Comprehensive Evaluation of Acupuncture for Secondary Dysmenorrhea Based on Health Technology Assessment
10.13422/j.cnki.syfjx.20241825
- VernacularTitle:基于卫生技术评估的针刺治疗继发性痛经的综合评价
- Author:
Xue WU
1
;
Zhiran LI
2
;
Jing HU
3
;
Xing LIAO
1
;
Weiwei SUN
2
Author Information
1. Center for Evidence-based Chinese Medicine， Institute of Basic Research in Clinical Medicine，China Academy of Chinese Medical Sciences，Beijing 100700，China
2. Guang'anmen Hospital， China Academy of Chinese Medical Sciences，Beijing 100053，China
3. Beijing Hospital of Traditional Chinese Medicine，Capital Medical University，Beijing Institute of Traditional Chinese Medicine， Beijing Evidence-based Chinese Medicine Center，Beijing 100191，China
- Publication Type:Journal Article
- Keywords:
health technology assessment;
acupuncture;
secondary dysmenorrhea;
endometriosis;
adenomyosis;
comprehensive evaluation
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2025;31(9):165-174
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo carry out a health technology assessment （HTA） of acupuncture for secondary dysmenorrhea （SD） caused by adenomyosis and endometriosis， in order to provide a reference for relevant medical decision-making. MethodsFrom the perspective of the health system， the assessment covers seven areas， including the technical characteristics， safety， effectiveness， economics， ethical fairness， organizational adaptability， and impact on patients and society. The results are reported accordingly. ResultsThe operational specifications of acupuncture are standardized， and the conditions for its use are clearly defined. Acupuncture has a lower overall incidence of adverse events. The main adverse events are localized pain， subcutaneous bleeding， and dizziness， with most symptoms being mild， all of which have corresponding standard treatments. No reports on occupational or environmental safety were found， and the safety operation specifications are available for reference. Compared with conventional Western medicine， acupuncture demonstrates higher effectiveness. Acupuncture may improve the quality of life scores of patients， though no significant difference was observed. The cost of acupuncture is higher than that of conventional Western medicine， but its overall economic value is greater. The informed consent information is relatively comprehensive. Most patients are aware of the potential benefits and risks of acupuncture and voluntarily opt for it. The treatment process fully respects patient privacy and human rights. The clinical application of acupuncture follows the current acupuncture medical service model， with no special requirements for the level of medical institutions. Patient accessibility and affordability are suitable. Patient satisfaction is high. Most patients indicated they would choose acupuncture again for SD. The main barriers to choosing acupuncture are psychological factors （such as fear of acupuncture）， cost， and transportation issues. Nearly 70% of patients receiving acupuncture treatment benefit from medical insurance reimbursement， with reimbursement rates generally above 50%， indicating strong social security support. ConclusionThe implementation of HTA for acupuncture in the treatment of SD， using the standards for traditional Chinese medicine （TCM）， is feasible. The implementation steps are clear， the data sources for each evaluation domain are adequate， the analysis methods are practical， and the evaluation results are comprehensive. Experts recommend that the findings be used as a reference for relevant medical decision-making.
