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Auriculotherapy for pain management: a systematic review and meta-analysis of randomized controlled trials.

dc.contributor.author Asher, GN
dc.contributor.author Jonas, DE
dc.contributor.author Coeytaux, RR
dc.contributor.author Reilly, AC
dc.contributor.author Loh, YL
dc.contributor.author Motsinger-Reif, AA
dc.contributor.author Winham, SJ
dc.coverage.spatial United States
dc.date.accessioned 2011-04-15T16:46:20Z
dc.date.issued 2010-10
dc.identifier http://www.ncbi.nlm.nih.gov/pubmed/20954963
dc.identifier.uri https://hdl.handle.net/10161/3234
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.language eng
dc.language.iso 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
duke.date.pubdate 2010-10-0
duke.description.issue 10
duke.description.volume 16
dc.relation.journal Journal of Alternative and Complementary Medicine
pubs.author-url http://www.ncbi.nlm.nih.gov/pubmed/20954963
pubs.begin-page 1097
pubs.end-page 1108
pubs.issue 10
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Community and Family Medicine
pubs.organisational-group Duke
pubs.organisational-group Duke Clinical Research Institute
pubs.organisational-group Institutes and Centers
pubs.organisational-group School of Medicine
pubs.organisational-group School of Nursing
pubs.organisational-group School of Nursing - Secondary Group
pubs.publication-status Published
pubs.volume 16
dc.identifier.eissn 1557-7708


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