ANTRAG Zusammenfassung und HTA-Literatur

ANTRAG Zusammenfassung und HTA-Literatur
ASA
Assoziation Schweizerischer Ärztegesellschaften für Akupunktur
und Chinesische Medizin
Sekretariat:
Postfach, CH-8575 Bürglen
Telefon 071 634 66 19, Telefax 071 634 66 18
E-Mail [email protected]
Internet http://www.akupunktur-tcm.ch
Zusatzinformationen im Schlussbericht Programm Evaluation
Komplementärmedizin PEK:
http://www.bag.admin.ch/themen/krankenversicherung/00263/
00264/04102/index.html
Summary
Traditional Chinese Medicine (TCM) was reimbursed by the statutory health insurance in
Switzerland („Obligatorische Krankenpflegeversicherung“ (OKP)) between 2000 and 2005. A
project was set up specifically to evaluate TCM, as well as other 4 systems and methods of
complementary medical care from a scientifically sound perspective. The decision to stop
granting these 5 systems of complementary medical care OKP reimbursement at the end of
the evaluation period after 2005 was not based on scientific facts but was at least in parts
politically motivated. After the referendum decision in favour of anchoring “the duty to
consider complementary medical care approaches” in the constitution, a new application for
automatic reimbursement is being submitted based on new data.
TCM is to be applied exclusively by specially trained and certified doctors (“certificate of
special ability in acupuncture and TCM”) if warranted by the indication, the resulting costs are
to be reimbursed by the OKP. Any indication covering the whole spectrum of medicine may
warrant TCM treatment if treatment by conventional medical practice is not absolutely
necessary. This explicitly excludes diseases which have been proven to respond most
efficiently to conventional treatment or where conventional medical treatment is needed to
prevent damage for the patient. For many diseases, Western medicine is not able to either
supply any treatment which is able to deal with the causes of the disease, or to supply any
treatment which leads to a satisfactory measure of healing or improvement in the patient’s
suffering. The symptomatic pharmacological treatment used by western medicine in this
context is often not well tolerated by the patient or leads to side effects with complications.
Many acute or chronically relapsing infections do not necessarily require an antibiotic
treatment. Considering the global threat of resistance, this is even to be avoided wherever
possible. Due to the different paradigm employed, TCM is often able to offer successful
treatment from its perspective for many diseases.
An update of the literature search shows that by now a great number of recent studies have
been published concerning treatment with TCM drugs. Overall, they appear to point towards
good effectiveness of TCM drug treatment compared to purely conventional treatment or to
placebo.
The safety of TCM drugs is guaranteed by the 4 certified companies in charge of distribution
in Switzerland. These companies are in possession of a provisional SWISSMEDIC license
and are responsible for ensuring that the distributed TCM drugs meet GPN-requirements, as
well as conforming to legal requirements concerning pesticide, heavy metal, bacterial and
other residues, as well as authenticating the contents of the individual drugs and drug
preparations.
Economic studies based on PEK and newer data show that treatment with TCM drugs is
cheaper than conventional medical treatment provided by a general practitioner. Prior
experience with the provisional reimbursement of the five complementary medical
approaches by the OKP in the past shows that this leads to costs shifting from the
supplementary health insurance (“Zusatzversicherung”) to the statutory health insurance. A
model constructed to estimate the cost-consequences (budget impact) of readmitting TCM to
reimbursement within the statutory health insurance shows a comparable development with
additional pointers towards savings on the part of the health care costs paid for by patients
themselves.
Overall, treatment with TCM drugs may be considered an effective and low cost treatment
approach given the appropriate indication which may in many cases present an addition or
an alternative to conventional medical treatment.
Liste der ersten identifizierten Publikationen (Reviews, Meta-Anylsen, klinische Studien)
Aus: Medline, Embase, Cochranre Reviews
(1) Adams D, Wu T, Yang X, Tai S, Vohra S. Traditional Chinese medicinal herbs for the
treatment of idiopathic chronic fatigue and chronic fatigue syndrome. Cochrane Database
Syst Rev 2009;(4):CD006348.
(2) Ahn A, Bennani T, Freeman R, Hamdy O, Kaptchuk T. Two styles of acupuncture for
treating painful diabetic neuropathy - A pilot randomised control trial. Acupunct Med
2007; 25(1-2):11-17.
