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Article: Acupuncture for osteoarthritis of the knee: A systematic review

TitleAcupuncture for osteoarthritis of the knee: A systematic review
Authors
Issue Date2001
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www.interscience.wiley.com/jpages/0004-3591/
Citation
Arthritis And Rheumatism, 2001, v. 44 n. 4, p. 819-825 How to Cite?
AbstractObjective. To evaluate trials of acupuncture for osteoarthritis (OA) of the knee, to assess the methodologic quality of the trials and determine whether low-quality trials are associated with positive outcomes, to document adverse effects, to identify patient or treatment characteristics associated with positive response, and to identify areas of future research. Methods. Eight databases and 62 conference abstract series were searched. Randomized or quasi-randomized trials of all languages were included and evaluated for methodologic quality using the Jadad scale. Outcomes were pain, function, global improvement, and imaging. Data could not be pooled; therefore, a best-evidence synthesis was performed to determine the strength of evidence by control group. The adequacy of the acupuncture procedure was assessed by 2 acupuncturists trained in treating OA and blinded to study results. Results. Seven trials representing 393 patients with knee OA were identified. For pain and function, there was limited evidence that acupuncture is more effective than being on a waiting list for treatment or having treatment as usual. For pain, there was strong evidence that real acupuncture is more effective than sham acupuncture; however, for function, there was inconclusive evidence that real acupuncture is more effective than sham acupuncture. There was insufficient evidence to determine whether the efficacy of acupuncture is similar to that of other treatments. Conclusion. The existing evidence suggests that acupuncture may play a role in the treatment of knee OA. Future research should define an optimal acupuncture treatment, measure quality of life, and assess acupuncture combined with other modalities.
Persistent Identifierhttp://hdl.handle.net/10722/188539
ISSN
2015 Impact Factor: 8.955
2015 SCImago Journal Rankings: 3.206
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorEzzo, Jen_US
dc.contributor.authorHadhazy, Ven_US
dc.contributor.authorBirch, Sen_US
dc.contributor.authorLao, Len_US
dc.contributor.authorKaplan, Gen_US
dc.contributor.authorHochberg, Men_US
dc.contributor.authorBerman, Ben_US
dc.date.accessioned2013-09-03T04:10:10Z-
dc.date.available2013-09-03T04:10:10Z-
dc.date.issued2001en_US
dc.identifier.citationArthritis And Rheumatism, 2001, v. 44 n. 4, p. 819-825en_US
dc.identifier.issn0004-3591en_US
dc.identifier.urihttp://hdl.handle.net/10722/188539-
dc.description.abstractObjective. To evaluate trials of acupuncture for osteoarthritis (OA) of the knee, to assess the methodologic quality of the trials and determine whether low-quality trials are associated with positive outcomes, to document adverse effects, to identify patient or treatment characteristics associated with positive response, and to identify areas of future research. Methods. Eight databases and 62 conference abstract series were searched. Randomized or quasi-randomized trials of all languages were included and evaluated for methodologic quality using the Jadad scale. Outcomes were pain, function, global improvement, and imaging. Data could not be pooled; therefore, a best-evidence synthesis was performed to determine the strength of evidence by control group. The adequacy of the acupuncture procedure was assessed by 2 acupuncturists trained in treating OA and blinded to study results. Results. Seven trials representing 393 patients with knee OA were identified. For pain and function, there was limited evidence that acupuncture is more effective than being on a waiting list for treatment or having treatment as usual. For pain, there was strong evidence that real acupuncture is more effective than sham acupuncture; however, for function, there was inconclusive evidence that real acupuncture is more effective than sham acupuncture. There was insufficient evidence to determine whether the efficacy of acupuncture is similar to that of other treatments. Conclusion. The existing evidence suggests that acupuncture may play a role in the treatment of knee OA. Future research should define an optimal acupuncture treatment, measure quality of life, and assess acupuncture combined with other modalities.en_US
dc.languageengen_US
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www.interscience.wiley.com/jpages/0004-3591/en_US
dc.relation.ispartofArthritis and Rheumatismen_US
dc.subject.meshAcupuncture Analgesiaen_US
dc.subject.meshHumansen_US
dc.subject.meshOsteoarthritis, Knee - Therapyen_US
dc.subject.meshRandomized Controlled Trials As Topicen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleAcupuncture for osteoarthritis of the knee: A systematic reviewen_US
dc.typeArticleen_US
dc.identifier.emailLao, L: lxlao1@hku.hken_US
dc.identifier.authorityLao, L=rp01784en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1002/1529-0131(200104)44:4<819::AID-ANR138>3.0.CO;2-Pen_US
dc.identifier.pmid11315921-
dc.identifier.scopuseid_2-s2.0-0035046524en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0035046524&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume44en_US
dc.identifier.issue4en_US
dc.identifier.spage819en_US
dc.identifier.epage825en_US
dc.identifier.isiWOS:000171750800010-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridEzzo, J=6701568225en_US
dc.identifier.scopusauthoridHadhazy, V=8728816500en_US
dc.identifier.scopusauthoridBirch, S=7102655770en_US
dc.identifier.scopusauthoridLao, L=7005681883en_US
dc.identifier.scopusauthoridKaplan, G=16942690700en_US
dc.identifier.scopusauthoridHochberg, M=7202565737en_US
dc.identifier.scopusauthoridBerman, B=35458606800en_US

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