Pain management with acupuncture in osteoarthritis: a systematic review and meta-analysis

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Term Occurence Count Dictionary
arthritis 25 rheumatologydiseases
fibromyalgia 1 rheumatologydiseases
joint effusion 1 rheumatologydiseases
osteoarthritis 20 rheumatologydiseases

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arthritis 90 Title: BMC Complementary and Alternative MedicinePain management with acupuncture in osteo arthritis : a systematic review and meta-analysisTaru ManyangaMaria FroeseRyan ZarychanskiAhmed Abou-SettaCarol
arthritis 408 8/2014Publication date (collection): /2014AbstractBackgroundThe utility of acupuncture in managing osteo arthritis symptoms is uncertain. Trial results are conflicting and previous systematic reviews may have overestimated
arthritis 2072 supports the use of acupuncture as an alternative for traditional analgesics in patients with osteo arthritis .Systematic review registrationCRD42013005405.Electronic supplementary materialThe online version of
arthritis 2313 (doi:10.1186/1472-6882-14-312) contains supplementary material, which is available to authorized users.BackgroundOsteo arthritis , the most common form of arthritis, is a progressive degenerative disease characterised by gradual loss
arthritis 2348 material, which is available to authorized users.BackgroundOsteoarthritis, the most common form of arthritis , is a progressive degenerative disease characterised by gradual loss of joint cartilage [[1], [2]],
arthritis 2944 of localized inflammation [[5]]. The prevalence, disability, and associated costs of treating osteo arthritis are expected to steadily increase over the next decades because of an aging population [[6]–[8]].
arthritis 3163 estimated that approximately 10% of men and 18% of women aged 60 years or older have symptomatic osteo arthritis worldwide [[9], [10]]. In the USA, job-related osteoarthritis costs up to $13 billion per year [[9]].With
arthritis 3225 60 years or older have symptomatic osteoarthritis worldwide [[9], [10]]. In the USA, job-related osteo arthritis costs up to $13 billion per year [[9]].With no known cure [[1]], treatment of osteoarthritis is focused
arthritis 3318 job-related osteoarthritis costs up to $13 billion per year [[9]].With no known cure [[1]], treatment of osteo arthritis is focused on symptom management. Pharmacological agents commonly prescribed include non-steroidal anti-inflammatory
arthritis 4208 limited to, fibromyalgia [[14]] and chronic low back pain [[15]]; as well as chronic pain caused by osteo arthritis [[16]]. Due to its analgesic effects, acupuncture is widely used [[2]], cost effective [[17], [18]]
arthritis 4675 [20]]. Inferences from previous systematic reviews that evaluated the effects of acupuncture on osteo arthritis have been speculative due to important limitations [[2]]. For example several previous reviews included
arthritis 5181 comparing acupuncture to sham acupuncture, usual care, or no treatment, in adults diagnosed with osteo arthritis .MethodsWe conducted all aspects of this systematic review according to an a priori published protocol
arthritis 5990 sham acupuncture, usual care, or no treatment to reduce pain intensity in adults diagnosed with osteo arthritis ?” (Additional file 1: Table S1). To address this question, we included randomized controlled trials
arthritis 6132 S1). To address this question, we included randomized controlled trials of adults diagnosed with osteo arthritis (Additional file 1: Table S2). Our primary outcome measure was the reduction in pain intensity using
arthritis 6814 we conducted forward searches in Scopus and Web of Science. Our grey literature search included Osteo arthritis Research Society International (OARSI) conference proceedings (http://www.oarsi.org) from 2008 to 2014.
arthritis 7622 included randomized controlled trials (RCTs) of acupuncture administration to adults diagnosed with osteo arthritis . We excluded non-RCTs, trials involving animals and trials in which electro-needle stimulation was performed.
arthritis 11004 included trials. To assess functional mobility, the Western Ontario and McMaster Universities Osteo arthritis Index (WOMAC) scale was used [[27]]. This scale rates activities according to degree of difficulty (0 = none
arthritis 11202 difficulty (0 = none and 4 = extreme difficult). Other trials used the Knee injury and Osteo arthritis Outcome Score (KOOS) with five categories (0 = none and 5 = extreme) difficulty) [[28]].Subgroup/sensitivity
arthritis 15793 pain intensity data for meta-analysis (Figure 3). Overall, the use of acupuncture in adults with osteo arthritis was associated with significantly reduced osteoarthritic pain on the visual analogue scale (MD -0.29,
arthritis 19026 group [[37]].DiscussionIn this systematic review, we found acupuncture administered to adults with osteo arthritis to be associated with a statistically significant reduction in pain intensity, improved functional mobility
arthritis 20129 supported by pathophysiologic and anatomic studies showing how sustained nociceptive input caused by osteo arthritis can have profound effects on the central nervous system causing pathologic neuroplastic changes [[41]].
arthritis 21008 function respectively) for the minimal clinically important difference (MCID) in patients with osteo arthritis [[44]]. Determination of what constitutes MCID in osteoarthritic patients is however subject to considerable
arthritis 21517 investigations are needed to establish a relevant definition of MCID for therapeutic interventions of osteo arthritis .Results from previous reviews [[1], [2], [5], [47]] of acupuncture conducted in participants with osteoarthritis
