Randomised, Controlled Study of Preoperative Eletroacupuncture for Postoperative Pain Control after Cardiac Surgery

Coura, Luiz Eduardo Faria; Manoel, Cláudia Hideco Uratsuka; Poffo, Robinson; Bedin, Antonio; Westphal, Glauco Adrieno

doi:10.1136/aim.2010.003251

Cited by 62 publications

(52 citation statements)

References 25 publications

(28 reference statements)

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“…5,6 Multiple physiologic models have been proposed to explain the analgesic effects of acupuncture stimulation 9 : it modulates the transmission of nervous signaling in the nociceptive pathways, activating the mesencephalic reticular formation, inhibiting the dorsal horn of spinal cord and the parafascicular thalamic nuclei; it increases the endorphin release at both spinal and supraspinal levels. 18 Recently, several clinical trials have suggested the efficacy of acupuncture as an adjuvant method for postoperative analgesia 7,8,19 ; however, conflicting results have been reported also. [10][11][12] It is difficult to achieve a definitive conclusion from reviewing the literature; the main challenge is related to the language of publications (most papers have been published only in Chinese); furthermore, most studies reach only a low level of evidence, because of methodologic bias and lack of standardized procedures.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6] Thus, several clinical trials evaluating the efficacy of acupuncture as adjuvant method for postoperative analgesia have been published. [7][8][9] Conflicting results have been reported, [10][11][12] probably owing to the heterogeneity in acupuncture techniques that may consistently vary according to the site, timing and type of stimulation. 4 In fact, electric, chemical, or physical stimulations have been also used in several studies to increase the effectiveness of the procedure.…”

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confidence: 92%

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The effects of acupuncture after thyroid surgery: A randomized, controlled trial

Iacobone

Citton

Zanella

et al. 2014

Surgery

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 92%

The effects of acupuncture after thyroid surgery: A randomized, controlled trial

Iacobone

Citton

Zanella

et al. 2014

Surgery

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“…En el caso de la primera enfermedad, ha sido más estudiada en los casos de estrés postraumático, donde según la revisión sistemática de ensayos clínicos realizada por Kim et al (25) en el año 2013, la evidencia es prometedora pero no contundente. En lo que respecta a desordenes de ansiedad, la evidencia es un poco más sólida en casos resistentes a terapia convencional, como lo muestra el estudio de Evans et al (26) , pero aún no suficiente cuando se consolida esta información en revisiones sistemáticas (27) .…”

Section: Discussionunclassified

Cumplimiento de los criterios stricta en ensayos clínicos latinoamericanos en acupuntura

López¹,

Ángulo-Bazán²

2016

Rev. per. med. integr.

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Objetivo: Determinar los factores asociados y el cumplimiento de los "Standards for Reporting Interventions in Clinical Trials of Acupuncture" (STRICTA) en ensayos clínicos latinoamericanos publicados en revistas indexadas entre los años 2011-2015. Materiales y Métodos: Revisión sistemática. Se realizó la búsqueda bibliográfica en las bases de datos: SCOPUS, PubMed, SciELO y BVS. Se evaluó el año de publicación, revista de publicación, numero de autores, país del autor corresponsal, país colaborador, idioma de publicación, numero de citas, procedimiento experimental, enfermedad o condición de estudio. El cumplimiento de los criterios STRICTA se midió por porcentaje de cumplimiento de los 17 ítems y por puntaje total obtenido. Resultados: Se encontraron 53 estudios que cumplieron los criterios de inclusión. Brasil representa el 79.3% de las publicaciones. Se observa una tendencia creciente pero irregular de publicación y poca cooperación internacional. Los procedimientos más usados fueron acupuntura (47.2%), Electroacupuntura (13.2%) y Auriculopuntura con agujas (9.4%). El puntaje STRICTA promedio fue de 7.5±3.8 puntos, los criterios con mayor cumplimiento fueron los nombres de los puntos (86.8%) y el número y frecuencia/duración de las sesiones (77.4% y 75.5%). Se encontró asociación significativa con la revista de publicación (p=0.018) y el idioma inglés (p=0.049). Conclusiones: El cumplimiento de los criterios STRICTA, está por debajo de otros países, encontrándose como factores asociados, la revista donde se publicó el estudio y el idioma de publicación en inglés.