(3) Allen J, Schnyer R, Chambers A, Hitt S, Moreno F, Manber R. Acupuncture for
depression: A randomized controlled trial. J Clin Psychiatry 2006; 67(11):1665-1673.
(4) Asher G, Coeytaux R, Chen W, Reilly A, Loh Y, Harper T. Acupuncture to initiate labor
(Acumoms 2): A randomized, sham-controlled clinical trial. J Matern Fetal Neonatal Med
2009; 22(10):843-848.
(5) Bian Z, X, Moher D, Dagenais S, Li Y, Liu L, Wu T, X et al. Improving the quality of
randomized controlled trials in Chinese herbal medicine, part II: Control group design. J
Chin Integr Med 2006; 4(2):130-136.
(6) Bian Z, X, Moher D, Li Y, Wu T, X, Dagenais S, Cheng C et al. Precise reporting of
traditional Chinese medicine interventions in randomized controlled trials. J Chin Integr
Med 2008; 6(7):661-667.
(7) Bian Z, Wu T, Liu L, Miao J, Wong H, Song L et al. Effectiveness of the Chinese herbal
formula TongXieYaoFang for irritable bowel syndrome: A systematic review. J Altern
Complement Med 2006; 12(4):401-407.
(8) Birks J, Grimley EJ. Ginkgo biloba for cognitive impairment and dementia. Cochrane
Database Syst Rev 2007;(2):CD003120.
(9) Blanke C, Naisabha G, Balema M, Mbaruku G, Heide L, M³ller M. Herba Artemisiae
annuae tea preparation compared to sulfadoxine- pyrimethamine in the treatment of
uncomplicated falciparum malaria in adults: A randomized double-blind clinical trial. Trop
Doct 2008; 38(2):113-116.
(10) Cai J, Wang H, Zhou S, Wu B, Song H, Xuan Z. Effect of Sijunzi decoction and enteral
nutrition on T-cell subsets and nutritional status in patients with gastric cancer after
operation: A randomized controlled trial. J Chin Integr Med 2008; 6(1):37-40.
(11) Cao H, Shang H, Ren M, Zhang J, Gao X, Xiang Y et al. Case recruitment in large-scale
clinical trials of traditional Chinese medicine. J Chin Integr Med 2007; 5(3):243-246.
(12) Cao W, Liu W, Wu T, Zhong D, Liu G. Dengzhanhua preparations for acute cerebral
infarction. Cochrane Database Syst Rev 2008;(4):CD005568.
(13) Cao Y, Pang J, Wang X, Shi Y, Shen W, Zheng Y, X et al. Current status of Chinese
herbal therapy for osteoarthritis. Chin J Clin Rehab 2006; 10(35):130-134.
(14) Chan C, Kuo M, Shen J, See L, Chang H, Huang J. Ding Chuan Tang, a Chinese herb
decoction, could improve airway hyper- responsiveness in stabilized asthmatic children:
A randomized, double- blind clinical trial. Pediatr Allergy Immunol 2006; 17(5):316-322.
(15) Chang TT, Huang CC, Hsu CH. Clinical evaluation of the Chinese herbal medicine
formula STA-1 in the treatment of allergic asthma. Phytother Res 2006; 20(5):342-347.
(16) Chen HM. [Verruca planae Chinese medicine treatment]. Zhonghua Shi Yan He Lin
Chuang Bing Du Xue Za Zhi 2008; 22(4):302-304.
(17) Chen J, Wu G, Li S, Yu T, Xie Y, Zhou L et al. Shengmai (a traditional Chinese herbal
medicine) for heart failure. Cochrane Database Syst Rev 2007;(4):CD005052.
(18) Chen JX, Hu LS. Traditional chinese medicine for the treatment of chronic prostatitis in
China: a systematic review and meta-analysis. J Altern Complement Med 2006;
12(8):763-769.
(19) Chen J, X, Hu L. Traditional Chinese medicine for the treatment of chronic prostatitis in
China: A systematic review and meta-analysis. J Altern Complement Med 2006;
12(8):763-769.
(20) Chen J, Wu G, Li S, Yu T, Xie Y, Zhou L et al. Shengmai (a traditional Chinese herbal
medicine) for heart failure. Cochrane Database Syst Rev 2007;(4).
