Evidence mapPaperPMID 40977787Full record

ArticleFrontiers in public health2025

Cost-effectiveness analysis of Chinese patent medicines for the treatment of postmenopausal osteoporosis in China.

Cong Wang, Xihan Lin, Jinyu Liu, Yu Zhang, Ruxu You

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Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Cong WangDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Xihan LinDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Jinyu LiuDepartment of Pharmacy, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Yu ZhangDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Ruxu YouDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Evidence indicates that Chinese patent medicines can significantly increase bone mass in patients with osteoporosis and alleviate symptoms associated with low bone density. Although the therapeutic effects of these two drugs have been compared both directly and indirectly, no economic-related studies currently exist. Therefore, this study aims to assess the cost-effectiveness of Xianling Gubao Capsules compared to Jintiange Capsules and non-treatment for postmenopausal osteoporosis from the perspective of Chinese healthcare providers. Methods: A Markov microsimulation model was employed to estimate the cost-effectiveness of the Xianling Gubao capsule and the Jintiange capsule in a hypothetical cohort of postmenopausal osteoporotic women aged 55 to 74 years with no prior history of fractures, over a treatment period of 6 months. Model parameters, including transition probabilities and costs, were derived from Chinese sources. Efficacy data for the treatments were obtained from two network meta-analyses. Outcomes were expressed as incremental costs per quality-adjusted life-year (QALY) gained. Sensitivity analyses were performed to ensure the robustness of the findings, with a cost-effectiveness threshold established at three times the Gross Domestic Product (GDP) per capita in China ($38,223) per QALY. Result: Compared to the control group that did not receive drug treatment, the preventive therapy using Chinese patent medicine significantly increased bone mineral density and reduced the probability of fractures across all age groups in the intervention group. The incremental cost-effectiveness ratios (ICERs) for the Jintiange capsule compared to the Xianling Gubao capsule ranged from $11,955 per QALY at age 55 to $9,711 per QALY at age 74, indicating that the cost-effectiveness of the Jintiange capsule improved consistently with age. Sensitivity analyses confirmed the robustness of the results across all parameter variations, with the annual cost of the Jintiange capsule identified as the most sensitive factor. Conclusion: From the perspective of Chinese healthcare providers, preventive therapy using Chinese patent medicine, when compared to a control group that did not receive drug treatment, resulted in increased bone mineral density and a reduced probability of fractures across all age levels in the intervention group. Additionally, the Jintiange capsule appears to be a cost-effective treatment option for postmenopausal women with osteoporosis.

Indexed as

Drugs, Chinese HerbalNonprescription DrugsOsteoporosis, PostmenopausalAgedBone DensityChinaCost-Benefit AnalysisCost-Effectiveness AnalysisFemaleHumansMarkov ChainsMiddle AgedNetwork Meta-Analysis as TopicQuality-Adjusted Life YearsDrugs, Chinese HerbalNonprescription DrugsChinese patent medicinescost-effectivenessJintiange capsulesosteoporosispostmenopausalXianling Gubao capsules

Identifiers

PMID40977787
PMCPMC12446330

What Socratic holds

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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 Socratic graph.