Pivotal factors concerned in design of acupuncture clinical research: From two articles in JAMA

Jia-ni Wu; Zong-shi Qin; Zhi-shun Liu

doi:10.1007/s11655-017-2790-4

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Pivotal factors concerned in design of acupuncture clinical research: From two articles in JAMA

Updated：2021-08-27

- Pivotal factors concerned in design of acupuncture clinical research: From two articles in JAMA
- Chinese Journal of Integrative Medicine Vol. 23, Issue 11, Pages: 809-811(2017)
- Affiliations：
  
  Department of Acupuncture, Guang’anmen Hospital, China Academy of Chinese Medical Sciences,Beijing,China
- Author bio：
- Funds：
- DOI：10.1007/s11655-017-2790-4
  CLC：
- Published：2017，
  
  Published Online：28 October 2017，
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Wu, Jn., Qin, Zs. & Liu, Zs. Pivotal factors concerned in design of acupuncture clinical research: From two articles in JAMA., Chin. J. Integr. Med. 23, 809–811 (2017). https://doi.org/10.1007/s11655-017-2790-4

Jia-ni Wu, Zong-shi Qin, Zhi-shun Liu. Pivotal factors concerned in design of acupuncture clinical research: From two articles in JAMA. [J]. Chinese Journal of Integrative Medicine 23(11):809-811(2017)
Wu, Jn., Qin, Zs. & Liu, Zs. Pivotal factors concerned in design of acupuncture clinical research: From two articles in JAMA., Chin. J. Integr. Med. 23, 809–811 (2017). https://doi.org/10.1007/s11655-017-2790-4 DOI：

Jia-ni Wu, Zong-shi Qin, Zhi-shun Liu. Pivotal factors concerned in design of acupuncture clinical research: From two articles in JAMA. [J]. Chinese Journal of Integrative Medicine 23(11):809-811(2017) DOI： 10.1007/s11655-017-2790-4.

摘要

Two randomized controlled trials of acupuncture concerning polycystic ovary syndrome (PCOS) and stress urinary incontinence (SUI) were published simultaneously in the 24th issue

2017 of The Journal of the American Medical Association (JAMA). A trial involving PCOS indicated that active acupuncture did not increase live birth compared with sham acupuncture; meanwhile

another trial referring to SUI showed that electroacupuncture resulted in less urine leakage compared with sham electroacupuncture. With an eye to the negative and positive results of acupuncture

three pivotal factors should be contemplated: (1) proper illness for acupuncture

that is

a problem need to be solved in current medical science

and acupuncture may really work for it; (2) proper pre-studied primary outcome

which is better be objective and repeatedly measurable to reveal the therapeutic effect of acupuncture truly and objectively; (3) proper sham control

which can blind the patients to the upmost extent with minimal biological effects. Through the publication of clinical trials of acupuncture in high-impact journals in recent years

researchers should have confidence in their clinical trials by pondering over these three pivotal factors.

Abstract

Two randomized controlled trials of acupuncture concerning polycystic ovary syndrome (PCOS) and stress urinary incontinence (SUI) were published simultaneously in the 24th issue

2017 of The Journal of the American Medical Association (JAMA). A trial involving PCOS indicated that active acupuncture did not increase live birth compared with sham acupuncture; meanwhile

another trial referring to SUI showed that electroacupuncture resulted in less urine leakage compared with sham electroacupuncture. With an eye to the negative and positive results of acupuncture

three pivotal factors should be contemplated: (1) proper illness for acupuncture

that is

a problem need to be solved in current medical science

and acupuncture may really work for it; (2) proper pre-studied primary outcome

which is better be objective and repeatedly measurable to reveal the therapeutic effect of acupuncture truly and objectively; (3) proper sham control

which can blind the patients to the upmost extent with minimal biological effects. Through the publication of clinical trials of acupuncture in high-impact journals in recent years

researchers should have confidence in their clinical trials by pondering over these three pivotal factors.

关键词

acupunctureclinical trialsstudy designhigh impact journal

Keywords

acupunctureclinical trialsstudy designhigh impact journal

references

Wu XK, Stener-Victorin E, Kuang HY, Ma HL, Gao JS, Xie LZ, et al. Effect of acupuncture and clomiphene in Chinese women with polycystic ovary syndrome: a randomized clinical trial. JAMA 2017;317:2502–2514.

Liu Z, Liu Y, Xu H, He L, Chen Y, Fu L, et al. Effect of electroacupuncture on urinary leakage among women with stress urinary incontinence: a randomized clinical trial. JAMA 2017;317:2493–2501.

Ma Y, Dong M, Zhou K, Mita C, Liu J, Wayne PM. Publication trends in acupuncture research: a 20-year bibliometric analysis based on PubMed. PLoS One 2016;11:e0168123.

Li R, Zhang Q, Yang D, Li S, Lu S, Wu X, et al. Prevalence of polycystic ovary syndrome in women in China: a large community-based study. Hum Reprod 2013;28:2562–2569.

Kobashi KC, Albo ME, Dmochowski RR, Ginsberg DA, Goldman HB, Gomelsky A, et al. Surgical treatment of female stress urinary incontinence (SUI): AUA/SUFU Guideline. 2017. http://www.auanet.org/guidelines/stressurinary- incontinence-(sui)-new-(aua/sufu-guideline-2017). Accessed May 20, 2017.

Lai MH, Ma HX, Yao H, Liu H, Song XH, Huang WY, et al. Effect of abdominal acupuncture therapy on the endocrine and metabolism in obesity-type polycystic ovarian syndrome patients. Acupunct Res (Chin) 2010;35:298–302.

Jedel E, Labrie F, Odén A, Holm G, Nilsson L, Janson PO, et al. Impact of electro-acupuncture and physical exercise on hyperandrogenism and oligo/amenorrhea in women with polycystic ovary syndrome: a randomized controlled trial. Am J Physiol Endocrinol Metab 2011;300:e37-E45.

Mo Q, Liu Z, Ma X. Efficacy observation of electroacupuncture on female stress urinary incontinence. Beijing J Tradit Chin Med (Chin) 2013;32:434–436.

Linde K, Streng A, Jürgens S, Hoppe A, Brinkhaus B, Witt C, et al. Acupuncture for patients with migraine: a randomized controlled trial. JAMA 2005;293:2118–2125.

Zhang LL, Chu Q, Wang S, Lai H, Xie BB. Is sham acupuncture as effective as traditional Chinese acupuncture? It's too early to say. Chin J Integr Med 2016;22:483–489.

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American Academy of Acupuncture and Oriental Medicine, Roseville

Acupuncture and Moxibustion Department, Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University

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Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine

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