patients. For comparison of risk three control groups were 
      used: (1) published data concerning medical and invasive treatments; (2) an age- 
      and sex matched group obtained from a randomly selected Danish population of 
      14,000 people; and (3) the 211 patients in this group with angina pectoris 
      symptoms. SETTING: The treatment was carried out on a outpatient basis in a 
      private research clinic. SUBJECTS: 105 patients with angina pectoris, 73 
      candidates for invasive treatment, and 32 for whom this was rejected. 
      INTERVENTIONS: Acupuncture and self-care education was added to the 
      pharmaceutical treatment. OUTCOME MEASURES: Healthcare expenses, a satisfactory 
      medical status defined as New York Heart Association (NYHA) classification 0-I 
      and/or no use of antianginal medication, and risk measured as cardiac death or 
      myocardial infarction. RESULTS: The estimated cost savings during 5 years were 
      $32,000 (U.S.) per patient, mainly due to a 90% reduction in hospitalization and 
      70% reduction in needed surgery. Compared to 8% before treatment, 53% of the 
      patients achieved a life without limitations (NYHA 0-I) 1 year after treatment, 
      as did 69% after 5 years. No increased risk for myocardial infarction or cardiac 
      death was observed. CONCLUSIONS: The addition of acupuncture and self-care 
      education was found to be cost beneficial in patients with advanced angina 
      pectoris. The results invite further testing in a randomized controlled trial.
FAU - Ballegaard, S
AU  - Ballegaard S
AD  - Acupuncture Centre, Hellerup, Denmark. ballegaard@akupunktur.dk
FAU - Johannessen, A
AU  - Johannessen A
FAU - Karpatschof, B
AU  - Karpatschof B
FAU - Nyboe, J
AU  - Nyboe J
LA  - eng
PT  - Clinical Trial
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Altern Complement Med
JT  - Journal of alternative and complementary medicine (New York, N.Y.)
JID - 9508124
SB  - IM
MH  - *Acupuncture Therapy
MH  - Angina Pectoris/*therapy
MH  - *Cost-Benefit Analysis
MH  - Female
MH  - *Health Education
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Severity of Illness Index
EDAT- 1999/10/28 00:00
MHDA- 1999/10/28 00:01
CRDT- 1999/10/28 00:00
PHST- 1999/10/28 00:00 [pubmed]
PHST- 1999/10/28 00:01 [medline]
PHST- 1999/10/28 00:00 [entrez]
AID - 10.1089/acm.1999.5.405 [doi]
PST - ppublish
SO  - J Altern Complement Med. 1999 Oct;5(5):405-13. doi: 10.1089/acm.1999.5.405.