By British Medical Association
This dialogue of acupuncture presents info in this widely-used remedy of complementary and replacement medication, and informs the reader of the price of acupuncture and its most probably position in the NHS.
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Additional info for Acupuncture : Efficacy Safety and Practice
30 ACUPUNCTURE: EFFICACY, SAFETY AND PRACTICE Source: Ernst E (1999). Clinical effectiveness of acupuncture: an overview of systematic reviews. ) Acupuncture: a scientific appraisal. Oxford: Butterworth-Heinemann Reprinted by permission of Butterworth-Heinemann THE EVIDENCE BASE OF ACUPUNCTURE 31 Table 4: Controlled trials of acupuncture for osteoarthritis RCT=randomised controlled trial; ROM=range of motion; TENS=transcutaneous nerve stimulation; VAS= visual analogue scale. Source: Ernst E (1999).
Rampes (1998), on the other hand, recommends the establishment of a national database for acupuncture adverse reactions similar to the British Committee of Safety of Medicines system of reporting of drug adverse reactions. This would collect and evaluate all reports of reactions to acupuncture, disseminate results to practitioners, and could be extended to cover other CAM therapies. MacPherson and Gould (1998) recommended that the acupuncture profession undertake a UK-wide study to examine the key risks and their frequency of occurrence, which could demonstrate that the profession is concerned and responsible, as well as being useful in helping to promote good practice in the 46 ACUPUNCTURE: EFFICACY, SAFETY AND PRACTICE areas of risk.
Murphy concluded that acupuncture seemed to be both safe and probably helpful to pregnant women with nausea, but that it was far from clear whether this effect depended on the precise positioning of the stimulus. A meta-analysis of acupuncture for postoperative nausea and vomiting (Lee and Done, 1999) combined 19 studies involving 1,679 participants. The median Jadad score was three. In four studies involving children, there were no differences between P6 stimulation and control groups for nausea or vomiting THE EVIDENCE BASE OF ACUPUNCTURE 19 at any time period.