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Author (up) Brinkhaus, B.; Witt, C. M.; Jena, S.; Linde, K.; Streng, A.; Hummelsberger, J.; Irnich, D.; Hammes, M.; Pach, D.; Melchart, D.; Willich, S. N. url  openurl
  Title Physician and treatment characteristics in a randomised multicentre trial of acupuncture in patients with osteoarthritis of the knee Type of Study RCT
  Year 2007 Publication Complementary therapies in medicine Abbreviated Journal Complement Ther Med  
  Volume 15 Issue 3 Pages 180-189  
  Keywords Acu Versus > 1 Control; Acupuncture; AcuTrials; Arthritis; Auricular Acupuncture; Penetrating Sham; Osteoarthritis, Knee; RCT; Restricted Modalities, Acupuncture Only; Semi-Individualized Acupuncture Protocol; Superficial Needling Depth; Sham Acupoint Control; Sham Control; TCM Acupuncture Style; Traditional Diagnosis Based Point Selection; Trigger Point Acupuncture Style; Wait-List Control  
  Abstract OBJECTIVE: The aim of this paper is to describe the treatment and physician characteristics in a randomised trial of acupuncture for osteoarthritis of the knee. DESIGN: Three-armed, randomised, controlled multicentre trial with 1-year follow-up. SETTING: Twenty-eight outpatient centres in Germany. INTERVENTIONS: A total of 294 patients with osteoarthritis of the knee were randomised to 12 sessions of semi-standardised acupuncture (at least 6 local and 2 distant points needled per affected knee from a selection of predefined points, but individual choice of additional body or ear acupuncture points possible), 12 sessions of minimal acupuncture (superficial needling of at least 8 of 10 predefined, bilateral, distant non-acupuncture points) or a waiting list control (2 months no acupuncture). OUTCOME: Participating trial physicians and interventions. RESULTS: Forty-seven physicians specialised in acupuncture (mean age 43+/-8 years, 26 females) provided study interventions in 28 outpatient centres in Germany. The median duration of acupuncture training completed by participating physicians was 350h (range 140-2508). The total number of needles used was 17.4+/-4.8 in the acupuncture group compared to 12.9+/-3.3 in the minimal acupuncture group. In total, 39 physicians (83%) stated that they would have treated patients in either a similar or in exactly the same way outside of the trial, whereas 7 (15%) stated that they would have treated patients differently (1 missing). CONCLUSIONS: Our documentation of the trial interventions shows that semi-standardised acupuncture strategy represents an acceptable compromise for efficacy studies. However, a substantial minority of participating trial physicians stated that they would have treated patients differently outside of the trial  
  Address Institute of Social Medicine, Epidemiology, and Health Economics, Charite University Medical Center, Humboldt University of Berlin, 10098 Berlin, Germany  
  Language Number of Treatments 12  
  Treatment Follow-up 44 Weeks Frequency >1/WK Number of Participants 294  
  Time in Treatment 8 Weeks Condition Osteoarthritis, Knee
  Disease Category Arthritis OCSI Score  
  Notes Approved no  
  Call Number Serial 92  
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