(21) Chen N, Li H, Zhao LY, Liu JB, Huang Q, Wang TH et al. [Therapy for clearing heat and
resolving phlegm in treatment of systemic inflammatory response syndrome in acute
deterioration stage of chronic obstructive pulmonary disease: a randomized controlled
trial]. Zhong Xi Yi Jie He Xue Bao 2009; 7(2):105-109.
(22) Chen N, Li H, Zhao L, Liu J, Huang Q, Wang T et al. Therapy for clearing heat and
resolving phlegm in treatment of systemic inflammatory response syndrome in acute
deterioration stage of chronic obstructive pulmonary disease: A randomized controlled
trial. J Chin Integr Med 2009; 7(2):105-109.
(23) Chen W, Li Z, Liu J. Chinese herbal medicine for diabetic peripheral neuropathy.
Cochrane Database Syst Rev 2009;(2).
(24) Chen X, Zhou M, Li Q, Yang J, Zhang Y, Zhang D et al. Sanchi for acute ischaemic
stroke. Cochrane Database Syst Rev 2008;(4):CD006305.
(25) Chen XY, Wu TX, Liu GJ, Wang Q, Zheng J, Wei J et al. Chinese medicinal herbs for
influenza. Cochrane Database Syst Rev 2007;(4):CD004559.
(26) Chen X, Li Y, Zheng H, Hu K, Zhang H, Zhao L et al. A randomized controlled trial of
acupuncture and moxibustion to treat Bell's palsy according to different stages: Design
and protocol. Contemp Clin Trials 2009; 30(4):347-353.
(27) Chen Y, Ma X, Hou W, Cen J, Yu X, Zhang L. Effects of penetrating acupuncture on
peripheral nerve conduction velocity in patients with diabetic peripheral neuropathy: A
randomized controlled trial. J Chin Integr Med 2009; 7(3):273-275.
(28) Chen Z, Wang G, Wang X, Chen R, Wang H, Yang M et al. Effectiveness and tolerability
of warm-supplementing kidney yang added to risperidone in improving cognitive
impairment in patients with schizophrenia: An 8-week, multicenter, randomized,
double-blind, placebo- controlled clinical trial. CURRENT THERAPEUTIC
RESEARCH-CLINICAL AND EXPERIMENTAL 2008; 69(2):104-117.
(29) Chen Z, Wang G, Wang X, Chen R, Wang H, Yang M et al. Effects of
warm-supplementing kidney yang (WSKY) capsule added on risperidone on cognition in
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multi-center clinical trial. HUMAN PSYCHOPHARMACOLOGY-CLINICAL AND
EXPERIMENTAL 2008; 23(6):465-470.
(30) Cheng C, Bian Z, X, Li Y, Moher D, Wu T, X, Dagenais S et al. Transparently reporting
adverse effects of traditional Chinese medicine interventions in randomized controlled
trials. J Chin Integr Med 2008; 6(9):881-886.
(31) Cheng C, Bian Z, X, Wu T, X. Systematic review of Chinese herbal medicine for
functional constipation. WORLD JOURNAL OF GASTROENTEROLOGY 2009;
15(39):4886-4895.
(32) Cheng JF, Lu ZY, Su YC, Chiang LC, Wang RY. A traditional Chinese herbal medicine
used to treat dysmenorrhoea among Taiwanese women. J Clin Nurs 2008;
17(19):2588-2595.
(33) Cho W, Chen H. Clinical efficacy of Chinese herbal medicine as a concomitant therapy
for nasopharyngeal carcinoma: Meta-analysis. Proceedings of the American Association
for Cancer Research Annual Meeting 2009; 50:1173.
(34) Chou PB, Morse CA, Xu H. A controlled trial of Chinese herbal medicine for premenstrual
syndrome. J Psychosom Obstet Gynaecol 2008; 29(3):185-192.
(35) Chou P, Morse C, Xu H. A controlled trial of chinese herbal medicine for premenstrual
syndrome. Dtsch Z Akupunkt 2009; 52(1):53-54.
(36) Chow S, Pong A, Chang Y. On traditional Chinese medicine clinical trials. Drug Inf J
2006; 40(4):395-406.
