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Table 1 Characteristics of six acupuncture randomized controlled trials with equivocal results

From: Real world research: a complementary method to establish the effectiveness of acupuncture

Trials

Conditions

Interventions

Controls

Sample size

Outcomes

Results

Practitioner

Brinkhaus B 2006 [9]

chronic low back pain

verum acupuncture

(1) minimal acupuncture; (2) waiting list

298

pain intensity (VAS), back function*, PDI, depression, QOL(SF-36), emotional aspects of pain, pain medication use

Significant difference between acupuncture and no treatment. No difference between acupuncture and minimal acupuncture.

specialized acupuncture physician

Haake M 2007 [10]

chronic low back pain

verum acupuncture

(1) sham acupuncture; (2) CT

1162

treatment response†, responder rate‡, adverse events

Significant difference between acupuncture and conventional therapy. No difference between acupuncture and sham.

experienced physician

Cherkin DC 2009 [11]

chronic low back pain

(1) individualized acupuncture; (2) standardized acupuncture

(3) simulated acupuncture; (4) CT

638

dysfunction(RDQ), symptom(bothersome score), physical and mental health(SF-36), loss of days, medication use, adverse events

Significant difference between acupuncture and conventional therapy. No difference between acupuncture and sham.

experienced acupuncturist

Vas J 2012 [12]

acute low back pain

verum acupuncture plus CT

(1) sham acupuncture plus CT; (2) placebo acupuncture plus CT; (3) CT

275

clinical improvement (RMQ), disability (RMQ), pain intensity(VAS), SEE, adverse events

Significant difference between acupuncture and no treatment. No difference between acupuncture and sham or placebo.

experienced physician

Macklin EA 2006 [13]

moderate essential hypertension

(1) individualized acupuncture; (2) standardized acupuncture

sham acupuncture

192

blood pressure, QOL, antihypertensive medication use, adverse events

No significant difference between acupuncture and sham.

licensed acupuncturist

Enblom A 2012 [14]

radiotherapy induced nausea and vomiting

verum acupuncture plus CT

sham acupuncture plus CT

215

nausea and vomiting§, SEE, adverse events

Acupuncture was effective for nausea, but no difference between acupuncture and sham.

experienced physiotherapist

  1. Abbreviations: VAS, visual analog scale; PDI, Pain Disability Index; QOL, quality of Life; SF-36, the 36-Item Short-Form Quality of Life Questionnaire; CT, conventional treatment; RDQ, modified Roland Disability Questionnaire; RMQ, the 24-pointRoland Morris Disability Questionnaire; SEE, subjectively experienced effects
  2. * Measured by validated German questionnaire FunktionsfragebogenHannover-Rucken
  3. † Measured by Von Korff Chronic Pain Grade Scale or Hanover Functional Ability Questionnaire
  4. ‡ Measured by 12-item Short Form Health Survey, and patient global assessment of therapy effectiveness on a scale of 1 to 6
  5. § Measured by a category scale or VAS