Show simple item record Asher, GN Jonas, DE Coeytaux, RR Reilly, AC Loh, YL Motsinger-Reif, AA Winham, SJ
dc.coverage.spatial United States 2011-04-15T16:46:20Z 2010-10
dc.identifier.citation J Altern Complement Med, 2010, 16 (10), pp. 1097 - 1108
dc.description.abstract OBJECTIVES: Side-effects of standard pain medications can limit their use. Therefore, nonpharmacologic pain relief techniques such as auriculotherapy may play an important role in pain management. Our aim was to conduct a systematic review and meta-analysis of studies evaluating auriculotherapy for pain management. DESIGN: MEDLINE,(®) ISI Web of Science, CINAHL, AMED, and Cochrane Library were searched through December 2008. Randomized trials comparing auriculotherapy to sham, placebo, or standard-of-care control were included that measured outcomes of pain or medication use and were published in English. Two (2) reviewers independently assessed trial eligibility, quality, and abstracted data to a standardized form. Standardized mean differences (SMD) were calculated for studies using a pain score or analgesic requirement as a primary outcome. RESULTS: Seventeen (17) studies met inclusion criteria (8 perioperative, 4 acute, and 5 chronic pain). Auriculotherapy was superior to controls for studies evaluating pain intensity (SMD, 1.56 [95% confidence interval (CI): 0.85, 2.26]; 8 studies). For perioperative pain, auriculotherapy reduced analgesic use (SMD, 0.54 [95% CI: 0.30, 0.77]; 5 studies). For acute pain and chronic pain, auriculotherapy reduced pain intensity (SMD for acute pain, 1.35 [95% CI: 0.08, 2.64], 2 studies; SMD for chronic pain, 1.84 [95% CI: 0.60, 3.07], 5 studies). Removal of poor quality studies did not alter the conclusions. Significant heterogeneity existed among studies of acute and chronic pain, but not perioperative pain. CONCLUSIONS: Auriculotherapy may be effective for the treatment of a variety of types of pain, especially postoperative pain. However, a more accurate estimate of the effect will require further large, well-designed trials.
dc.format.extent 1097 - 1108
dc.language eng
dc.language.iso en_US en_US
dc.relation.ispartof J Altern Complement Med
dc.relation.isversionof 10.1089/acm.2009.0451
dc.subject Acupuncture, Ear
dc.subject Analgesia
dc.subject Humans
dc.subject Pain Management
dc.subject Pain Measurement
dc.subject Perioperative Period
dc.subject Randomized Controlled Trials as Topic
dc.title Auriculotherapy for pain management: a systematic review and meta-analysis of randomized controlled trials.
dc.type Journal Article
dc.description.version Version of Record en_US 2010-10-0 en_US
duke.description.endpage 1108 en_US
duke.description.issue 10 en_US
duke.description.startpage 1097 en_US
duke.description.volume 16 en_US
dc.relation.journal Journal of Alternative and Complementary Medicine en_US
pubs.issue 10
pubs.organisational-group /Duke
pubs.organisational-group /Duke/School of Medicine
pubs.organisational-group /Duke/School of Medicine/Clinical Science Departments
pubs.organisational-group /Duke/School of Medicine/Clinical Science Departments/Community and Family Medicine
pubs.organisational-group /Duke/School of Medicine/Institutes and Centers
pubs.organisational-group /Duke/School of Medicine/Institutes and Centers/Duke Clinical Research Institute
pubs.organisational-group /Duke/School of Nursing
pubs.organisational-group /Duke/School of Nursing/School of Nursing - Secondary Group
pubs.publication-status Published
pubs.volume 16
dc.identifier.eissn 1557-7708

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