Acupuncture for fibromyalgia in primary care: a randomised controlled trial
ObjectivesTo evaluate the efficacy of an individualised acupuncture protocol for patients with fibromyalgia.MethodsRandomised controlled multicentre trial, blinded to participants and to data analysts. Conducted in three primary care centres in southern Spain. A total of 164 participants aged over 1...
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| Veröffentlicht in: | Acupuncture in medicine : journal of the British Medical Acupuncture Society 2016-08, Vol.34 (4), p.257-266 |
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| creator | Vas, Jorge Santos-Rey, Koldo Navarro-Pablo, Reyes Modesto, Manuela Aguilar, Inmaculada Campos, M Ángeles Aguilar-Velasco, José Francisco Romero, Milagrosa Párraga, Patricia Hervás, Vanesa Santamaría, Olalla Márquez-Zurita, Carmen Rivas-Ruiz, Francisco |
| description | ObjectivesTo evaluate the efficacy of an individualised acupuncture protocol for patients with fibromyalgia.MethodsRandomised controlled multicentre trial, blinded to participants and to data analysts. Conducted in three primary care centres in southern Spain. A total of 164 participants aged over 17 years and diagnosed with fibromyalgia were enrolled in this trial; 153 participants completed the study. Participants were randomly assigned to either the real intervention (individualised acupuncture, IA) or the sham intervention (sham acupuncture, SA). In both the IA and SA groups, one session per week (lasting 20 min) was provided, in addition to usual pharmacological treatment. The primary outcome was change in pain intensity at 10 weeks.ResultsIntention-to-treat analysis revealed that the decrease in pain intensity at 10 weeks was greater (p=0.001) in the IA group (−41.0%, 95% CI −47.2% to −34.8%) than in the SA group (−27.1%, 95% CI −33.2% to −20.9%). During the follow-up period, significant differences (p |
| doi_str_mv | 10.1136/acupmed-2015-010950 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1809607208</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1136_acupmed-2015-010950</sage_id><sourcerecordid>4138432311</sourcerecordid><originalsourceid>FETCH-LOGICAL-b413t-c4a70e8ea2fece47dcd7c33ea7a62ec5df556c78455fda47780f26fef005cc473</originalsourceid><addsrcrecordid>eNqNkE9LxDAQxYMo7rr6CQQpePHSddImTepNFv_hghc9l2w6Wbq0zZq0h_32Zm0XxIN4ykB-782bR8glhTmlaXardL9tsIwToDwGCjmHIzKlgudxLkV6TKaQZyzmiWQTcub9BgCk4OyUTJJMipxKOiWv98Glb3XXO4yMdZGpVs42O1WvKxVVbbR1VaPcLtLK4V2kIqfa0jaVxzLStu2creswdq5S9Tk5Mar2eDG-M_Lx-PC-eI6Xb08vi_tlvGI07WLNlACUqBKDGpkodSl0mqISKktQ89JwnmkhGeemVEwICSbJDBoArjUT6YzcDL5bZz979F0R8misa9Wi7X1BZTgcRAIyoNe_0I3tXRvSfVOQSMkgUOlAaWe9d2iK8eqCQrHvuhi7LvZdF0PXQXU1ever_d9Bcyg3ADAAXq3xx-I_PeeDZNVs_hXiC9x-moQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1809028840</pqid></control><display><type>article</type><title>Acupuncture for fibromyalgia in primary care: a randomised controlled trial</title><source>MEDLINE</source><source>SAGE Complete</source><creator>Vas, Jorge ; Santos-Rey, Koldo ; Navarro-Pablo, Reyes ; Modesto, Manuela ; Aguilar, Inmaculada ; Campos, M Ángeles ; Aguilar-Velasco, José Francisco ; Romero, Milagrosa ; Párraga, Patricia ; Hervás, Vanesa ; Santamaría, Olalla ; Márquez-Zurita, Carmen ; Rivas-Ruiz, Francisco</creator><creatorcontrib>Vas, Jorge ; Santos-Rey, Koldo ; Navarro-Pablo, Reyes ; Modesto, Manuela ; Aguilar, Inmaculada ; Campos, M Ángeles ; Aguilar-Velasco, José Francisco ; Romero, Milagrosa ; Párraga, Patricia ; Hervás, Vanesa ; Santamaría, Olalla ; Márquez-Zurita, Carmen ; Rivas-Ruiz, Francisco</creatorcontrib><description>ObjectivesTo evaluate the efficacy of an individualised acupuncture protocol for patients with fibromyalgia.MethodsRandomised controlled multicentre