Comparison of Cost Effectiveness of Complementary & Alternative Medicine and Conventional Medicine in the Treatment of Rheumatoid Arthritis in Two Public Hospitals of Bangladesh

Delta Medical College Journal Pub Date : 2020-02-23 DOI:10.3329/dmcj.v7i2.45565

Jakir Hossain Bhuiyan Masud, A. Aggarwal

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引用次数: 1

Abstract

Background: Rheumatoid arthritis (RA) is one of the main causes of disability worldwide. Currently, controversy remains about the best therapeutic alternatives such as complementary and alternative medicine (CAM) and conventional medicine (CM) for this disease when evaluated from a cost effectiveness viewpoint. Objective: To examine the cost effectiveness of CAM and CM in the treatment of RA. Materials and method: The data were collected from Dhaka Medical College Hospital and Government Unani and Ayurvedic Medical College Hospital from August 2008 to February 2009 by primary sources in the study. Total 60 patients were included who had been treated for six months. Patients were assessed with EuroQol 5D (EQ-5D) tool. Results: The outcome is more effective in CAM than CM by EuroQol 5D. The EQ-5D average outcome of CAM is 0.239 and CM is 0.202. The cost of CAM is also lower than that of CM. Conclusion: Our results support that complementary and alternative medicine (CAM) is a more cost-effective option, compared to the conventional medicine for the treatment of RA.

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孟加拉国两所公立医院类风湿性关节炎补充替代医学与常规医学治疗的成本效益比较

背景：类风湿性关节炎（RA）是世界范围内致残的主要原因之一。目前，从成本效益的角度评估该疾病的最佳治疗替代方案，如补充和替代药物（CAM）和传统药物（CM），仍存在争议。目的：探讨CAM和CM治疗RA的成本效益。材料和方法：数据收集自2008年8月至2009年2月，主要来源于达卡医学院医院和政府乌纳尼和阿育吠陀医学院医院。共有60名患者接受了6个月的治疗。使用EuroQol 5D（EQ-5D）工具对患者进行评估。结果：EuroQol 5D对CAM的疗效优于CM。CAM的EQ-5D平均结果为0.239，CM为0.202。结论：与传统药物相比，补充和替代药物（CAM）是一种更具成本效益的治疗RA的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Delta Medical College Journal

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20 weeks