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The efficacy and safety of acupuncture in women with primary dysmenorrhea: A systematic review and meta-analysis
BACKGROUND: This systematic review aimed to evaluate the current evidence regarding the efficacy and safety of acupuncture on primary dysmenorrhea. METHODS: Ten electronic databases were searched for relevant articles published before December 2017. This study included randomized controlled trials (...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999465/ https://www.ncbi.nlm.nih.gov/pubmed/29879061 http://dx.doi.org/10.1097/MD.0000000000011007 |
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author | Woo, Hye Lin Ji, Hae Ri Pak, Yeon Kyoung Lee, Hojung Heo, Su Jeong Lee, Jin Moo Park, Kyoung Sun |
author_facet | Woo, Hye Lin Ji, Hae Ri Pak, Yeon Kyoung Lee, Hojung Heo, Su Jeong Lee, Jin Moo Park, Kyoung Sun |
author_sort | Woo, Hye Lin |
collection | PubMed |
description | BACKGROUND: This systematic review aimed to evaluate the current evidence regarding the efficacy and safety of acupuncture on primary dysmenorrhea. METHODS: Ten electronic databases were searched for relevant articles published before December 2017. This study included randomized controlled trials (RCTs) of women with primary dysmenorrhea; these RCTs compared acupuncture to no treatment, placebo, or medications, and measured menstrual pain intensity and its associated symptoms. Three independent reviewers participated in data extraction and assessment. The risk of bias in each article was assessed, and a meta-analysis was conducted according to the types of acupuncture. The results were expressed as mean difference (MD) or standardized mean difference (SMD) with 95% confidence intervals (CIs). RESULTS: This review included 60 RCTs; the meta-analysis included 49 RCTs. Most studies showed a low or unclear risk of bias. We found that compared to no treatment, manual acupuncture (MA) (SMD = −1.59, 95% CI [−2.12, −1.06]) and electro-acupuncture (EA) was more effective at reducing menstrual pain, and compared to nonsteroidal anti-inflammatory drugs (NSAIDs), MA (SMD = −0.63, 95% CI [−0.88, −0.37]) and warm acupuncture (WA) (SMD = −1.12, 95% CI [−1.81, −0.43]) were more effective at reducing menstrual pain. Some studies showed that the efficacy of acupuncture was maintained after a short-term follow-up. CONCLUSION: The results of this study suggest that acupuncture might reduce menstrual pain and associated symptoms more effectively compared to no treatment or NSAIDs, and the efficacy could be maintained during a short-term follow-up period. Despite limitations due to the low quality and methodological restrictions of the included studies, acupuncture might be used as an effective and safe treatment for females with primary dysmenorrhea. |
format | Online Article Text |
id | pubmed-5999465 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-59994652018-06-20 The efficacy and safety of acupuncture in women with primary dysmenorrhea: A systematic review and meta-analysis Woo, Hye Lin Ji, Hae Ri Pak, Yeon Kyoung Lee, Hojung Heo, Su Jeong Lee, Jin Moo Park, Kyoung Sun Medicine (Baltimore) Research Article BACKGROUND: This systematic review aimed to evaluate the current evidence regarding the efficacy and safety of acupuncture on primary dysmenorrhea. METHODS: Ten electronic databases were searched for relevant articles published before December 2017. This study included randomized controlled trials (RCTs) of women with primary dysmenorrhea; these RCTs compared acupuncture to no treatment, placebo, or medications, and measured menstrual pain intensity and its associated symptoms. Three independent reviewers participated in data extraction and assessment. The risk of bias in each article was assessed, and a meta-analysis was conducted according to the types of acupuncture. The results were expressed as mean difference (MD) or standardized mean difference (SMD) with 95% confidence intervals (CIs). RESULTS: This review included 60 RCTs; the meta-analysis included 49 RCTs. Most studies showed a low or unclear risk of bias. We found that compared to no treatment, manual acupuncture (MA) (SMD = −1.59, 95% CI [−2.12, −1.06]) and electro-acupuncture (EA) was more effective at reducing menstrual pain, and compared to nonsteroidal anti-inflammatory drugs (NSAIDs), MA (SMD = −0.63, 95% CI [−0.88, −0.37]) and warm acupuncture (WA) (SMD = −1.12, 95% CI [−1.81, −0.43]) were more effective at reducing menstrual pain. Some studies showed that the efficacy of acupuncture was maintained after a short-term follow-up. CONCLUSION: The results of this study suggest that acupuncture might reduce menstrual pain and associated symptoms more effectively compared to no treatment or NSAIDs, and the efficacy could be maintained during a short-term follow-up period. Despite limitations due to the low quality and methodological restrictions of the included studies, acupuncture might be used as an effective and safe treatment for females with primary dysmenorrhea. Wolters Kluwer Health 2018-06-18 /pmc/articles/PMC5999465/ /pubmed/29879061 http://dx.doi.org/10.1097/MD.0000000000011007 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 |
spellingShingle | Research Article Woo, Hye Lin Ji, Hae Ri Pak, Yeon Kyoung Lee, Hojung Heo, Su Jeong Lee, Jin Moo Park, Kyoung Sun The efficacy and safety of acupuncture in women with primary dysmenorrhea: A systematic review and meta-analysis |
title | The efficacy and safety of acupuncture in women with primary dysmenorrhea: A systematic review and meta-analysis |
title_full | The efficacy and safety of acupuncture in women with primary dysmenorrhea: A systematic review and meta-analysis |
title_fullStr | The efficacy and safety of acupuncture in women with primary dysmenorrhea: A systematic review and meta-analysis |
title_full_unstemmed | The efficacy and safety of acupuncture in women with primary dysmenorrhea: A systematic review and meta-analysis |
title_short | The efficacy and safety of acupuncture in women with primary dysmenorrhea: A systematic review and meta-analysis |
title_sort | efficacy and safety of acupuncture in women with primary dysmenorrhea: a systematic review and meta-analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999465/ https://www.ncbi.nlm.nih.gov/pubmed/29879061 http://dx.doi.org/10.1097/MD.0000000000011007 |
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