Identification of Acupuncture Indications and Evidence-based Medicine
10.3777/jjsam.54.72
- VernacularTitle:はりの適応症を見つける
- Author:
Etsuko INOUE
;
Si YU
;
Naomichi SHIMIZU
;
Kaoru ITOU
;
Yuki MENJO
;
Qiang LI
;
Mitsuru TANAKA
;
Kazuhisa IKEDA
;
Toshiyuki SHICHIDO
;
Kenji KAWAKITA
- Publication Type:Journal Article
- Keywords:
EBM;
acupuncture clinician;
acupuncture indication;
RCT;
low back pain;
after stroke;
shoulder disorder;
evaluation score;
idiopathic headache;
RCT in Japanese
- From:Journal of the Japan Society of Acupuncture and Moxibustion
2004;54(1):72-86
- CountryJapan
- Language:Japanese
-
Abstract:
To identify indications for acupuncture treatment, we examined certain evidence-based medicine (EBM) practices by acupuncture/moxibustion clinicians who are novices in this field and identified problems and solutions from the perspective of an acupuncture/moxibustion clinician.
We collected cases of lumbago, shoulder disorders and strokes from the literature, and critically assessed these reports. We also investigated Cochrane Library's acupuncture/moxibustion reviews and evaluated the quality of domestic studies using randomized controlled trials and controlled clinical trials (RCT/CCT). Simultaneously, one of the authors evaluated her own clinical reports in light of EBM.
As a result, acupuncture/moxibustion treatments showed promise for treating lumbago and shoulder disorders, but the higher the quality of studies, the lower the effect of treatment after stroke. According to research by the Cochrane Library (as of issue 1, 2003), the effects of acupuncture/moxibustion was measured only for cases of idiopathic headache but those for other disorders were measured more severely. In Japan, RCT started as early as the 1960 s, but the studies were sluggish and high quality studies were not produced until the late 1990 s.
We presented problems of RCT assessment score, the gap between RCT designs and actual clinical scenes, and the difficulty of masking at the bed-side. To contribute to the accumulation of more evidence-based data, it would be desirable for clinicians to acquire EBM methods, consider clinical problems and collaborate positively with investigators in the field.
