Ear Acupuncture for Immediate Pain Relief—A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Murakami, Masaji; Fox, Lindsay; Dijkers, Marcel

doi:10.1093/pm/pnw215

Cited by 38 publications

(55 citation statements)

References 26 publications

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“…Murakami et al performed a meta-analysis on medication usage in 6 RCTs with a total 303 patients. 17 There, the SMD was 1.08 favoring AdjEA for medication reduction. 17 Technique and Applicability to the ED Setting There were two predominant styles of ear acupuncture in the current review.…”

Section: Medication Usagementioning

confidence: 97%

“…15,17,18,37 These prior reviews provided evidence from meta-analyses that all forms of acupuncture were effective in the ED environment and that ear acupuncture is effective for acute perioperative pain, but did not address the specific role of ear acupuncture in the ED setting.…”

Section: Jan Et Almentioning

confidence: 99%

“…Many acupuncture systematic reviews performed this meta-analysis including 3 major reviews on ear acupuncture and pain management. These reviews by Murakami et al (2017), 17 Yeh et al (2014) 15 and Asher et al (2010) 37 all highlighted large effect-size differences favoring ear acupuncture for acute pain (both perioperative and ED pain) with SMDs of 0.96 (3 studies; 333 patients), 2.84 (4 studies; 193 patients), and 1.35 (2 studies; 111 patients), respectively. These 3 meta-analyses were consistent with the current results.…”

Section: Effectiveness Across Study Groupsmentioning

confidence: 99%

“…16 Murakami et al did a further review in 2016 on ear acupuncture for acute pain relief, particularly looking at analgesic use up to 48 hours. 17 The researchers' metaanalysis of 6 studies included 303 patients and showed a statistically significant reduction in analgesia usage with an SMD of 1.08. 17 Again, the studies were predominantly perioperative and not in the emergency setting.…”

Section: Introduction Pmentioning

confidence: 99%

“…17 The researchers' metaanalysis of 6 studies included 303 patients and showed a statistically significant reduction in analgesia usage with an SMD of 1.08. 17 Again, the studies were predominantly perioperative and not in the emergency setting.…”

Section: Introduction Pmentioning

confidence: 99%

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Does Ear Acupuncture Have a Role for Pain Relief in the Emergency Setting? A Systematic Review and Meta-Analysis

Jan

Aldridge

Rogers

et al. 2017

Medical Acupuncture

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Objective: Ear acupuncture might be the form of acupuncture best suited to improving acute pain management in the emergency department (ED). The primary aim of this review was to assess the analgesic efficacy of ear acupuncture in the ED. Secondary outcomes included measures of patient satisfaction, adverse effects, cost, administration techniques, and reduction of medication usage. Methods: Seven databases and Google Scholar were searched up to April 27, 2017, using MeSH descriptors for three overarching themes (ear acupuncture, pain management, and emergency medicine). Meta-analyses were performed in 3 comparator groups: (1) ear acupuncture versus sham; (2) ear acupuncture-as-adjunct to standard care; and (3) ear acupuncture (both as sole therapy and adjuvant) versus control to calculate the standardized mean difference (SMD) and weighted mean difference (WMD) for pain scores out of 10. Results: Six randomized controlled trials and 2 observational studies, totaling 458 patients, were retrieved after exclusions. The meta-analysis used data from 4 randomized studies representing 286 patients. The above 3 comparator groups resulted in SMDs of 1.69, 1.68, and 1.66, and WMDs of 2.47, 2.84, and 2.61 respectively, all favoring acupuncture. Battlefield (ear) acupuncture was the most commonly used technique. There were no significant adverse effects and patient satisfaction improved. Results regarding if acupuncture reduced medication use were equivocal. Significant study bias and heterogeneity were found. Conclusions: While study numbers are limited, ear acupuncture, either as stand-alone or as-an-adjunct technique, significantly reduced pain scores and has potential benefits for use in the ED. Further studies will define acupuncture's role and if it reduces use of analgesic medications.

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Section: Medication Usagementioning

confidence: 97%

Section: Jan Et Almentioning

confidence: 99%

Section: Effectiveness Across Study Groupsmentioning

confidence: 99%

Section: Introduction Pmentioning

confidence: 99%

Section: Introduction Pmentioning

confidence: 99%

See 3 more Smart Citations

Does Ear Acupuncture Have a Role for Pain Relief in the Emergency Setting? A Systematic Review and Meta-Analysis

Jan

Aldridge

Rogers

et al. 2017

Medical Acupuncture

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Auricular Therapy for Migraine

Williams

2024

Curr Pain Headache Rep

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Hypnose bei Angst und Dentalphobie

Wolf¹,

Halsband²

2021

DFZ

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Die "Leitlinien" der Wissenschaftlichen Medizinischen Fachgesellschaften sind systematisch entwickelte Hilfen für Ärzte/ Zahnärzte zur Entscheidungsfindung in spezifischen Situationen. Sie beruhen auf aktuellen wissenschaftlichen Erkenntnissen und in der Praxis bewährten Verfahren und sorgen für mehr Sicherheit in der Medizin, sollen aber auch ökonomische Aspekte berücksichtigen. Die "Leitlinien" sind für Ärzte/ Zahnärzte rechtlich nicht bindend und haben daher weder haftungsbegründende noch haftungsbefreiende Wirkung. Im Interesse einer besseren Lesbarkeit wird nicht in geschlechterspezifische Personenbezeichnungen differenziert. Die gewählte männliche Form schließt eine adäquate weibliche und andere Formen gleichberechtigt ein.

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Ear Acupuncture for Immediate Pain Relief—A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Abstract: Ear acupuncture may be a promising modality to be used for pain reduction within 48 hours, with a low side effect profile. Rigorous research is needed to establish definitive evidence of a clinically significant difference from controls or from other pain treatments.

Cited by 38 publications

References 26 publications

Does Ear Acupuncture Have a Role for Pain Relief in the Emergency Setting? A Systematic Review and Meta-Analysis

Does Ear Acupuncture Have a Role for Pain Relief in the Emergency Setting? A Systematic Review and Meta-Analysis

Auricular Therapy for Migraine

Hypnose bei Angst und Dentalphobie

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