201. A naturopathic approach to the prevention of cardiovascular disease: cost-effectiveness analysis of a pragmatic multi-worksite randomized clinical trial.
- Author
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Herman PM, Szczurko O, Cooley K, and Seely D
- Subjects
- Adult, Aged, Canada, Cardiovascular Diseases economics, Cost-Benefit Analysis, Diet Therapy economics, Directive Counseling economics, Female, Health Care Costs statistics & numerical data, Health Promotion economics, Humans, Male, Middle Aged, Naturopathy methods, Occupational Health Services methods, Primary Prevention methods, Quality-Adjusted Life Years, Risk Reduction Behavior, Cardiovascular Diseases prevention & control, Naturopathy economics, Occupational Health Services economics, Primary Prevention economics
- Abstract
Objective: To determine the cost-effectiveness of a worksite-based naturopathic (individualized lifestyle counseling and nutritional medicine) approach to primary prevention of cardiovascular disease (CVD)., Methods: Economic evaluation alongside a pragmatic, multi-worksite, randomized controlled trial comparing enhanced usual care (EUC; usual care plus biometric screening) to the addition of a naturopathic approach to CVD prevention (NC+EUC)., Results: After 1 year, NC+EUC resulted in a net decrease of 3.3 (confidence interval: 1.7 to 4.8) percentage points in 10-year CVD event risk (number needed to treat = 30). These risk reductions came with average net study-year savings of $1138 in societal costs and $1187 in employer costs. There was no change in quality-adjusted life years across the study year., Conclusions: A naturopathic approach to CVD primary prevention significantly reduced CVD risk over usual care plus biometric screening and reduced costs to society and employers in this multi-worksite-based study. Trial Registration clinicaltrials.gov Identifier: NCT00718796.
- Published
- 2014
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