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Author (up) Zanette, S. D.; Born, I. G.; Brenol, J. C.; Xavier, R. M.
Title A pilot study of acupuncture as adjunctive treatment of rheumatoid arthritis Type of Study RCT
Year 2007 Publication Abbreviated Journal Clin Rheum
Volume 27 Issue Pages 627-635
Keywords Acupuncture; Arthritis; Fixed Acupuncture Protocol; Sham Acupoint Control; Pain; Pilot Study; RCT; Arthritis, Rheumatoid; Superficial Needling Depth; TCM Acupuncture Style; Restricted Modalities, Acupuncture Only; Penetrating Sham; AcuTrials; Acu + Usual Care Versus Sham + Usual Care
Abstract We evaluated the efficacy of acupuncture as a useful adjuvant treatment in the management of rheumatoid arthritis (RA). A pilot, randomized, double-blind, and controlled clinical trial was conducted. Forty RA patients with active disease despite stable therapy for at least the preceding 1 month were randomized to receive a standard protocol of acupuncture (AC) or superficial acupuncture at non-acupuncture points (controlAC) for 9 weeks. The primary outcome was achievement of 20% improvement according to the American College of Rheumatology (ACR) 20 criteria after five and ten treatment sessions and after 1 month of follow-up. Secondary measures included Disease Assessment Scale (DAS), tender and swollen joint count, morning stiffness, Health Assessment Questionnaire (HAQ), visual analogue scale (VAS) of pain, physician global assessment of activity disease, physician and patient global assessment of treatment, and inflammatory markers (erythrocyte sedimentation rate and C-reactive protein). There was not significant difference between the groups regarding the number of patients that reached ACR20 at the end of the treatment (p = 0.479). However, after 1 month of follow-up, there was a trend in favor of the AC group, with p = 0,068. Compared with the controlAC, the AC group also demonstrated significant improvement in the patient and physician global assessment of treatment and physician global assessment of disease activity, but there was no difference on other clinical and laboratorial measures. On the other hand, only the AC patients had within group improvement on the variables DAS, HAQ, morning stiffness, patient and physician global assessment of treatment, and physician global assessment of disease activity in comparison to baseline visit. Despite the improvement of some studied variables, there was no significant difference in the proportion of patients that reached ACR20 between the AC and controlAC groups. This negative result can be related to the small sample size, selection of patients, type of acupuncture protocol applied, and difficulties in establishing an innocuous and trustworthy placebo group to studies involving acupuncture
Address Servico de Reumatologia, Hospital de Clinicas de Porto Alegre, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Language Number of Treatments 10
Treatment Follow-up 4 Weeks Frequency >1/WK Number of Participants 40
Time in Treatment 5 Weeks Condition Arthritis, Rheumatoid
Disease Category Arthritis OCSI Score
Notes Approved no
Call Number Serial 1416
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