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Author (up) Di, Y. M.; May, B. H.; Zhang, A. L.; Zhou, I. W.; Worsnop, C.; Xue, C. C. url  doi
openurl 
  Title A meta-analysis of ear-acupuncture, ear-acupressure and auriculotherapy for cigarette smoking cessation Type of Study Systematic Review
  Year 2014 Publication Drug and alcohol dependence Abbreviated Journal Drug Alcohol Depend  
  Volume 142C Issue Pages 14-23  
  Keywords Systematic Review; Substance-Related Disorders; Tobacco Use Disorder; Auricular Acupuncture; Drug Addiction; Smoking Cessation; Substance Abuse; Auricular Acupressure  
  Abstract BACKGROUND: This systematic review evaluated the effects of ear acupuncture, ear acupressure and auriculotherapy for cigarette smoking cessation (SC) at end-of-treatment (EoT), three, six and 12 months follow-up. METHODS: Searches of six English and Chinese databases located 25 randomized controlled trials (3735 participants). Methodological quality was assessed using Cochrane Risk of Bias. Meta-analyses were conducted in two pools: 1. SC-specific ear acupuncture/acupressure or auriculotherapy (EAP/R) vs. non-specific/inactive control; and 2. SC-specific EAP/R vs. other SC-specific treatment. Sensitivity analyses were conducted based on the validity of interventions as SC-specific treatments or non-specific/inactive interventions; and the use of biochemical SC confirmation. RESULTS: Pool 1: the 12 valid SC-specific EAP/R interventions were superior to inactive EAP/R controls at EoT (RR=1.77 [1.39, 2.25]), three months follow-up (RR=1.54 [1.14, 2.08]), and six months follow-up (RR=2.01, [1.23, 3.28]) but data were insufficient at 12 months. In Pool 2: there was no superiority or inferiority for EAP/R at EoT or at 3 and 6 month follow-ups compared to SC-specific behavioural therapy or SC-specific body acupuncture. CONCLUSIONS: Pool 1 data appeared most consistent for studies of ear acupressure (EAPR) vs. non-specific EAPR controls, with confirmed SC rates at 3 months post-treatment of 20.0% for test groups vs. 7.5% for controls. In Pool 2 the EAP/R interventions appeared neither inferior nor superior to the behavioural interventions at 3 and 6 month follow-ups. However, meta-analysis results derived from relatively small-sized trials with no biochemical validation of SC in Pool 2. Larger, well-controlled studies using biochemical confirmation of SC are needed.  
  Address School of Health Sciences, Traditional & Complementary Medicine Research Program, Health Innovations Research Institute, RMIT University, Bundoora, VIC 3083, Australia. Electronic address: yuan.di@rmit.edu.au  
  Publisher
  Language Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition Tobacco Use Disorder
  Disease Category Substance-Related Disorders OCSI Score  
  Notes Approved yes  
  Call Number Serial 240  
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Author (up) Grant, S.; Kandrack, R.; Motala, A.; Shanman, R.; Booth, M.; Miles, J.; Sorbero, M.; Hempel, S. url  doi
openurl 
  Title Acupuncture for substance use disorders: A systematic review and meta-analysis Type of Study Systematic Review
  Year 2016 Publication Drug and Alcohol Dependence Abbreviated Journal Drug Alcohol Depend  
  Volume 163 Issue Pages 1-15  
  Keywords AcuTrials; Systematic Review; Substance-Related Disorders; Drug Addiction; Substance Abuse; Acupuncture  
  Abstract BACKGROUND: This systematic review aims to estimate the effects of acupuncture for adults with substance use disorders (SUDs). METHODS: We searched 7 electronic databases and bibliographies of previous studies to identify eligible randomized trials. Two independent reviewers screened citations, extracted data, and assessed risks of bias. We performed random effects meta-analyses. We assessed quality of evidence using the GRADE approach. RESULTS: We included 41 studies with 5,227 participants. No significant differences were observed between acupuncture and comparators (passive controls, sham acupuncture, treatment as usual, and active interventions) at post-intervention for relapse (SMD -0.12; 95%CI -0.46 to 0.22; 10 RCTs), frequency of substance use (SMD -0.27; -2.67 to 2.13; 2 RCTs), quantity of substance use (SMD 0.01; -0.40 to 0.43; 3 RCTs), and treatment dropout (OR 0.82; 0.63 to 1.09; 22 RCTs). We identified a significant difference in favor of acupuncture versus comparators for withdrawal/craving at post-intervention (SMD -0.57, -0.93 to -0.20; 20 RCTs), but we identified evidence of publication bias. We also identified a significant difference in favor of acupuncture versus comparators for anxiety at post-intervention (SMD -0.74, -1.15 to -0.33; 6 RCTs). Results for withdrawal/craving and anxiety symptoms were not significant at longer follow-up. Safety data (12 RCTs) suggests little risk of serious adverse events, though participants may experience slight bleeding or pain at needle insertion sites. CONCLUSIONS: Available evidence suggests no consistent differences between acupuncture and comparators for substance use. Results in favor of acupuncture for withdrawal/craving and anxiety symptoms are limited by low quality bodies of evidence.  
  Address RAND, 1776 Main Street, P.O. Box 2138, Santa Monica, CA 90407-2138, USA  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition Substance-Related Disorders
  Disease Category Substance-Related Disorders OCSI Score  
  Notes PMID:26968093 Approved yes  
  Call Number OCOM @ refbase @ Serial 2067  
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