Evidence map›Paper›PMID 40375250›Full record

Observational studyBMC complementary medicine and therapies2025

Clinical outcomes and cost-effectiveness of collaborative treatment with Korean and Western medicine in patients with facial palsy: a multicenter prospective observational study.

Shiva Raj Acharya, Linae Kim, NamKwen Kim

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in BMC complementary medicine and therapies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Shiva Raj AcharyaResearch Institute for Korean Medicine, Pusan National University, Yangsan, Republic of Korea.
Linae KimResearch Institute for Korean Medicine, Pusan National University, Yangsan, Republic of Korea.
NamKwen KimResearch Institute for Korean Medicine, Pusan National University, Yangsan, Republic of Korea. drkim@pusan.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective and cost-efficient treatment approaches are crucial in healthcare to optimize patient outcomes. This study evaluates and compares the clinical outcomes and cost-effectiveness of Korean and Western medicine collaborative treatment (CT) with usual care (UC) for patients with facial palsy (FP).

methodsA two-arm comparative, multicenter, prospective, observational study was conducted at 11 nationwide hospitals participating in the fourth phase of the national pilot project for CT. A total of 130 FP patients were enrolled at baseline, with follow-up assessments at 4 weeks and 12 weeks post-baseline. Clinical outcomes were evaluated using the House-Brackmann Grading Scale (HBGS), Numeric Rating Scale (NRS), EuroQol-5 Dimensions (EQ-5D-5L), and EuroQol-Visual Analogue Scale (EQ-VAS) at all three time points of the study. The cost-effectiveness evaluation was assessed using Cost per QALYs (Quality-Adjusted Life Years), Incremental Cost-Effectiveness Ratio (ICER), and Net Monetary Benefit (NMB).

resultsThe mean HBGS, NRS and EQ-VAS scores significantly improved in both groups over time (each, p < 0.05). Compared to UC, CT demonstrated significantly higher EQ-5D-5L scores (0.94 ± 0.11 vs. 0.91 ± 0.13), and this effect remained significant even after adjusting for age, sex, duration, and income level (β = 0.06, p < 0.05). From a limited societal perspective, the total cost difference between the two groups was not statistically significant; however, the QALYs gained were significantly higher in patients who received CT than those who received UC (0.010 QALYs vs. 0.008 QALYs). The ICER for CT was estimated at 28.1 million Korean Won (KRW) per QALY. The probability that CT would be more cost-effective than UC exceeded 50% at a WTP threshold of 30.5 million KRW per QALY.

conclusionsOur study highlights that CT enhances a better quality of life and is more cost-effective for FP treatment, suggesting it is a valuable alternative to usual care. Further large-scale clinical trials and cost-effectiveness studies are warranted to explore its broader application and validate these findings.

trial registrationThe study design was registered with the Clinical Research Information Service (CRIS) of South Korea at https://cris.nih.go.kr/ (KCT0007682) on September 07, 2022.

Indexed as

Facial ParalysisMedicine, Korean TraditionalAdultAgedCost-Benefit AnalysisFemaleHumansMaleMiddle AgedProspective StudiesQuality-Adjusted Life YearsRepublic of KoreaTreatment OutcomeYoung AdultClinical outcomesCollaborative treatmentCost-effectivenessFacial palsyQALYs

Identifiers

PMID40375250
PMCPMC12079986

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.