Controversial conclusions from two randomized controlled trials for acupuncture's effects on polycystic ovary syndrome or in vitro fertilization support
- PMID: 32001200
- DOI: 10.1016/j.joim.2020.01.007
Controversial conclusions from two randomized controlled trials for acupuncture's effects on polycystic ovary syndrome or in vitro fertilization support
Abstract
Two reports of trials investigating the potential effect of acupuncture in increasing live birth rate (LBR) in women with polycystic ovary syndrome (PCOS) or those undergoing in vitro fertilization (IVF) were published by Journal of American Medical Association in 2017 and 2018 respectively. The trial investigators did not recommend acupuncture for the women with PCOS or IVF based on their findings. This paper raises the concern that the findings that acupuncture did not increase LBR for women with PCOS or undergoing IVF may be the result of methodological flaws in the studies and unintended bias such as use of an invalid control intervention and underestimation of the true acupuncture effect. Therefore, their findings may not be a valid reflection of acupuncture's effect in improving LBR in women with these clinical conditions.
Keywords: Acupuncture; Fertilization in vitro; Polycystic ovary syndrome; Randomized controlled trial; Traditional Chinese medicine.
Copyright © 2020 Shanghai Changhai Hospital. Published by Elsevier B.V. All rights reserved.
Comment on
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Effect of Acupuncture and Clomiphene in Chinese Women With Polycystic Ovary Syndrome: A Randomized Clinical Trial.JAMA. 2017 Jun 27;317(24):2502-2514. doi: 10.1001/jama.2017.7217. JAMA. 2017. PMID: 28655015 Free PMC article. Clinical Trial.
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Effect of Acupuncture vs Sham Acupuncture on Live Births Among Women Undergoing In Vitro Fertilization: A Randomized Clinical Trial.JAMA. 2018 May 15;319(19):1990-1998. doi: 10.1001/jama.2018.5336. JAMA. 2018. PMID: 29800212 Free PMC article. Clinical Trial.
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