FOLLOWUS
Recent clinical trials of acupuncture in the west: Responses from the practitioners
Recent clinical trials of acupuncture in the west: Responses from the practitioners
- 中国结合医学杂志（英文版） 2010年16卷第3期 页码：197-203
- Affiliations：
1. Harvard Medical School,Boston,USA
2. Xiyuan Hospital, China Academy of Chinese Medical Sciences,Beijing,China
3. Experimental Research Center, China Academy of Chinese Medical Sciences,Beijing,China
- Author bio：
- Funds：
DOI：10.1007/s11655-010-0197-x
中图分类号：纸质出版日期：2010，
网络出版日期：2010-8-8，
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Kaptchuk, T.J., Chen, Kj. & Song, J. Recent clinical trials of acupuncture in the west: Responses from the practitioners., Chin. J. Integr. Med. 16, 197–203 (2010). https://doi.org/10.1007/s11655-010-0197-x
Ted J. Kaptchuk, Ke-ji Chen, Jun Song. Recent clinical trials of acupuncture in the west: Responses from the practitioners[J]. Chinese Journal of Integrative Medicine, 2010,16(3):197-203.
Kaptchuk, T.J., Chen, Kj. & Song, J. Recent clinical trials of acupuncture in the west: Responses from the practitioners., Chin. J. Integr. Med. 16, 197–203 (2010). https://doi.org/10.1007/s11655-010-0197-x DOI：
Ted J. Kaptchuk, Ke-ji Chen, Jun Song. Recent clinical trials of acupuncture in the west: Responses from the practitioners[J]. Chinese Journal of Integrative Medicine, 2010,16(3):197-203. DOI： 10.1007/s11655-010-0197-x.
摘要
In the West
hundreds of randomized controlled trials (RCTs) have been performed testing acupuncture. They include two types: those that compare acupuncture to other therapies
usual care or no treatment (pragmatic trials)
and those that have placebo controls (efficacy trials). Acupuncture has generally performed well against other therapies or no treatment
but until recently
the evidence from placebo controlled trials has been considered equivocal or contradictory. A recent series of large RCTs
mostly performed in Germany and also in the US have included both pragmatic and placebo comparisons. The evidence poises a conundrum for the profession of acupuncture. This essay first describes the two types of RCTs used to examine acupuncture and examine the results of two recent large RCTs for chronic low back pain as representative examples of recent large studies. The essay then presents the most common Euro-American acupuncture professions’ interpretation of these results. Western responses have included: (1) methodological weaknesses; (2) inappropriateness of placebo controls; (3) questions as to whether acupuncture placebo controls are “inert”; (4) rejection of evidence-based medicine epistemology; (5) discrepancy between acupuncture performed in RCTs with real world acupuncture; (6) enhanced placebo effects of acupuncture; and (7) needs to re-evaluate acupuncture theory. The authors do not necessarily agree with all of these responses; they are presented in an attempt to foster critical discussion. The paper also looks at recent neuroimaging experiments on acupuncture that may point to some worthwhile new avenues of investigation. Finally
the Euro-American health care policy consequences of these recent RCTs are discussed.
Abstract
In the West
hundreds of randomized controlled trials (RCTs) have been performed testing acupuncture. They include two types: those that compare acupuncture to other therapies
usual care or no treatment (pragmatic trials)
and those that have placebo controls (efficacy trials). Acupuncture has generally performed well against other therapies or no treatment
but until recently
the evidence from placebo controlled trials has been considered equivocal or contradictory. A recent series of large RCTs
mostly performed in Germany and also in the US have included both pragmatic and placebo comparisons. The evidence poises a conundrum for the profession of acupuncture. This essay first describes the two types of RCTs used to examine acupuncture and examine the results of two recent large RCTs for chronic low back pain as representative examples of recent large studies. The essay then presents the most common Euro-American acupuncture professions’ interpretation of these results. Western responses have included: (1) methodological weaknesses; (2) inappropriateness of placebo controls; (3) questions as to whether acupuncture placebo controls are “inert”; (4) rejection of evidence-based medicine epistemology; (5) discrepancy between acupuncture performed in RCTs with real world acupuncture; (6) enhanced placebo effects of acupuncture; and (7) needs to re-evaluate acupuncture theory. The authors do not necessarily agree with all of these responses; they are presented in an attempt to foster critical discussion. The paper also looks at recent neuroimaging experiments on acupuncture that may point to some worthwhile new avenues of investigation. Finally
the Euro-American health care policy consequences of these recent RCTs are discussed.
关键词
acupuncturesham acupuncturelow back painrandomized controlled trialsacupuncture neuroimaging
Keywords
acupuncturesham acupuncturelow back painrandomized controlled trialsacupuncture neuroimaging
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