Cargando…

Use of Acupuncture for Adult Health Conditions, 2013 to 2021: A Systematic Review

IMPORTANCE: Acupuncture is a popular treatment that has been advocated for dozens of adult health conditions and has a vast evidence base. OBJECTIVE: To map the systematic reviews, conclusions, and certainty or quality of evidence for outcomes of acupuncture as a treatment for adult health condition...

Descripción completa

Detalles Bibliográficos
Autores principales: Allen, Jennifer, Mak, Selene S., Begashaw, Meron, Larkin, Jody, Miake-Lye, Isomi, Beroes-Severin, Jessica, Olson, Juli, Shekelle, Paul G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Medical Association 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9685495/
https://www.ncbi.nlm.nih.gov/pubmed/36416820
http://dx.doi.org/10.1001/jamanetworkopen.2022.43665
_version_ 1784835519722553344
author Allen, Jennifer
Mak, Selene S.
Begashaw, Meron
Larkin, Jody
Miake-Lye, Isomi
Beroes-Severin, Jessica
Olson, Juli
Shekelle, Paul G.
author_facet Allen, Jennifer
Mak, Selene S.
Begashaw, Meron
Larkin, Jody
Miake-Lye, Isomi
Beroes-Severin, Jessica
Olson, Juli
Shekelle, Paul G.
author_sort Allen, Jennifer
collection PubMed
description IMPORTANCE: Acupuncture is a popular treatment that has been advocated for dozens of adult health conditions and has a vast evidence base. OBJECTIVE: To map the systematic reviews, conclusions, and certainty or quality of evidence for outcomes of acupuncture as a treatment for adult health conditions. EVIDENCE REVIEW: Computerized search of PubMed and 4 other databases from 2013 to 2021. Systematic reviews of acupuncture (whole body, auricular, or electroacupuncture) for adult health conditions that formally rated the certainty, quality, or strength of evidence for conclusions. Studies of acupressure, fire acupuncture, laser acupuncture, or traditional Chinese medicine without mention of acupuncture were excluded. Health condition, number of included studies, type of acupuncture, type of comparison group, conclusions, and certainty or quality of evidence. Reviews with at least 1 conclusion rated as high-certainty evidence, reviews with at least 1 conclusion rated as moderate-certainty evidence, and reviews with all conclusions rated as low- or very low-certainty evidence; full list of all conclusions and certainty of evidence. FINDINGS: A total of 434 systematic reviews of acupuncture for adult health conditions were found; of these, 127 reviews used a formal method to rate certainty or quality of evidence of their conclusions, and 82 reviews were mapped, covering 56 health conditions. Across these, there were 4 conclusions that were rated as high-certainty evidence, and 31 conclusions that were rated as moderate-certainty evidence. All remaining conclusions (>60) were rated as low- or very low-certainty evidence. Approximately 10% of conclusions rated as high or moderate-certainty were that acupuncture was no better than the comparator treatment, and approximately 75% of high- or moderate-certainty evidence conclusions were about acupuncture compared with a sham or no treatment. CONCLUSIONS AND RELEVANCE: Despite a vast number of randomized trials, systematic reviews of acupuncture for adult health conditions have rated only a minority of conclusions as high- or moderate-certainty evidence, and most of these were about comparisons with sham treatment or had conclusions of no benefit of acupuncture. Conclusions with moderate or high-certainty evidence that acupuncture is superior to other active therapies were rare.
format Online
Article
Text
id pubmed-9685495
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher American Medical Association
record_format MEDLINE/PubMed
