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Author Manyanga, T.; Froese, M.; Zarychanski, R.; Abou-Setta, A.; Friesen, C.; Tennenhouse, M.; Shay, B. L. url  doi
openurl 
  Title Pain management with acupuncture in osteoarthritis: a systematic review and meta-analysis Type of Study Systematic Review
  Year 2014 Publication BMC complementary and alternative medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 14 Issue 1 Pages 312-  
  Keywords Systematic Review; Arthritis; Osteoarthritis; Pain; Acupuncture  
  Abstract BACKGROUND: The utility of acupuncture in managing osteoarthritis symptoms is uncertain. Trial results are conflicting and previous systematic reviews may have overestimated the benefits of acupuncture. METHODS: Two reviewers independently identified randomized controlled trials (up to May 2014) from multiple electronic sources (including PubMed/Medline, EMBASE, and CENTRAL) and reference lists of relevant articles, extracted data and assessed risk of bias (Cochrane's Risk of Bias tool). Pooled data are expressed as mean differences (MD), with 95% confidence intervals (CI) (random-effects model). RESULTS: We included 12 trials (1763 participants) comparing acupuncture to sham acupuncture, no treatment or usual care. We adjudicated most trials to be unclear (64%) or high (9%) risk of bias. Acupuncture use was associated with significant reductions in pain intensity (MD -0.29, 95% CI -0.55 to -0.02, I squared 0%, 10 trials, 1699 participants), functional mobility (standardized MD -0.34, 95% CI -0.55 to -0.14, I squared 70%, 9 trials, 1543 participants), health-related quality of life (standardized MD -0.36, 95% CI -0.58 to -0.14, I squared 50%, 3 trials, 958 participants). Subgroup analysis of pain intensity by intervention duration suggested greater pain intensity reduction with intervention periods greater than 4 weeks (MD -0.38, 95% CI -0.69 to -0.06, I squared 0%, 6 trials, 1239 participants). CONCLUSIONS: The use of acupuncture is associated with significant reductions in pain intensity, improvement in functional mobility and quality of life. While the differences are not as great as shown by other reviews, current evidence supports the use of acupuncture as an alternative for traditional analgesics in patients with osteoarthritis. Systematic review registration: CRD42013005405.  
  Address Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.  
  Publisher
  Language Number of Treatments (down)  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition Osteoarthritis
  Disease Category Arthritis OCSI Score  
  Notes Approved no  
  Call Number Serial 822  
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