Acupuncture: does it alleviate pain and are there serious risks? A review of reviews
- PMID: 21440191
- DOI: 10.1016/j.pain.2010.11.004
Acupuncture: does it alleviate pain and are there serious risks? A review of reviews
Abstract
Acupuncture is commonly used for pain control, but doubts about its effectiveness and safety remain. This review was aimed at critically evaluating systematic reviews of acupuncture as a treatment of pain and at summarizing reports of serious adverse effects published since 2000. Literature searches were carried out in 11 databases without language restrictions. Systematic reviews were considered for the evaluation of effectiveness and case series or case reports for summarizing adverse events. Data were extracted according to predefined criteria. Fifty-seven systematic reviews met the inclusion criteria. Four were of excellent methodological quality. Numerous contradictions and caveats emerged. Unanimously positive conclusions from more than one high-quality systematic review existed only for neck pain. Ninety-five cases of severe adverse effects including 5 fatalities were included. Pneumothorax and infections were the most frequently reported adverse effects. In conclusion, numerous systematic reviews have generated little truly convincing evidence that acupuncture is effective in reducing pain. Serious adverse effects continue to be reported. Numerous reviews have produced little convincing evidence that acupuncture is effective in reducing pain. Serious adverse events, including deaths, continue to be reported.
Copyright © 2010 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.
Comment in
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Acupuncture's claims punctured: not proven effective for pain, not harmless.Pain. 2011 Apr;152(4):711-712. doi: 10.1016/j.pain.2011.01.039. Pain. 2011. PMID: 21440190 Review. No abstract available.
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Evidence on acupuncture safety needs to be based on large-scale prospective surveys, not single case reports.Pain. 2011 Sep;152(9):2180. doi: 10.1016/j.pain.2011.04.010. Epub 2011 May 6. Pain. 2011. PMID: 21550172 No abstract available.
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Letter to the Editor in response to: Ernst E, Lee MS, Choi TY. Acupuncture: does it alleviate pain and are there serious risks? A review of reviews. Pain 2011;152:755-764.Pain. 2011 Sep;152(9):2179-2180. doi: 10.1016/j.pain.2011.04.009. Epub 2011 May 6. Pain. 2011. PMID: 21550173 No abstract available.
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Acupuncture review skepticism.Pain. 2011 Sep;152(9):2184. doi: 10.1016/j.pain.2011.05.010. Epub 2011 Jun 12. Pain. 2011. PMID: 21669493 No abstract available.
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Certain doubts and uncertain fears of acupuncture.Pain. 2011 Sep;152(9):2182-2183. doi: 10.1016/j.pain.2011.05.013. Epub 2011 Jun 15. Pain. 2011. PMID: 21680093 No abstract available.
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Comment on Ernst et al. Acupuncture: does it alleviate pain and are there serious risks? A review of reviews. [Pain 2011;152:755-764].Pain. 2011 Sep;152(9):2181-2182. doi: 10.1016/j.pain.2011.05.012. Epub 2011 Jul 22. Pain. 2011. PMID: 21778019 No abstract available.
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Comment on ''Acupuncture: does it alleviate pain and are there serious risks? A review of reviews" Ernst et al. [Pain 2011;152:755-764].Pain. 2011 Sep;152(9):2181. doi: 10.1016/j.pain.2011.05.008. Epub 2011 Jul 23. Pain. 2011. PMID: 21783323 No abstract available.
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ACP Journal Club. Review: evidence for the effectiveness of acupuncture for pain is mixed.Ann Intern Med. 2011 Aug 16;155(4):JC2-6. doi: 10.7326/0003-4819-155-4-201108160-02006. Ann Intern Med. 2011. PMID: 21844539 No abstract available.
References
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