spelling pubmed-96854952022-12-08 Use of Acupuncture for Adult Health Conditions, 2013 to 2021: A Systematic Review Allen, Jennifer Mak, Selene S. Begashaw, Meron Larkin, Jody Miake-Lye, Isomi Beroes-Severin, Jessica Olson, Juli Shekelle, Paul G. JAMA Netw Open Original Investigation IMPORTANCE: Acupuncture is a popular treatment that has been advocated for dozens of adult health conditions and has a vast evidence base. OBJECTIVE: To map the systematic reviews, conclusions, and certainty or quality of evidence for outcomes of acupuncture as a treatment for adult health conditions. EVIDENCE REVIEW: Computerized search of PubMed and 4 other databases from 2013 to 2021. Systematic reviews of acupuncture (whole body, auricular, or electroacupuncture) for adult health conditions that formally rated the certainty, quality, or strength of evidence for conclusions. Studies of acupressure, fire acupuncture, laser acupuncture, or traditional Chinese medicine without mention of acupuncture were excluded. Health condition, number of included studies, type of acupuncture, type of comparison group, conclusions, and certainty or quality of evidence. Reviews with at least 1 conclusion rated as high-certainty evidence, reviews with at least 1 conclusion rated as moderate-certainty evidence, and reviews with all conclusions rated as low- or very low-certainty evidence; full list of all conclusions and certainty of evidence. FINDINGS: A total of 434 systematic reviews of acupuncture for adult health conditions were found; of these, 127 reviews used a formal method to rate certainty or quality of evidence of their conclusions, and 82 reviews were mapped, covering 56 health conditions. Across these, there were 4 conclusions that were rated as high-certainty evidence, and 31 conclusions that were rated as moderate-certainty evidence. All remaining conclusions (>60) were rated as low- or very low-certainty evidence. Approximately 10% of conclusions rated as high or moderate-certainty were that acupuncture was no better than the comparator treatment, and approximately 75% of high- or moderate-certainty evidence conclusions were about acupuncture compared with a sham or no treatment. CONCLUSIONS AND RELEVANCE: Despite a vast number of randomized trials, systematic reviews of acupuncture for adult health conditions have rated only a minority of conclusions as high- or moderate-certainty evidence, and most of these were about comparisons with sham treatment or had conclusions of no benefit of acupuncture. Conclusions with moderate or high-certainty evidence that acupuncture is superior to other active therapies were rare. American Medical Association 2022-11-23 /pmc/articles/PMC9685495/ /pubmed/36416820 http://dx.doi.org/10.1001/jamanetworkopen.2022.43665 Text en Copyright 2022 Allen J et al. JAMA Network Open. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the CC-BY License.
spellingShingle Original Investigation
Allen, Jennifer
Mak, Selene S.
Begashaw, Meron
Larkin, Jody
Miake-Lye, Isomi
Beroes-Severin, Jessica
Olson, Juli
Shekelle, Paul G.
Use of Acupuncture for Adult Health Conditions, 2013 to 2021: A Systematic Review
title Use of Acupuncture for Adult Health Conditions, 2013 to 2021: A Systematic Review
title_full Use of Acupuncture for Adult Health Conditions, 2013 to 2021: A Systematic Review
title_fullStr Use of Acupuncture for Adult Health Conditions, 2013 to 2021: A Systematic Review
title_full_unstemmed Use of Acupuncture for Adult Health Conditions, 2013 to 2021: A Systematic Review
title_short Use of Acupuncture for Adult Health Conditions, 2013 to 2021: A Systematic Review
title_sort use of acupuncture for adult health conditions, 2013 to 2021: a systematic review
topic Original Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9685495/
https://www.ncbi.nlm.nih.gov/pubmed/36416820
http://dx.doi.org/10.1001/jamanetworkopen.2022.43665
work_keys_str_mv AT allenjennifer useofacupunctureforadulthealthconditions2013to2021asystematicreview
AT makselenes useofacupunctureforadulthealthconditions2013to2021asystematicreview
AT begashawmeron useofacupunctureforadulthealthconditions2013to2021asystematicreview
AT larkinjody useofacupunctureforadulthealthconditions2013to2021asystematicreview
AT miakelyeisomi useofacupunctureforadulthealthconditions2013to2021asystematicreview
AT beroesseverinjessica useofacupunctureforadulthealthconditions2013to2021asystematicreview
AT olsonjuli useofacupunctureforadulthealthconditions2013to2021asystematicreview
AT shekellepaulg useofacupunctureforadulthealthconditions2013to2021asystematicreview