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Real world research: a complementary method to establish the effectiveness of acupuncture.

Luo J, Xu H, Liu B - BMC Complement Altern Med (2015)

Bottom Line: Acupuncture is a complex intervention involving needling components, specific non-needling components, and generic components.In contrast to examining efficacy and adverse reaction in a "sterilized" environment in a narrowly defined population, real world research assesses the effectiveness and safety of an intervention in a much wider population in real world practice.For this reason, real world research might be a feasible and meaningful method for acupuncture assessment.

View Article: PubMed Central - PubMed

Affiliation: Traditional Chinese Medicine Department of Rheumatism, China-Japan Friendship Hospital, Beijing, China. luojinggg@sina.com.

ABSTRACT

Background: Acupuncture has been widely used in the management of a variety of diseases for thousands of years, and many relevant randomized controlled trials have been published. In recent years, many randomized controlled trials have provided controversial or less-than-convincing evidence that supports the efficacy of acupuncture. The clinical effectiveness of acupuncture in Western countries remains controversial.

Discussion: Acupuncture is a complex intervention involving needling components, specific non-needling components, and generic components. Common problems that have contributed to the equivocal findings in acupuncture randomized controlled trials were imperfections regarding acupuncture treatment and inappropriate placebo/sham controls. In addition, some inherent limitations were also present in the design and implementation of current acupuncture randomized controlled trials such as weak external validity. The current designs of randomized controlled trials of acupuncture need to be further developed. In contrast to examining efficacy and adverse reaction in a "sterilized" environment in a narrowly defined population, real world research assesses the effectiveness and safety of an intervention in a much wider population in real world practice. For this reason, real world research might be a feasible and meaningful method for acupuncture assessment. Randomized controlled trials are important in verifying the efficacy of acupuncture treatment, but the authors believe that real world research, if designed and conducted appropriately, can complement randomized controlled trials to establish the effectiveness of acupuncture. Furthermore, the integrative model that can incorporate randomized controlled trial and real world research which can complement each other and potentially provide more objective and persuasive evidence.

Show MeSH
Characteristics of acupuncture treatment. Abbreviations: TCM, traditional Chinese medicine. * Acupuncture treatment is a complex intervention which includes three aspects consisting of many components. † Acupuncture treatment is an individualized treatment based on patient conditions and TCM theory. ‡ Varies considerably across different physicians as different skill and experience
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Fig1: Characteristics of acupuncture treatment. Abbreviations: TCM, traditional Chinese medicine. * Acupuncture treatment is a complex intervention which includes three aspects consisting of many components. † Acupuncture treatment is an individualized treatment based on patient conditions and TCM theory. ‡ Varies considerably across different physicians as different skill and experience

Mentions: Acupuncture treatment includes three aspects: needling, specific non-needling components drove by acupuncture theory, and generic components not unique to acupuncture treatment [16]. In addition, acupuncture treatment should be performed on the basis of the patient condition and traditional Chinese medicine (TCM) theory (Fig. 1).Fig. 1


Real world research: a complementary method to establish the effectiveness of acupuncture.

Luo J, Xu H, Liu B - BMC Complement Altern Med (2015)

Characteristics of acupuncture treatment. Abbreviations: TCM, traditional Chinese medicine. * Acupuncture treatment is a complex intervention which includes three aspects consisting of many components. † Acupuncture treatment is an individualized treatment based on patient conditions and TCM theory. ‡ Varies considerably across different physicians as different skill and experience
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4440554&req=5

Fig1: Characteristics of acupuncture treatment. Abbreviations: TCM, traditional Chinese medicine. * Acupuncture treatment is a complex intervention which includes three aspects consisting of many components. † Acupuncture treatment is an individualized treatment based on patient conditions and TCM theory. ‡ Varies considerably across different physicians as different skill and experience
Mentions: Acupuncture treatment includes three aspects: needling, specific non-needling components drove by acupuncture theory, and generic components not unique to acupuncture treatment [16]. In addition, acupuncture treatment should be performed on the basis of the patient condition and traditional Chinese medicine (TCM) theory (Fig. 1).Fig. 1

Bottom Line: Acupuncture is a complex intervention involving needling components, specific non-needling components, and generic components.In contrast to examining efficacy and adverse reaction in a "sterilized" environment in a narrowly defined population, real world research assesses the effectiveness and safety of an intervention in a much wider population in real world practice.For this reason, real world research might be a feasible and meaningful method for acupuncture assessment.

View Article: PubMed Central - PubMed

Affiliation: Traditional Chinese Medicine Department of Rheumatism, China-Japan Friendship Hospital, Beijing, China. luojinggg@sina.com.

ABSTRACT

Background: Acupuncture has been widely used in the management of a variety of diseases for thousands of years, and many relevant randomized controlled trials have been published. In recent years, many randomized controlled trials have provided controversial or less-than-convincing evidence that supports the efficacy of acupuncture. The clinical effectiveness of acupuncture in Western countries remains controversial.

Discussion: Acupuncture is a complex intervention involving needling components, specific non-needling components, and generic components. Common problems that have contributed to the equivocal findings in acupuncture randomized controlled trials were imperfections regarding acupuncture treatment and inappropriate placebo/sham controls. In addition, some inherent limitations were also present in the design and implementation of current acupuncture randomized controlled trials such as weak external validity. The current designs of randomized controlled trials of acupuncture need to be further developed. In contrast to examining efficacy and adverse reaction in a "sterilized" environment in a narrowly defined population, real world research assesses the effectiveness and safety of an intervention in a much wider population in real world practice. For this reason, real world research might be a feasible and meaningful method for acupuncture assessment. Randomized controlled trials are important in verifying the efficacy of acupuncture treatment, but the authors believe that real world research, if designed and conducted appropriately, can complement randomized controlled trials to establish the effectiveness of acupuncture. Furthermore, the integrative model that can incorporate randomized controlled trial and real world research which can complement each other and potentially provide more objective and persuasive evidence.

Show MeSH