trial, blinded to participants and to data analysts. Conducted in three primary care centres in southern Spain. A total of 164 participants aged over 17 years and diagnosed with fibromyalgia were enrolled in this trial; 153 participants completed the study. Participants were randomly assigned to either the real intervention (individualised acupuncture, IA) or the sham intervention (sham acupuncture, SA). In both the IA and SA groups, one session per week (lasting 20 min) was provided, in addition to usual pharmacological treatment. The primary outcome was change in pain intensity at 10 weeks.ResultsIntention-to-treat analysis revealed that the decrease in pain intensity at 10 weeks was greater (p=0.001) in the IA group (−41.0%, 95% CI −47.2% to −34.8%) than in the SA group (−27.1%, 95% CI −33.2% to −20.9%). During the follow-up period, significant differences (p<0.01) in favour of the IA group persisted at 12 months (IA: −19.9%, 95% CI −24.6% to −15.1%; vs SA: −6.2%, 95% CI −11.2% to −1.2%).ConclusionsIndividualised acupuncture treatment in primary care in patients with fibromyalgia proved efficacious in terms of pain relief, compared with placebo treatment. The effect persisted at 1 year, and its side effects were mild and infrequent. Therefore, the use of individualised acupuncture in patients with fibromyalgia is recommended.Trial registration numberISRCTN60217348.</description><identifier>ISSN: 0964-5284</identifier><identifier>EISSN: 1759-9873</identifier><identifier>DOI: 10.1136/acupmed-2015-010950</identifier><identifier>PMID: 26879181</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Acupuncture Therapy ; Double-Blind Method ; Female ; Fibromyalgia - therapy ; Humans ; Middle Aged ; Pain Management - methods ; Primary Health Care ; Quality of Life ; Treatment Outcome</subject><ispartof>Acupuncture in medicine : journal of the British Medical Acupuncture Society, 2016-08, Vol.34 (4), p.257-266</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>2016 British Medical Acupuncutre Society</rights><rights>Copyright: 2016 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b413t-c4a70e8ea2fece47dcd7c33ea7a62ec5df556c78455fda47780f26fef005cc473</citedby><cites>FETCH-LOGICAL-b413t-c4a70e8ea2fece47dcd7c33ea7a62ec5df556c78455fda47780f26fef005cc473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1136/acupmed-2015-010950$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1136/acupmed-2015-010950$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26879181$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vas, Jorge</creatorcontrib><creatorcontrib>Santos-Rey, Koldo</creatorcontrib><creatorcontrib>Navarro-Pablo, Reyes</creatorcontrib><creatorcontrib>Modesto, Manuela</creatorcontrib><creatorcontrib>Aguilar, Inmaculada</creatorcontrib><creatorcontrib>Campos, M Ángeles</creatorcontrib><creatorcontrib>Aguilar-Velasco, José Francisco</creatorcontrib><creatorcontrib>Romero, Milagrosa</creatorcontrib><creatorcontrib>Párraga, Patricia</creatorcontrib><creatorcontrib>Hervás, Vanesa</creatorcontrib><creatorcontrib>Santamaría, Olalla</creatorcontrib><creatorcontrib>Márquez-Zurita, Carmen</creatorcontrib><creatorcontrib>Rivas-Ruiz, Francisco</creatorcontrib><title>Acupuncture for fibromyalgia in primary care: a randomised controlled trial</title><title>Acupuncture in medicine : journal of the British Medical Acupuncture Society</title><addtitle>Acupunct Med</addtitle><description>ObjectivesTo evaluate the efficacy of an individualised acupuncture protocol for patients with fibromyalgia.MethodsRandomised controlled multicentre trial, blinded to participants and to data analysts. Conducted in three primary care centres in southern Spain. A total of 164 participants aged over 17 years and diagnosed