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“…A meta-analysis of 17,922 individuals from 29 RCTs found that patients receiving acupuncture had significantly less pain than patients receiving no acupuncture (effect sizes from 0.42 to 0.57) or sham acupuncture (effect sizes from 0.15 to 0.23) for back and neck pain, chronic headache, and osteoarthritis [10] . Acupuncture as an effective treatment for post-operative pain has been well established with multiple RCTs [11–14] , including a 2008 systematic review indicating that acupuncture reduces pain intensity, opioid consumption and opioid-associated side effects [7] . Studies of post-operative pain in cancer patients also favor acupuncture [6, 15] , although a recent Cochrane review was unable to draw conclusions based on the quality of evidence from prior trials [16] .…”

Section: Introductionmentioning

confidence: 99%

Adjunctive acupuncture for pain and symptom management in the inpatient setting: protocol for a pilot hybrid effectiveness-implementation study

Chao

Chang

Reddy

et al. 2016

Journal of Integrative Medicine

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Background Effective pain management among hospitalized patients is an important aspect of providing quality care and achieving optimal clinical outcomes and patient satisfaction. Common pharmacologic approaches for pain, though effective, have serious side effects and are not appropriate for all inpatients. Findings from randomized controlled trials (RCTs) support the efficacy of acupuncture for many symptoms relevant to inpatients including postoperative pain, cancer-related pain, nausea and vomiting, and withdrawal from narcotic use. However, the extent to which findings from RCTs translate to real-world implementation of acupuncture in typical hospital settings is unknown. Methods/Design In partnership with the launch of a clinical program offering acupuncture services to inpatients at the University of California, San Francisco’s Mount Zion Hospital, we are conducting a pilot study using a hybrid effectiveness-implementation design to: (1) assess the effectiveness of acupuncture to manage pain and other symptoms and improve patient satisfaction; and (2) evaluate the barriers and facilitators to implementing an on-going acupuncture service for inpatients. During a 2-month pre-randomization phase, we evaluated and adapted clinical scheduling and treatment protocols with acupuncturists and hospital providers and pretested study procedures including enrollment, consent, and data collection. During a 6-month randomization phase, we used a two-tiered consent process in which inpatients were first consented into a study of symptom management, randomized to be offered acupuncture, and consented for acupuncture if they accepted. We are also conducting in-depth interviews and focus groups to assess evidence, context, and facilitators of key provider and hospital administration stakeholders. Discussion Effectiveness research in ‘real-world’ practice settings is needed to inform clinical decision-making and guide implementation of evidence-based acupuncture practices. To successfully provide clinical acupuncture services and maintain a rigorous research design, practice-based trials of acupuncture require careful planning and attention to setting-specific, contextual factors. Trial Registration This trial has been registered in ClinicalTrials.gov. The identifier is NCT01988194, registered on November 5, 2013.

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Randomised, Controlled Study of Preoperative Eletroacupuncture for Postoperative Pain Control after Cardiac Surgery

Abstract: Background This study aims to evaluate the effects of preoperative electroacupuncture (EA) on the need for opioids in the postoperative stage of conventional cardiac surgery.

Cited by 62 publications

References 25 publications

The effects of acupuncture after thyroid surgery: A randomized, controlled trial

The effects of acupuncture after thyroid surgery: A randomized, controlled trial

Cumplimiento de los criterios stricta en ensayos clínicos latinoamericanos en acupuntura

Adjunctive acupuncture for pain and symptom management in the inpatient setting: protocol for a pilot hybrid effectiveness-implementation study

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