(37) Chu FY, Wang J, Sun XW, Xing YW, Yao KW, Wang SH et al. [A randomized
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unstable anginal patients with blood-stasis syndrome after percutaneous coronary
intervention.]. Zhong Xi Yi Jie He Xue Bao 2009; 7(8):729-735.
(38) Dengfeng W, Taixiang W, Lina H, Marjoribanks J, Guanjian L, Haijun J et al. Chinese
herbal medicines in the treatment of ectopic pregnancy. Cochrane Database Syst Rev
2007;(4):CD006224.
(39) Diener H, Kronfeld K, Boewing G, Lungenhausen M, Maier C, Molsberger A et al.
Efficacy of acupuncture for the prophylaxis of migraine: A multicentre randomised
controlled clinical trial. Lancet Neurol 2006; 5(4):310-316.
(40) Dorn SD, Kaptchuk TJ, Park JB, Nguyen LT, Canenguez K, Nam BH et al. A
meta-analysis of the placebo response in complementary and alternative medicine trials
of irritable bowel syndrome. NEUROGASTROENTEROLOGY AND MOTILITY 2007;
19(8):630-637.
(41) Duan X, Zhou L, Wu T, Liu G, Qiao J, Wei J et al. Chinese herbal medicine suxiao jiuxin
wan for angina pectoris. Cochrane Database Syst Rev 2008;(1):CD004473.
(42) Endo S, Nishida T, Nishikawa K, Nakajima K, Hasegawa J, Kitagawa T et al.
Dai-kenchu-to, a Chinese herbal medicine, improves stasis of patients with total
gastrectomy and jejunal pouch interposition. Am J Surg 2006; 192(1):9-13.
3
(43) Endres H, B÷wing G, Diener H, Lange S, Maier C, Molsberger A et al. Acupuncture for
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(44) Enrique E, Cistero B. Specific immunotherapy for food allergy: Basic principles and
clinical aspects. Curr Opin Allergy Clin Immunol 2006; 6(6):466-469.
(45) Fei Y, Liu J. Improving the quality of reporting Chinese herbal medicine trials: An
elaborated checklist. J Chin Integr Med 2008; 6(3):233-238.
(46) Flower A, Liu JP, Chen S, Lewith G, Little P. Chinese herbal medicine for endometriosis.
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(47) Flower A, Liu JP, Chen S, Lewith G, Little P. Chinese herbal medicine for endometriosis art. no. CD006568. Cochrane Database Syst Rev 2009;(3):6568.
(48) Flower A, Lewith G, Little P. Seeking an oracle: Using the Delphi process to develop
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Altern Complement Med 2007; 13(9):969-976.
(49) Flower A, Liu J, Chen S, Lewith G, Little P. Chinese herbal medicine for endometriosis.
Cochrane Database Syst Rev 2009;(3).
(50) Fu L, Mao ZX, Wang J, Zhang J, Zheng TR, Wang SL. [Effects of Songling Xuemaikang
Capsule on ambulatory blood pressure in treatment of essential hypertension: a
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(51) FuJuan J, Wang G, Mao B. The assessment of scientificalness and ethic of
placebo-controlled trials in traditional Chinese medicine. Chin J Evid Based Med 2008;
8(9):781-785.
(52) Gao WY, Lin YF, Chen SQ, Lu YP, Yang Z, Gong Y et al. [Effects of Changjishu soft
elastic capsule in treatment of diarrhea-predominant irritable bowel patients with liver-qi
stagnation and spleen deficiency syndrome: a randomized double-blinded controlled
trial]. Zhong Xi Yi Jie He Xue Bao 2009; 7(3):212-217.
(53) Gao W, Lin Y, Chen S, Lu Y, Yang Z, Gong Y et al. Effects of Changjishu soft elastic
capsule in treatment of diarrhea- predominant irritable bowel patients with liver-qi
stagnation and spleen deficiency syndrome: A randomized double-blinded controlled trial.
J Chin Integr Med 2009; 7(3):212-217.
(54) Gim G, Kim H, Kim J, Kim J, Whang W, Cho S. Antioxidant effect of tianwang buxin pills:
A traditional Chinese medicine formula: Double-blind, randomized controlled trial. Am J
Chin Med 2009; 37(2):227-239.