with fibromyalgia were enrolled in this trial; 153 participants completed the study. Participants were randomly assigned to either the real intervention (individualised acupuncture, IA) or the sham intervention (sham acupuncture, SA). In both the IA and SA groups, one session per week (lasting 20 min) was provided, in addition to usual pharmacological treatment. The primary outcome was change in pain intensity at 10 weeks.ResultsIntention-to-treat analysis revealed that the decrease in pain intensity at 10 weeks was greater (p=0.001) in the IA group (−41.0%, 95% CI −47.2% to −34.8%) than in the SA group (−27.1%, 95% CI −33.2% to −20.9%). During the follow-up period, significant differences (p<0.01) in favour of the IA group persisted at 12 months (IA: −19.9%, 95% CI −24.6% to −15.1%; vs SA: −6.2%, 95% CI −11.2% to −1.2%).ConclusionsIndividualised acupuncture treatment in primary care in patients with fibromyalgia proved efficacious in terms of pain relief, compared with placebo treatment. The effect persisted at 1 year, and its side effects were mild and infrequent. Therefore, the use of individualised acupuncture in patients with fibromyalgia is recommended.Trial registration numberISRCTN60217348.</description><subject>Acupuncture Therapy</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Fibromyalgia - therapy</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Pain Management - methods</subject><subject>Primary Health Care</subject><subject>Quality of Life</subject><subject>Treatment Outcome</subject><issn>0964-5284</issn><issn>1759-9873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkE9LxDAQxYMo7rr6CQQpePHSddImTepNFv_hghc9l2w6Wbq0zZq0h_32Zm0XxIN4ykB-782bR8glhTmlaXardL9tsIwToDwGCjmHIzKlgudxLkV6TKaQZyzmiWQTcub9BgCk4OyUTJJMipxKOiWv98Glb3XXO4yMdZGpVs42O1WvKxVVbbR1VaPcLtLK4V2kIqfa0jaVxzLStu2creswdq5S9Tk5Mar2eDG-M_Lx-PC-eI6Xb08vi_tlvGI07WLNlACUqBKDGpkodSl0mqISKktQ89JwnmkhGeemVEwICSbJDBoArjUT6YzcDL5bZz979F0R8misa9Wi7X1BZTgcRAIyoNe_0I3tXRvSfVOQSMkgUOlAaWe9d2iK8eqCQrHvuhi7LvZdF0PXQXU1ever_d9Bcyg3ADAAXq3xx-I_PeeDZNVs_hXiC9x-moQ</recordid><startdate>201608</startdate><enddate>201608</enddate><creator>Vas, Jorge</creator><creator>Santos-Rey, Koldo</creator><creator>Navarro-Pablo, Reyes</creator><creator>Modesto, Manuela</creator><creator>Aguilar, Inmaculada</creator><creator>Campos, M Ángeles</creator><creator>Aguilar-Velasco, José Francisco</creator><creator>Romero, Milagrosa</creator><creator>Párraga, Patricia</creator><creator>Hervás, Vanesa</creator><creator>Santamaría, Olalla</creator><creator>Márquez-Zurita, Carmen</creator><creator>Rivas-Ruiz, Francisco</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201608</creationdate><title>Acupuncture for fibromyalgia in primary care: a randomised controlled trial</title><author>Vas, Jorge ; Santos-Rey, Koldo ; Navarro-Pablo, Reyes ; Modesto, Manuela ; Aguilar, Inmaculada ; Campos, M Ángeles ; Aguilar-Velasco, José Francisco ; Romero, Milagrosa ; Párraga, Patricia ; Hervás, Vanesa ; Santamaría, Olalla ; Márquez-Zurita, Carmen ; Rivas-Ruiz, Francisco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b413t-c4a70e8ea2fece47dcd7c33ea7a62ec5df556c78455fda47780f26fef005cc473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Acupuncture Therapy</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Fibromyalgia - therapy</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Pain Management - methods</topic><topic>Primary Health Care</topic><topic>Quality of Life</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vas, Jorge</creatorcontrib><creatorcontrib>Santos-Rey, Koldo</creatorcontrib><creatorcontrib>Navarro-Pablo, Reyes</creatorcontrib><creatorcontrib>Modesto, Manuela</creatorcontrib><creatorcontrib>Aguilar, Inmaculada</creatorcontrib><creatorcontrib>Campos, M