[escepticos] Acupuntura ( perdón por el título anterior equivocado)

[Miguel Angel <mimartin@...>]

Title: Acupuntura ( perdón por el título anterior equivocado)

>

> Hola
>
> ¿ Que pensais de esta noticia? al hilo de lo que se ha mencionado por aqui
> recientemente?
>
> Miguel A
> _________________________________________________________
>
> Acupuncture for chronic headache in primary care: large, pragmatic,
> randomised trial
>
> A J. Vickers , R W. Rees , C E. Zollman , R. McCarney , C. M Smith , N.
> Ellis , P. Fisher , R. Van Haselen
> ( siguen varios cargos en instituciones de GB, Francia y EEUU)
> BMJ, doi:10.1136/bmj.38029.421863.EB (published 16 March 2004)
>
>
>
> Objective To determine the effects of a policy of "use acupuncture" on
> headache, health status, days off sick, and use of resources in patients
> with chronic headache compared with a policy of "avoid acupuncture."
>
> Design Randomised, controlled trial.
>
> Setting General practices in England and Wales.
>
> Participants 401 patients with chronic headache, predominantly migraine.
>
> Interventions Patients were randomly allocated to receive up to 12
> acupuncture treatments over three months or to a control intervention
> offering usual care.
>
> Main outcome measures Headache score, SF-36 health status, and use of
> medication were assessed at baseline, three, and 12 months. Use of resources
> was assessed every three months.
>
> Results Headache score at 12 months, the primary end point, was lower in the
> acupuncture group (16.2, SD 13.7, n=161, 34% reduction from baseline) than
> in controls (22.3, SD 17.0, n=140, 16% reduction from baseline). The
> adjusted difference between means is 4.6 (95% confidence interval 2.2 to
> 7.0; P=0.0002). This result is robust to sensitivity analysis incorporating
> imputation for missing data. Patients in the acupuncture group experienced
> the equivalent of 22 fewer days of headache per year (8 to 38). SF-36 data
> favoured acupuncture, although differences reached significance only for
> physical role functioning, energy, and change in health. Compared with
> controls, patients randomised to acupuncture used 15% less medication
> (P=0.02), made 25% fewer visits to general practitioners (P=0.10), and took
> 15% fewer days off sick (P=0.2).
>
> Conclusions Acupuncture leads to persisting, clinically relevant benefits
> for primary care patients with chronic headache, particularly migraine.
> Expansion of NHS acupuncture services should be considered.
>
>
>
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