(55) Goto H, Satoh N, Hayashi Y, Hikiami H, Nagata Y, Obi R et al. A Chinese Herbal
Medicine, Tokishakuyakusan, Reduces the Worsening of Impairments and Independence
After Stroke: A 1-year Randomized, Controlled Trial. Evid Based Complement Alternat
Med 2009.
(56) Gottschling S, Meyer S, Gribova I, Distler L, Berrang J, Gortner L et al. Laser
Acupuncture in children with headache: A double-blind, randomized, bicenter,
placebo-controlled trial. Dtsch Z Akupunkt 2009; 52(1):52.
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(57) Grant SJ, Bensoussan A, Chang D, Kiat H, Klupp NL, Liu JP et al. Chinese herbal
medicines for people with impaired glucose tolerance or impaired fasting blood glucose.
Cochrane Database Syst Rev 2009;(4):CD006690.
(58) Guo HY, Cai Y, Yang XM, Wang ZH, Wang JL, Zhao XM et al. Randomized phase II trial
on mitomycin-C/Cisplatin ¦ KLT in heavily pretreated advanced breast cancer. Am J Chin
Med 2008; 36(4):665-674.
(59) Guo X, Zhou B, Nishimura T, Teramukai S, Fukushima M. Clinical effect of Qigong
practice on essential hypertension: A meta- analysis of randomized controlled trials. J
Altern Complement Med 2008; 14(1):27-37.
(60) Haake M, M³ller H, Schade B, Basler H, SchΣfer H, Maier C et al. German Acupuncture
Trials (GERAC) for chronic low back pain: Randomized, multicenter, blinded,
parallel-group trial with 3 groups. Arch Intern Med 2007; 167(17):1892-1898.
(61) Haines CJ, Lam PM, Chung TK, Cheng KF, Leung PC. A randomized, double-blind,
placebo-controlled study of the effect of a Chinese herbal medicine preparation (Dang
Gui Buxue Tang) on menopausal symptoms in Hong Kong Chinese women. Climacteric
2008; 11(3):244-251.
(62) Hamazaki K, Sawazaki S, Itomura M, Huan M, Shibahara N, Kawakita T et al. No effect
of a traditional Chinese medicine, Hochu-ekki-to, on antibody titer after influenza
vaccination in man: A randomized, placebo- controlled, double-blind trial. Phytomedicine
2007; 14(1):11-14.
(63) He CY, Wang WJ, Li B, Xu DS, Chen WH, Ying J et al. [Clinical research of Yiqi Sanju
Formula in treating central obese men at high risk of metabolic syndrome]. Zhong Xi Yi
Jie He Xue Bao 2007; 5(3):263-267.
(64) He Y, Lu A, Zha Y, Yan X, Song Y, Zeng S et al. Correlations between symptoms as
assessed in traditional chinese medicine (TCM) and ACR20 efficacy response: a
comparison study in 396 patients with rheumatoid arthritis treated with TCM or Western
medicine. J Clin Rheumatol 2007; 13(6):317-321.
(65) Hollifield M, Sinclair L, Warner T, Hammerschlag R. Acupuncture for posttraumatic stress
disorder - A randomized controlled pilot trial. JOURNAL OF NERVOUS AND MENTAL
DISEASE 2007; 195(6):504-513.
(66) Holtmann G, Nandurkar S, Talley N, Moayyedi P. Herbal medicine for the treatment of
functional dyspepsia: A systematic review of the literature and meta-analysis.
Gastroenterology 2007; 132(4):A682-A683.
(67) Hon KL, Leung TF, Ng PC, Lam MC, Kam WY, Wong KY et al. Efficacy and tolerability of
a Chinese herbal medicine concoction for treatment of atopic dermatitis: a randomized,
double-blind, placebo-controlled study. Br J Dermatol 2007; 157(2):357-363.
(68) Hsu C, Wang C, Hwang K, Lee T, Chou P, Chang H. The effect of auricular acupuncture
in obese women: A randomized controlled trial. J Womens Health 2009; 18(6):813-818.
(69) Huang Y, Xie RM, Lu M, Cai YF, Guo JW, Miao XL et al. [Effect evaluation for
comprehensive treatment of acute stage of stroke]. Zhong Xi Yi Jie He Xue Bao 2007;
5(3):276-281.