Ángeles</creatorcontrib><creatorcontrib>Aguilar-Velasco, José Francisco</creatorcontrib><creatorcontrib>Romero, Milagrosa</creatorcontrib><creatorcontrib>Párraga, Patricia</creatorcontrib><creatorcontrib>Hervás, Vanesa</creatorcontrib><creatorcontrib>Santamaría, Olalla</creatorcontrib><creatorcontrib>Márquez-Zurita, Carmen</creatorcontrib><creatorcontrib>Rivas-Ruiz, Francisco</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>UK & Ireland Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Acupuncture in medicine : journal of the British Medical Acupuncture Society</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vas, Jorge</au><au>Santos-Rey, Koldo</au><au>Navarro-Pablo, Reyes</au><au>Modesto, Manuela</au><au>Aguilar, Inmaculada</au><au>Campos, M Ángeles</au><au>Aguilar-Velasco, José Francisco</au><au>Romero, Milagrosa</au><au>Párraga, Patricia</au><au>Hervás, Vanesa</au><au>Santamaría, Olalla</au><au>Márquez-Zurita, Carmen</au><au>Rivas-Ruiz, Francisco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acupuncture for fibromyalgia in primary care: a randomised controlled trial</atitle><jtitle>Acupuncture in medicine : journal of the British Medical Acupuncture Society</jtitle><addtitle>Acupunct Med</addtitle><date>2016-08</date><risdate>2016</risdate><volume>34</volume><issue>4</issue><spage>257</spage><epage>266</epage><pages>257-266</pages><issn>0964-5284</issn><eissn>1759-9873</eissn><abstract>ObjectivesTo evaluate the efficacy of an individualised acupuncture protocol for patients with fibromyalgia.MethodsRandomised controlled multicentre trial, blinded to participants and to data analysts. Conducted in three primary care centres in southern Spain. A total of 164 participants aged over 17 years and diagnosed with fibromyalgia were enrolled in this trial; 153 participants completed the study. Participants were randomly assigned to either the real intervention (individualised acupuncture, IA) or the sham intervention (sham acupuncture, SA). In both the IA and SA groups, one session per week (lasting 20 min) was provided, in addition to usual pharmacological treatment. The primary outcome was change in pain intensity at 10 weeks.ResultsIntention-to-treat analysis revealed that the decrease in pain intensity at 10 weeks was greater (p=0.001) in the IA group (−41.0%, 95% CI −47.2% to −34.8%) than in the SA group (−27.1%, 95% CI −33.2% to −20.9%). During the follow-up period, significant differences (p<0.01) in favour of the IA group persisted at 12 months (IA: −19.9%, 95% CI −24.6% to −15.1%; vs SA: −6.2%, 95% CI −11.2% to −1.2%).ConclusionsIndividualised acupuncture treatment in primary care in patients with fibromyalgia proved efficacious in terms of pain relief, compared with placebo treatment. The effect persisted at 1 year, and its side effects were mild and infrequent. Therefore, the use of individualised acupuncture in patients with fibromyalgia is recommended.Trial registration numberISRCTN60217348.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>26879181</pmid><doi>10.1136/acupmed-2015-010950</doi><tpages>10</tpages></addata></record> |
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| ispartof | Acupuncture in medicine : journal of the British Medical Acupuncture Society, 2016-08, Vol.34 (4), p.257-266 |
| issn | 0964-5284 1759-9873 |
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| source | MEDLINE; SAGE Complete |
| subjects | Acupuncture Therapy Double-Blind Method Female Fibromyalgia - therapy Humans Middle Aged Pain Management - methods Primary Health Care Quality of Life Treatment Outcome |
| title | Acupuncture for fibromyalgia in primary care: a randomised controlled trial |
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