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An international expert survey on acupuncture in randomized controlled trials for low back pain and a validation of the low back pain acupuncture score

BACKGROUND: Acupuncture is a promising treatment approach in patients with chronic low back pain (cLBP) but little is known about the quality of acupuncture in randomized controlled trials (RCT) of acupuncture cLBP. OBJECTIVE: To determine how international experts (IES) rate the quality of acupunct...

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Autores principales: Molsberger, AF, Zhou, J, Boewing, L, Arndt, D, Karst, M, Teske, W, Drabik, A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3352210/
https://www.ncbi.nlm.nih.gov/pubmed/21486726
http://dx.doi.org/10.1186/2047-783X-16-3-133
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author Molsberger, AF
Zhou, J
Boewing, L
Arndt, D
Karst, M
Teske, W
Drabik, A
author_facet Molsberger, AF
Zhou, J
Boewing, L
Arndt, D
Karst, M
Teske, W
Drabik, A
author_sort Molsberger, AF
collection PubMed
description BACKGROUND: Acupuncture is a promising treatment approach in patients with chronic low back pain (cLBP) but little is known about the quality of acupuncture in randomized controlled trials (RCT) of acupuncture cLBP. OBJECTIVE: To determine how international experts (IES) rate the quality of acupuncture in RCTs of cLBP; independent international validation of the Low Back Pain Acupuncture Score (LBPAS). METHODOLOGY: Fifteen experts from 9 different countries outside China were surveyed (IES). They were asked to read anonymized excerpts of 24 RCTs of cLBP and answer a three-item questionnaire on how the method of acupuncture conformed to 1) Chinese textbook standards, 2) the expert's personally preferred style, and 3) how acupuncture is performed in the expert's country. Likert scale rating, calculation of the mode for each answer, and Spearman's rank correlation coefficient between all three answers and the LBPAS were calculated. RESULTS: On comparison with Chinese textbook standards (question 1), 6 RCTs received a good rating, 8 trials a fair and 10 trials a poor or very poor rating. 5 of the 6 trials rated good, received at least a good rating also in question 2 or 3. We found a high correlation of 0.85 (p < 0.0001) between the IES and LBPAS ratings for question 1 and question 2, and a correlation of 0.66 (p < 0.0001) for question 3. CONCLUSION: The international expert survey (IES) revealed that only 6 out of 24 (25%) RCTs of acupuncture for cLBP were rated "good" in respect to Chinese textbook acupuncture standards. There were only small differences in how the acupuncture quality was rated in comparison to Chinese textbook acupuncture, personally preferred and local styles of acupuncture. The rating showed a high correlation with the Low Back Pain Acupuncture Score LBPAS.
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spelling pubmed-33522102012-05-16 An international expert survey on acupuncture in randomized controlled trials for low back pain and a validation of the low back pain acupuncture score Molsberger, AF Zhou, J Boewing, L Arndt, D Karst, M Teske, W Drabik, A Eur J Med Res Research BACKGROUND: Acupuncture is a promising treatment approach in patients with chronic low back pain (cLBP) but little is known about the quality of acupuncture in randomized controlled trials (RCT) of acupuncture cLBP. OBJECTIVE: To determine how international experts (IES) rate the quality of acupuncture in RCTs of cLBP; independent international validation of the Low Back Pain Acupuncture Score (LBPAS). METHODOLOGY: Fifteen experts from 9 different countries outside China were surveyed (IES). They were asked to read anonymized excerpts of 24 RCTs of cLBP and answer a three-item questionnaire on how the method of acupuncture conformed to 1) Chinese textbook standards, 2) the expert's personally preferred style, and 3) how acupuncture is performed in the expert's country. Likert scale rating, calculation of the mode for each answer, and Spearman's rank correlation coefficient between all three answers and the LBPAS were calculated. RESULTS: On comparison with Chinese textbook standards (question 1), 6 RCTs received a good rating, 8 trials a fair and 10 trials a poor or very poor rating. 5 of the 6 trials rated good, received at least a good rating also in question 2 or 3. We found a high correlation of 0.85 (p < 0.0001) between the IES and LBPAS ratings for question 1 and question 2, and a correlation of 0.66 (p < 0.0001) for question 3. CONCLUSION: The international expert survey (IES) revealed that only 6 out of 24 (25%) RCTs of acupuncture for cLBP were rated "good" in respect to Chinese textbook acupuncture standards. There were only small differences in how the acupuncture quality was rated in comparison to Chinese textbook acupuncture, personally preferred and local styles of acupuncture. The rating showed a high correlation with the Low Back Pain Acupuncture Score LBPAS. BioMed Central 2011-03-28 /pmc/articles/PMC3352210/ /pubmed/21486726 http://dx.doi.org/10.1186/2047-783X-16-3-133 Text en Copyright ©2011 I Holzapfel Publishers
spellingShingle Research
Molsberger, AF
Zhou, J
Boewing, L
Arndt, D
Karst, M
Teske, W
Drabik, A
An international expert survey on acupuncture in randomized controlled trials for low back pain and a validation of the low back pain acupuncture score
title An international expert survey on acupuncture in randomized controlled trials for low back pain and a validation of the low back pain acupuncture score
title_full An international expert survey on acupuncture in randomized controlled trials for low back pain and a validation of the low back pain acupuncture score
title_fullStr An international expert survey on acupuncture in randomized controlled trials for low back pain and a validation of the low back pain acupuncture score
title_full_unstemmed An international expert survey on acupuncture in randomized controlled trials for low back pain and a validation of the low back pain acupuncture score
title_short An international expert survey on acupuncture in randomized controlled trials for low back pain and a validation of the low back pain acupuncture score
title_sort international expert survey on acupuncture in randomized controlled trials for low back pain and a validation of the low back pain acupuncture score
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3352210/
https://www.ncbi.nlm.nih.gov/pubmed/21486726
http://dx.doi.org/10.1186/2047-783X-16-3-133
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