5
(70) Iwasaki K, Satoh-Nakagawa T, Maruyama M, Monma Y, Nemoto M, Tomita N et al. A
randomized, observer-blind, controlled trial of the traditional Chinese medicine Yi-Gan
San for improvement of behavioral and psychological symptoms and activities of daily
living in dementia patients. J Clin Psychiatry 2005; 66(2):248-252.
(71) Iwasaki K, Kato S, Monma Y, Niu K, Ohrui T, Okitsu R et al. A pilot study of banxia houpu
tang, a traditional Chinese medicine, for reducing pneumonia risk in older adults with
dementia. J Am Geriatr Soc 2007; 55(12):2035-2040.
(72) Iwasaki K, Satoh N, Maruyama M, Monma Y, Nemoto M, Tomita N et al. A randomized,
observer-blind, controlled trial of the traditional Chinese medicine Yi-Gan San for
improvement of behavioral and psychological symptoms and activities of daily living in
dementia patients. J Clin Psychiatry 2005; 66(2):248-252.
(73) Jackson A, MacPherson H, Hahn S. Acupuncture for tinnitus: A series of six n=1
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(74) Jiang H, Mao B, Zhong Y, Yang H, Fu J. Tanreqing injection for community-acquired
pneumonia: A systematic review of randomized evidence. J Chin Integr Med 2009;
7(1):9-19.
(75) JiGuang, Fan J, Chen J, Lu L, Xing L, Zheng P et al. Effectiveness of Danning Tablet in
patients with non-alcoholic fatty liver of damp-heat syndrome type: A multicenter
randomized controlled trial. J Chin Integr Med 2008; 6(2):128-133.
(76) Jing Z, Yang X, Ismail KM, Chen X, Wu T. Chinese herbal medicine for premenstrual
syndrome. Cochrane Database Syst Rev 2009;(1):CD006414.
(77) Jing Z, Yang X, Ismail K, Chen X, Wu T. Chinese herbal medicine for premenstrual
syndrome. Cochrane Database Syst Rev 2009;(1).
(78) Jirong Y, Xiaoyan Y, Taixiang W, Defen S, Birong D. Zhiling decoction for vascular
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(79) Junhua Z, Menniti I, Xiumei G, Firenzuoli F, Boli Z, Massari M et al. Complex traditional
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40(8):2797-2804.
(80) Kang J, Li N, Wu B. Therapeutic methods for knee osteoarthritis: Randomized controlled
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(81) Kang L, Li B, Gao L, Li S, Wang D, Hu M et al. Tai-Kang-Ning, a Chinese herbal
medicine formula, alleviates acute heroin withdrawal. Am J Drug Alcohol Abuse 2008;
34(3):269-276.
(82) Kennedy S. Randomized controlled trial assessing a traditional Chinese medicine remedy
in the treatment of primary dysmenorrhea. Fertil Steril 2006; 86(3):762-764.
(83) Kum WF, Durairajan SS, Bian ZX, Man SC, Lam YC, Xie LX et al. Treatment of Idiopathic
Parkinson's Disease with Traditional Chinese Herbal Medicine: A Randomized
Placebo-Controlled Pilot Clinical Study. Evid Based Complement Alternat Med 2009.
(84) Lam CLK, Wong W, Fong DYT. Chinese herbal medicine in the treatment of acute upper
respiratory tract infection: a randomised, double blind, placebo-controlled clinical trial.
Hong Kong Med J 2009; 15(5):30-34.
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(85) Leung WK, Wu JC, Liang SM, Chan LS, Chan FK, Xie H et al. Treatment of
diarrhea-predominant irritable bowel syndrome with traditional Chinese herbal medicine:
a randomized placebo-controlled trial. Am J Gastroenterol 2006; 101(7):1574-1580.
(86) Leung W, Wu J, Liang SM, Chan LS, Chan F, Xie H et al. Treatment of
diarrhea-predominant irritable bowel syndrome with traditional Chinese herbal medicine:
A randomized placebo-controlled trial. Am J Gastroenterol 2006; 101(7):1574-1580.
(87) Li FL, Li B, Xu R, Song X, Yu Y, Xu ZC. [Qinzhu Liangxue Decoction in treatment of
blood-heat type psoriasis vulgaris: a randomized controlled trial]. Zhong Xi Yi Jie He Xue
Bao 2008; 6(6):586-590.
