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Acupuncture for chronic low back pain: diagnosis and treatment patterns among acupuncturists evaluating the same patient.
South Med J. 2001 May; 94(5):486-92.SM

Abstract

BACKGROUND

There is increasing need to examine the effectiveness of acupuncture and other alternative therapies for common conditions. However, little attention has focused on the variability in acupuncturists' assessment, diagnosis, and treatment patterns.

METHODS

Seven office-based acupuncturists practicing Traditional Chinese Medicine evaluated the same patient with chronic low back pain and provided data regarding principal assessment techniques, diagnoses, and therapeutic recommendations.

RESULTS

A high diagnostic agreement existed among 5 of 7 acupuncturists. However, recommended treatments included varying numbers and locations of acupuncture points. Recommendations varied between 5 and 14 points requiring 7 to 26 needles, since many points were intended for bilateral application. Of 28 acupuncture points selected, only 4 (14%) were prescribed by two or more acupuncturists. Most recommended various forms of adjuvant heat.

CONCLUSIONS

Seven acupuncturists agreed considerably in the diagnoses for the same patient with chronic low back pain, but treatment recommendations varied substantially. Clinicians and researchers must recognize treatment recommendation variations and the challenges they present for study design and interpretation.

Authors+Show Affiliations

Department of Anesthesiology, Washington University School of Medicine, St. Louis, MO 63110, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

11372797

Citation

Kalauokalani, D, et al. "Acupuncture for Chronic Low Back Pain: Diagnosis and Treatment Patterns Among Acupuncturists Evaluating the Same Patient." Southern Medical Journal, vol. 94, no. 5, 2001, pp. 486-92.
Kalauokalani D, Sherman KJ, Cherkin DC. Acupuncture for chronic low back pain: diagnosis and treatment patterns among acupuncturists evaluating the same patient. South Med J. 2001;94(5):486-92.
Kalauokalani, D., Sherman, K. J., & Cherkin, D. C. (2001). Acupuncture for chronic low back pain: diagnosis and treatment patterns among acupuncturists evaluating the same patient. Southern Medical Journal, 94(5), 486-92.
Kalauokalani D, Sherman KJ, Cherkin DC. Acupuncture for Chronic Low Back Pain: Diagnosis and Treatment Patterns Among Acupuncturists Evaluating the Same Patient. South Med J. 2001;94(5):486-92. PubMed PMID: 11372797.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acupuncture for chronic low back pain: diagnosis and treatment patterns among acupuncturists evaluating the same patient. AU - Kalauokalani,D, AU - Sherman,K J, AU - Cherkin,D C, PY - 2001/5/25/pubmed PY - 2001/6/29/medline PY - 2001/5/25/entrez SP - 486 EP - 92 JF - Southern medical journal JO - South Med J VL - 94 IS - 5 N2 - BACKGROUND: There is increasing need to examine the effectiveness of acupuncture and other alternative therapies for common conditions. However, little attention has focused on the variability in acupuncturists' assessment, diagnosis, and treatment patterns. METHODS: Seven office-based acupuncturists practicing Traditional Chinese Medicine evaluated the same patient with chronic low back pain and provided data regarding principal assessment techniques, diagnoses, and therapeutic recommendations. RESULTS: A high diagnostic agreement existed among 5 of 7 acupuncturists. However, recommended treatments included varying numbers and locations of acupuncture points. Recommendations varied between 5 and 14 points requiring 7 to 26 needles, since many points were intended for bilateral application. Of 28 acupuncture points selected, only 4 (14%) were prescribed by two or more acupuncturists. Most recommended various forms of adjuvant heat. CONCLUSIONS: Seven acupuncturists agreed considerably in the diagnoses for the same patient with chronic low back pain, but treatment recommendations varied substantially. Clinicians and researchers must recognize treatment recommendation variations and the challenges they present for study design and interpretation. SN - 0038-4348 UR - https://www.unboundmedicine.com/medline/citation/11372797/Acupuncture_for_chronic_low_back_pain:_diagnosis_and_treatment_patterns_among_acupuncturists_evaluating_the_same_patient_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=11372797.ui DB - PRIME DP - Unbound Medicine ER -