The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog ran from 2006 to 2016 and was intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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  • Recent Comments

    Cost-effectiveness of lifestyle changes in diabetes patients

    Lifestyle changes may reduce cardiovascular risk and the risk of diabetes mellitus.

    Researchers at Umea University in Sweden studied the long term cost-effectiveness of a lifestyle educational program.

    First, the details.

    • 151 adults at moderate-to-high risk for cardiovascular disease were randomly assigned to a treatment program.
      • Lifestyle changes (supervised exercise sessions and diet counseling for 3 months, followed by regular group meetings over 3 years) + standard care
      • Standard care alone.
    • Cost-effectiveness was described using the net monetary benefit method (difference in cost of treatment between groups).

    And, the results.

    • There was a net savings of $47 per participant in the lifestyle group.
    • This is based on $337 higher cost to pay for the program, which was more than offset by the $384 savings in office visit costs.

    The bottom line?

    The authors concluded, “Lifestyle intervention in primary care… is highly cost-effective in relation to standard care.”

    The study is important because it looks at the long-term effects of lifestyle changes on the cost of care and finds that the number of visits to the primary care doctor was reduced leading to a cost savings.

    In 2009, a review of the cost-effectiveness of lifestyle changes in people with diabetes concluded, “Implementation of lifestyle interventions would probably yield important health benefits at reasonable costs. However, essential evidence for long-term maintenance of health benefits was limited.”

    This study addresses that need.

    9/15/10 16:11 JR

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