(88) Li J, Wu HM, Zhou RL, Liu GJ, Dong BR. Huperzine A for Alzheimer's disease. Cochrane
Database Syst Rev 2008;(2):CD005592.
(89) Li L, Lu FG, He QH. [Efficacy of Maxing Shigan Decoction combined with Western
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Jie He Xue Bao 2009; 7(9):809-813.
(90) Li Y, Cui HJ, Huang JC, Wu XQ. Clinical study of Jiawei Huangqi Guizhi Wuwu Decoction
in preventing and treating peripheral neuro-sensory toxicity caused by oxaliplatin. Chin J
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(91) Li YFXXJGXYTLLWR. Acupuncture for Treating Acute Attacks of Migraine: A
Randomized Controlled Trial. HEADACHE 2009; 49(6):805-816.
(92) Liang RN, Liu J, Lu J. [Treatment of refractory polycystic ovary syndrome by bushen
huoxue method combined with ultrasound-guided follicle aspiration]. Zhongguo Zhong Xi
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(93) Liang ZF, Chen RH, Xu YS, Chen QX, Dong ML. [Tiaohe Ganpi Hexin Decoction in
treatment of irritable bowel syndrome with diarrhea: a randomized controlled trial.]. Zhong
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(95) LiEdmund K, Tam L, Chun K, Wai C, Lam C, Wachtel G et al. Safety and efficacy of
Ganoderma lucidum (Lingzhi) and San Miao San supplementation in patients with
rheumatoid arthritis: A double-blind, randomized, placebo-controlled pilot trial. Arthritis
Care Res 2007; 57(7):1143-1150.
(96) LiFu L, Li B, Xu R, Song X, Yu Y, Xu Z. Qinzhu Liangxue Decoction in treatment of
blood-heat type psoriasis vulgaris: A randomized controlled trial. J Chin Integr Med 2008;
6(6):586-590.
(97) LiHao, Yao M, Zhao W, Guan J, Cai L, Cui L. A randomized, controlled, double-blind trial
of Huannao Yicong capsule in senile patients with mild cognitive impairment. J Chin
Integr Med 2008; 6(1):25-31.
(98) Lim B, Manheimer E, Lao L, Ziea E, Wisniewski J, Liu J et al. Acupuncture for treatment
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(99) Lin A, Qian K, Usami Y, Lin L, Itokawa H, Hsu C et al. 5-Hydroxymethyl-2-furfural, a
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(100) Lin HS, Li DR. Phase II clinical trial for evaluating the adjuvant chemotherapy for nonsmall-cell lung cancer with Shen-Dan capsule and related Traditional Chinese Medicines.
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(102) Lin L, Yang M, Kao C, Wu S, Tang S, Lin J. Using acupressure and Montessori-based
activities to decrease agitation for residents with dementia: A Cross-over trial. J Am
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China: Status and evaluation. Chin J Evid Based Med 2005; 5(6):431-437.
(104) Liu F, Xiong NN, Xi ZQ, Zou JD, Zhang B. Outlines of designing, implementing and
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16
Auswertung Daten santésuisse Datenpool, TCM-Ärzte
Kennzahlen COM-Grundversorgerärzte
Bezeichnung
Anzahl Leistungserbringer
Durchschnittsalter Erkrankte
Anzahl Erkrankte
Anzahl Erkrankte pro Leistungserbringer
Kosten ohne Medikamente (direkt und veranlasst)
Kosten Medikamente (direkt und veranlasst)
Gesamtkosten (direkte und veranlasste Kosten)
Jahr 2000
4'842
45
4031918
832.70
Jahr 2001
4'898
45
4130767
843.36
Jahr 2002
4'944
46
4174318
844.32
Jahr 2003
5'021
46
4223129
841.09
Jahr 2004
5'056
47
4228398
836.31
Jahr 2005
5'067
47
4222493
833.33
Jahr 2006