arthritis 21630 osteoarthritis.Results from previous reviews [[1], [2], [5], [47]] of acupuncture conducted in participants with osteo arthritis are inconsistent. Two reviews [[2], [5]] found only short term reductions in pain and improvement of
arthritis 24749 supports the use of acupuncture as an alternative for traditional analgesics in patients with osteo arthritis .Ethical approvalNo ethics approval was sought since this study involved a synthesis and analysis of
fibromyalgia 4115 [13]].Acupuncture is reported to be effective in treating many conditions including, but not limited to, fibromyalgia [[14]] and chronic low back pain [[15]]; as well as chronic pain caused by osteoarthritis [[16]]. Due
joint effusion 2808 changes, and clinical presentation of joint pain; including tenderness, limitation of movement, crepitus, joint effusion , and variable degrees of localized inflammation [[5]]. The prevalence, disability, and associated costs
osteoarthritis 85 Title: BMC Complementary and Alternative MedicinePain management with acupuncture in osteoarthritis : a systematic review and meta-analysisTaru ManyangaMaria FroeseRyan ZarychanskiAhmed Abou-SettaCarol
osteoarthritis 403 8/2014Publication date (collection): /2014AbstractBackgroundThe utility of acupuncture in managing osteoarthritis symptoms is uncertain. Trial results are conflicting and previous systematic reviews may have overestimated
osteoarthritis 2067 evidence supports the use of acupuncture as an alternative for traditional analgesics in patients with osteoarthritis .Systematic review registrationCRD42013005405.Electronic supplementary materialThe online version of
osteoarthritis 2939 degrees of localized inflammation [[5]]. The prevalence, disability, and associated costs of treating osteoarthritis are expected to steadily increase over the next decades because of an aging population [[6]–[8]].
osteoarthritis 3158 is estimated that approximately 10% of men and 18% of women aged 60 years or older have symptomatic osteoarthritis worldwide [[9], [10]]. In the USA, job-related osteoarthritis costs up to $13 billion per year [[9]].With
osteoarthritis 3220 aged 60 years or older have symptomatic osteoarthritis worldwide [[9], [10]]. In the USA, job-related osteoarthritis costs up to $13 billion per year [[9]].With no known cure [[1]], treatment of osteoarthritis is focused
osteoarthritis 3313 job-related osteoarthritis costs up to $13 billion per year [[9]].With no known cure [[1]], treatment of osteoarthritis is focused on symptom management. Pharmacological agents commonly prescribed include non-steroidal anti-inflammatory
osteoarthritis 4203 limited to, fibromyalgia [[14]] and chronic low back pain [[15]]; as well as chronic pain caused by osteoarthritis [[16]]. Due to its analgesic effects, acupuncture is widely used [[2]], cost effective [[17], [18]]
osteoarthritis 4670 [[1], [20]]. Inferences from previous systematic reviews that evaluated the effects of acupuncture on osteoarthritis have been speculative due to important limitations [[2]]. For example several previous reviews included
osteoarthritis 5176 trials comparing acupuncture to sham acupuncture, usual care, or no treatment, in adults diagnosed with osteoarthritis .MethodsWe conducted all aspects of this systematic review according to an a priori published protocol
osteoarthritis 5985 to sham acupuncture, usual care, or no treatment to reduce pain intensity in adults diagnosed with osteoarthritis ?” (Additional file 1: Table S1). To address this question, we included randomized controlled trials
osteoarthritis 6127 Table S1). To address this question, we included randomized controlled trials of adults diagnosed with osteoarthritis (Additional file 1: Table S2). Our primary outcome measure was the reduction in pain intensity using
osteoarthritis 7617 included randomized controlled trials (RCTs) of acupuncture administration to adults diagnosed with osteoarthritis . We excluded non-RCTs, trials involving animals and trials in which electro-needle stimulation was performed.
osteoarthritis 15788 contributed pain intensity data for meta-analysis (Figure 3). Overall, the use of acupuncture in adults with osteoarthritis was associated with significantly reduced osteoarthritic pain on the visual analogue scale (MD -0.29,
osteoarthritis 19021 group [[37]].DiscussionIn this systematic review, we found acupuncture administered to adults with osteoarthritis to be associated with a statistically significant reduction in pain intensity, improved functional mobility
osteoarthritis 20124 supported by pathophysiologic and anatomic studies showing how sustained nociceptive input caused by osteoarthritis can have profound effects on the central nervous system causing pathologic neuroplastic changes [[41]].
osteoarthritis 21003 and function respectively) for the minimal clinically important difference (MCID) in patients with osteoarthritis [[44]]. Determination of what constitutes MCID in osteoarthritic patients is however subject to considerable
osteoarthritis 21512 investigations are needed to establish a relevant definition of MCID for therapeutic interventions of osteoarthritis .Results from previous reviews [[1], [2], [5], [47]] of acupuncture conducted in participants with osteoarthritis
osteoarthritis 21625 osteoarthritis.Results from previous reviews [[1], [2], [5], [47]] of acupuncture conducted in participants with osteoarthritis are inconsistent. Two reviews [[2], [5]] found only short term reductions in pain and improvement of
osteoarthritis 24744 evidence supports the use of acupuncture as an alternative for traditional analgesics in patients with osteoarthritis .Ethical approvalNo ethics approval was sought since this study involved a synthesis and analysis of

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