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Acupuncture for Acute Postoperative Pain after Back Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials
OBJECTIVES: Acupuncture is commonly used as a complimentary treatment for pain management. However, there has been no systematic review summarizing the current evidence concerning the effectiveness of acupuncture for acute postoperative pain after back surgery. This systematic review aimed at evalua...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Blackwell Publishing Ltd
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4409074/ https://www.ncbi.nlm.nih.gov/pubmed/24766648 http://dx.doi.org/10.1111/papr.12208 |
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author | Cho, Young-Hun Kim, Chang-Kyu Heo, Kwang-Ho Lee, Myeong Soo Ha, In-Hyuk Son, Dong Wuk Choi, Byung Kwan Song, Geun-Sung Shin, Byung-Cheul |
author_facet | Cho, Young-Hun Kim, Chang-Kyu Heo, Kwang-Ho Lee, Myeong Soo Ha, In-Hyuk Son, Dong Wuk Choi, Byung Kwan Song, Geun-Sung Shin, Byung-Cheul |
author_sort | Cho, Young-Hun |
collection | PubMed |
description | OBJECTIVES: Acupuncture is commonly used as a complimentary treatment for pain management. However, there has been no systematic review summarizing the current evidence concerning the effectiveness of acupuncture for acute postoperative pain after back surgery. This systematic review aimed at evaluating the effectiveness of acupuncture treatment for acute postoperative pain (≤1 week) after back surgery. METHODS: We searched 15 electronic databases without language restrictions. Two reviewers independently assessed studies for eligibility and extracted data, outcomes, and risk of bias. Random effect meta-analyses and subgroup analyses were performed. RESULTS: Five trials, including 3 of high quality, met our inclusion criteria. The meta-analysis showed positive results for acupuncture treatment of pain after surgery in terms of the visual analogue scale (VAS) for pain intensity 24 hours after surgery, when compared to sham acupuncture (standard mean difference −0.67 (−1.04 to −0.31), P = 0.0003), whereas the other meta-analysis did not show a positive effect of acupuncture on 24-hour opiate demands when compared to sham acupuncture (standard mean difference −0.23 (−0.58 to 0.13), P = 0.21). CONCLUSION: Our systematic review finds encouraging but limited evidence for the effectiveness of acupuncture treatment for acute postoperative pain after back surgery. Further rigorously designed clinical trials are required. |
format | Online Article Text |
id | pubmed-4409074 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Blackwell Publishing Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-44090742015-04-29 Acupuncture for Acute Postoperative Pain after Back Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials Cho, Young-Hun Kim, Chang-Kyu Heo, Kwang-Ho Lee, Myeong Soo Ha, In-Hyuk Son, Dong Wuk Choi, Byung Kwan Song, Geun-Sung Shin, Byung-Cheul Pain Pract Review Article OBJECTIVES: Acupuncture is commonly used as a complimentary treatment for pain management. However, there has been no systematic review summarizing the current evidence concerning the effectiveness of acupuncture for acute postoperative pain after back surgery. This systematic review aimed at evaluating the effectiveness of acupuncture treatment for acute postoperative pain (≤1 week) after back surgery. METHODS: We searched 15 electronic databases without language restrictions. Two reviewers independently assessed studies for eligibility and extracted data, outcomes, and risk of bias. Random effect meta-analyses and subgroup analyses were performed. RESULTS: Five trials, including 3 of high quality, met our inclusion criteria. The meta-analysis showed positive results for acupuncture treatment of pain after surgery in terms of the visual analogue scale (VAS) for pain intensity 24 hours after surgery, when compared to sham acupuncture (standard mean difference −0.67 (−1.04 to −0.31), P = 0.0003), whereas the other meta-analysis did not show a positive effect of acupuncture on 24-hour opiate demands when compared to sham acupuncture (standard mean difference −0.23 (−0.58 to 0.13), P = 0.21). CONCLUSION: Our systematic review finds encouraging but limited evidence for the effectiveness of acupuncture treatment for acute postoperative pain after back surgery. Further rigorously designed clinical trials are required. Blackwell Publishing Ltd 2015-03 2014-04-28 /pmc/articles/PMC4409074/ /pubmed/24766648 http://dx.doi.org/10.1111/papr.12208 Text en © 2014 The Authors. Pain Practice published by Wiley periodicals, Inc. on behalf of World Institute of Pain http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. |
spellingShingle | Review Article Cho, Young-Hun Kim, Chang-Kyu Heo, Kwang-Ho Lee, Myeong Soo Ha, In-Hyuk Son, Dong Wuk Choi, Byung Kwan Song, Geun-Sung Shin, Byung-Cheul Acupuncture for Acute Postoperative Pain after Back Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials |
title | Acupuncture for Acute Postoperative Pain after Back Surgery: A Systematic Review and
Meta-analysis of Randomized Controlled Trials |
title_full | Acupuncture for Acute Postoperative Pain after Back Surgery: A Systematic Review and
Meta-analysis of Randomized Controlled Trials |
title_fullStr | Acupuncture for Acute Postoperative Pain after Back Surgery: A Systematic Review and
Meta-analysis of Randomized Controlled Trials |
title_full_unstemmed | Acupuncture for Acute Postoperative Pain after Back Surgery: A Systematic Review and
Meta-analysis of Randomized Controlled Trials |
title_short | Acupuncture for Acute Postoperative Pain after Back Surgery: A Systematic Review and
Meta-analysis of Randomized Controlled Trials |
title_sort | acupuncture for acute postoperative pain after back surgery: a systematic review and
meta-analysis of randomized controlled trials |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4409074/ https://www.ncbi.nlm.nih.gov/pubmed/24766648 http://dx.doi.org/10.1111/papr.12208 |
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