Auriculotherapy for pain management: a systematic review and meta-analysis of randomized controlled trials.
| dc.contributor.author | Asher, Gary N | |
| dc.contributor.author | Jonas, Daniel E | |
| dc.contributor.author | Coeytaux, Remy R | |
| dc.contributor.author | Reilly, Aimee C | |
| dc.contributor.author | Loh, Yen L | |
| dc.contributor.author | Motsinger-Reif, Alison A | |
| dc.contributor.author | Winham, Stacey J | |
| dc.coverage.spatial | United States | |
| dc.date.accessioned | 2011-04-15T16:46:20Z | |
| dc.date.issued | 2010-10 | |
| 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.description.version | Version of Record | |
| dc.identifier | ||
| dc.identifier.eissn | 1557-7708 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.language.iso | en_US | |
| dc.publisher | Mary Ann Liebert Inc | |
| dc.relation.ispartof | J Altern Complement Med | |
| dc.relation.isversionof | 10.1089/acm.2009.0451 | |
| dc.relation.journal | Journal of Alternative and Complementary Medicine | |
| 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 | |
| duke.date.pubdate | 2010-10-0 | |
| duke.description.issue | 10 | |
| duke.description.volume | 16 | |
| pubs.author-url | ||
| 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 |