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Acupuncture for chronic low back pain in routine care: a multicenter observational study.
Clin J Pain. 2007 Feb; 23(2):128-35.CJ

Abstract

OBJECTIVE

To investigate patient characteristics and outcomes after undergoing acupuncture treatment for chronic low back pain (cLBP) in Germany and to analyze chronification, pain grading, and depression as predictors for treatment outcomes.

PATIENTS AND METHODS

Patients with cLBP (ICD-10 diagnoses M54.4 or M54.5) who underwent acupuncture therapy (mean number of sessions 8.7+/-2.9) within the framework of a reimbursement and research program sponsored by German statutory sickness funds were included in an observational study. Patients were asked to complete detailed questionnaires that included questions on intensity and frequency of pain and instruments measuring functional ability, depression, and quality of life (SF-36) before and after treatment and 6 months after beginning acupuncture. Participating physicians assessed pain chronification in patients.

RESULTS

A total of 2564 patients (mean age 57.7+/-14.0 y, 78.7% female), who were treated by 1607 physicians, were included in the main analysis. After 6 months (6-mo follow-up), 45.5% of patients demonstrated clinically significant improvements in their functional ability scores. The mean number of days with pain was decreased by half (from 21 to 10 d/mo). Employed patients (employed patient subgroup analysis) reported a 30% decrease from baseline in days of work lost. In all, 8.1% of patients reported adverse events, the majority of which were minor. Subgroup analyses focusing on pain severity, stage of chronification, and depression revealed statistically significant relationships both to baseline measures and to reduction of pain after acupuncture.

CONCLUSIONS

Acupuncture treatment is associated with clinically relevant improvements in patients suffering from cLBP of varying degrees of chronification and/or severity.

Authors+Show Affiliations

Department of Internal Medicine II, Center for Complementary Medicine Research, Technische Universität München, Germany. Wolfgang.Weidenhammer@lrz.tu-muenchen.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17237661

Citation

Weidenhammer, Wolfgang, et al. "Acupuncture for Chronic Low Back Pain in Routine Care: a Multicenter Observational Study." The Clinical Journal of Pain, vol. 23, no. 2, 2007, pp. 128-35.
Weidenhammer W, Linde K, Streng A, et al. Acupuncture for chronic low back pain in routine care: a multicenter observational study. Clin J Pain. 2007;23(2):128-35.
Weidenhammer, W., Linde, K., Streng, A., Hoppe, A., & Melchart, D. (2007). Acupuncture for chronic low back pain in routine care: a multicenter observational study. The Clinical Journal of Pain, 23(2), 128-35.
Weidenhammer W, et al. Acupuncture for Chronic Low Back Pain in Routine Care: a Multicenter Observational Study. Clin J Pain. 2007;23(2):128-35. PubMed PMID: 17237661.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acupuncture for chronic low back pain in routine care: a multicenter observational study. AU - Weidenhammer,Wolfgang, AU - Linde,Klaus, AU - Streng,Andrea, AU - Hoppe,Andrea, AU - Melchart,Dieter, PY - 2007/1/24/pubmed PY - 2007/2/28/medline PY - 2007/1/24/entrez SP - 128 EP - 35 JF - The Clinical journal of pain JO - Clin J Pain VL - 23 IS - 2 N2 - OBJECTIVE: To investigate patient characteristics and outcomes after undergoing acupuncture treatment for chronic low back pain (cLBP) in Germany and to analyze chronification, pain grading, and depression as predictors for treatment outcomes. PATIENTS AND METHODS: Patients with cLBP (ICD-10 diagnoses M54.4 or M54.5) who underwent acupuncture therapy (mean number of sessions 8.7+/-2.9) within the framework of a reimbursement and research program sponsored by German statutory sickness funds were included in an observational study. Patients were asked to complete detailed questionnaires that included questions on intensity and frequency of pain and instruments measuring functional ability, depression, and quality of life (SF-36) before and after treatment and 6 months after beginning acupuncture. Participating physicians assessed pain chronification in patients. RESULTS: A total of 2564 patients (mean age 57.7+/-14.0 y, 78.7% female), who were treated by 1607 physicians, were included in the main analysis. After 6 months (6-mo follow-up), 45.5% of patients demonstrated clinically significant improvements in their functional ability scores. The mean number of days with pain was decreased by half (from 21 to 10 d/mo). Employed patients (employed patient subgroup analysis) reported a 30% decrease from baseline in days of work lost. In all, 8.1% of patients reported adverse events, the majority of which were minor. Subgroup analyses focusing on pain severity, stage of chronification, and depression revealed statistically significant relationships both to baseline measures and to reduction of pain after acupuncture. CONCLUSIONS: Acupuncture treatment is associated with clinically relevant improvements in patients suffering from cLBP of varying degrees of chronification and/or severity. SN - 0749-8047 UR - https://www.unboundmedicine.com/medline/citation/17237661/Acupuncture_for_chronic_low_back_pain_in_routine_care:_a_multicenter_observational_study_ L2 - https://doi.org/10.1097/01.ajp.0000210952.09127.df DB - PRIME DP - Unbound Medicine ER -