Acupuncture use was nearly six times more common among chiropractic users than in the overall population (2.2% vs. 0.37%); similarly, nearly half (42.5%) of acupuncture users also had a claim for chiropractic. Over one-in-five patients (21.0%) with general joint or back pain used chiropractic, of which 2.65% also used acupuncture. CONCLUSIONS: Despite trends suggesting increased use of chiropractic and acupuncture, their use remains very low in commercial health insurance plans, including patients with inflammation and pain-related conditions. While still very low, acupuncture use was more common among chiropractic users than in the overall population.
Kong SLE patients compared to standard care. METHODS: A lifetime microsimulation model was adapted with epidemiological and cost data from Hong Kong. The model compares the use of belimumab against standard care and incorporates the BLISS-52 and BLISS-76 trial data for the short term outcomes within one year, while long-term outcomes were based on a natural history model developed using the Johns Hopkins Lupus registry. The natural history model describes the relationship between disease activity and other covariates on the risk of dying and developing organ damage. Data available from the SLE population in Hong Kong was used as input in the modified model. The analysis was performed from a Hong Kong health-care perspective. In the base case, cost and effectiveness were discounted to the year of analysis at 5% p.a. RESULTS: The base case analysis showed that compared to standard care, treatment with belimumab increased life expectancy by 0.80 (2.77 undiscounted) and QALY by 0.60 (1.68 undiscounted) years respectively.
CONCLUSIONS: Financial expenditures for antineoplastic agents are rising due to use of new and expensive medications, which are supposed to double within coming years and are expected to decrease one third of cancer mortality. Senescent population with higner incidence of cancer disease is expected to slightly increase DID and medicine packages consumption. OBJECTIVES:Breast cancer forms in tissues of the breast, usually in ducts and lobules. It is the most common type of woman's cancer in Slovakia (age-standardized rate-48, incidence rate -2016 new cases every year, mortality rate 773 deaths annually ). The aim of this study was to provide comparable and reliable data of utilisation of stage I (invasive, up to 2 centimeters, no lymph nodes involved) and stage II (invasive, 2-5 centimeters, lymph nodes might be involved, over 5 centimeters-no lymph nodes involvement) breast cancer drugs within the period 2004-2009. METHODS: Analysed data were abstracted from Slovak Institute for Drug Control, which collects them from wholesalers. Data were studied in accordance with Daily Defined Dose (DDD, with exception of trastuzumab) and in financial units (€). RESULTS: The consumption of drugs used in stage I and II breast cancer had increasing trend in terms of financial burdens between 2004 and 2009 with anastrozole ( from 1 378 317 € to 1 888 478 €),, doxorubicine (from 776 400 € to 1 354 072 €), methotrexate ( from 138 954 € to 650 993 €) and trastuzumab (from 359 797 € to 11 703 935 €) decreasing trend with tamoxifen ( from 261 417 € to 159 064 €) nad alternating trend with cyclofosfamide ( 206 156
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