5'048
47
4220702
836.11
Jahr 2007
5'061
48
4315266
852.65
Jahr 2008
5'087
48
4268068
839.01
1582654867 1661526517 1754563667 1769846597 1884840938 1904595909 1885326885 1929272064 1918459529
1654165864 1786808930 1871367812 1951907343 2103657256 2134464220 2105556233 2119556481 2135240857
3236820733 3448335451 3625931479 3721753939 3988498190 4039060126 3990883117 4048828545 4053700385
Durchschnittskosten ohne Medikamente pro Arzt
Durchschnittskosten Medikamente pro Arzt
Durchschnittskosten total pro Arzt
326860
341629
668488
339226
364804
704029
354887
378513
733400
352489
388749
741238
372793
416071
788864
375882
421248
797130
373480
417107
790587
381204
418802
800006
377130
419745
796874
Durchschnittskosten ohne Medikamente pro Erkrankte
Durchschnittskosten Medikamente pro Erkrankten
Durchschnittskosten total pro Erkrankten
392.53
410.27
802.80
402.23
432.56
834.79
420.32
448.31
868.63
419.08
462.19
881.28
445.76
497.51
943.26
451.06
505.50
956.56
446.69
498.86
945.55
447.08
491.18
938.26
449.49
500.28
949.77
Kennzahlen TCM-Ärzte
Bezeichnung
Anzahl Leistungserbringer
Durchschnittsalter Erkrankte
Anzahl Erkrankte
Anzahl Erkrankte pro Leistungserbringer
Jahr 2000
Jahr 2001
Jahr 2002
Jahr 2003
Jahr 2004
Jahr 2005
Jahr 2006
Jahr 2007
Jahr 2008
372
42
256773
690.25
390
42
266490
683.31
403
43
275624
683.93
419
43
284670
679.40
434
44
291606
671.90
444
44
293543
661.13
444
44
292285
658.30
447
45
304081
680.27
444
45
300158
676.03
116737889
70848965
187586854
126178632
76648434
202827066
134822317
81288118
216110434
136081025
84941878
221022903
147916056
93972535
241888591
147270078
94917599
242187677
144802250
95363447
240165697
152226413
96965844
249192258
151830497
99317115
251147612
Durchschnittskosten ohne Medikamente pro Arzt
Durchschnittskosten Medikamente pro Arzt
Durchschnittskosten total pro Arzt
313812
190454
504266
323535
196534
520069
334547
201707
536254
324776
202725
527501
340820
216527
557347
331689
213778
545468
326131
214783
540914
340551
216926
557477
341961
223687
565648
Durchschnittskosten ohne Medikamente pro Erkrankte
Durchschnittskosten Medikamente pro Erkrankten
Durchschnittskosten total pro Erkrankten
454.63
275.92
730.56
473.48
287.62
761.11
489.15
294.92
784.08
478.03
298.39
776.42
507.25
322.26
829.50
501.70
323.35
825.05
495.41
326.27
821.68
500.61
318.88
819.49
505.84
330.88
836.72
Kosten ohne Medikamente (direkt und veranlasst)
Kosten Medikamente (direkt und veranlasst)
Gesamtkosten (direkte und veranlasste Kosten)
Indizes Vergleich TCM-Ärzte mit COM-Grundversorgerärzten
Bezeichnung
Jahr 2000
Jahr 2001
Jahr 2002
Jahr 2003
Jahr 2004
Jahr 2005
Jahr 2006
Jahr 2007
Jahr 2008
Durchschnittsalter Erkrankte
Anzahl Erkrankte pro Leistungserbringer
0.93
0.83
0.94
0.81
0.94
0.81
0.94
0.81
0.94
0.80
0.94
0.79
0.94
0.79
0.93
0.80
0.93
0.81
Durchschnittskosten ohne Medikamente pro Arzt
Durchnittskosten Medikamente pro Arzt
Durchschnittskosten total pro Arzt
0.96
0.56
0.75
0.95
0.54
0.74
0.94
0.53
0.73
0.92
0.52
0.71
0.91
0.52
0.71
0.88
0.51
0.68
0.87
0.51
0.68
0.89
0.52
0.70
0.91
0.53
0.71
Durchschnittskosten ohne Medikamente pro Erkrankte
Durchnittskosten Medikamente pro Erkrankten
Durchschnittskosten total pro Erkrankten
1.16
0.67
0.91
1.18
0.66
0.91
1.16
0.66
0.90
1.14
0.65
0.88
1.14
0.65
0.88
1.11
0.64
0.86
1.11
0.65
0.87
1.12
0.65
0.87
1.13
0.66
0.88
`