Effectiveness of Acupuncture on Pain, Physical Function and Health-Related Quality of Life in Patients with Rheumatoid Arthritis: A Systematic Review of Quantitative Evidence

@article{Seca2018EffectivenessOA,
  title={Effectiveness of Acupuncture on Pain, Physical Function and Health-Related Quality of Life in Patients with Rheumatoid Arthritis: A Systematic Review of Quantitative Evidence},
  author={Susana Seca and Diana Miranda and Daniela Filipa Batista Cardoso and Bernice L Nogueira and Henry Johannes Greten and Ant{\'o}nio Silv{\'e}rio Cabrita and Manuel Alves Rodrigues},
  journal={Chinese Journal of Integrative Medicine},
  year={2018},
  pages={1-6}
}
ObjectiveTo identify and synthesize the most recent available evidence of effectiveness of acupuncture on pain, physical function and health-related quality of life (HRQoL) in patients with rheumatoid arthritis (RA).MethodsA comprehensive search of 12 Western and Chinese databases was undertaken from their inception up to end of 2016. Randomized controlled trials (RCTs), concerning patients with RA treated with needle acupuncture, written in English, Portuguese, German or Chinese were included… 
Clinical Efficacy of Acupuncture for the Treatment of Rheumatoid Arthritis: Meta-Analysis of Randomized Clinical Trials
TLDR
Available evidence suggests that acupuncture is beneficial for relieving pain and ameliorating quality of life and health index in patients with RA; thereby, it should be available as an adjunctive nonpharmacological treatment in rehabilitation programmes.
Comparison of Efficacy of Acupuncture-Related Therapy in the Treatment of Rheumatoid Arthritis: A Network Meta-Analysis of Randomized Controlled Trials
TLDR
A comprehensive comparison of the outcome indicators in 8 different treatments indicates that electro-acupuncture combined with DMARDs is the best combined therapy in improving DAS28 score, while in terms of improving pain and serological markers, fire needle and moxibustion combined withDMARDs were the best Combined therapies.
Acupuncture for the Relief of Chronic Pain: A Synthesis of Systematic Reviews
TLDR
It is suggested that an enriched enrolment with randomised withdrawal design may overcome some of these methodological shortcomings of RCTs and improve the quality of evidence so that healthcare providers and commissioners can make informed choices on the interventions which can legitimately be provided to patients living with chronic pain.
Evaluation of acupuncture for the treatment of pain associated with naturally-occurring osteoarthritis in dogs: a prospective, randomized, placebo-controlled, blinded clinical trial
TLDR
The applied acupuncture protocol did not show improvement in function when using objective outcome measures for OA in dogs; however, certain CMI measurements recorded some degree of treatment response.
Efficacy and Safety of Acupuncture against Chemotherapy-Induced Peripheral Neuropathy: A Systematic Review and Meta-Analysis
TLDR
The results showed that acupuncture significantly increased the effective rate of CIPN compared with medicine and sham acupuncture and acupuncture had a good effect on the recovery of nerve conduction velocity and improving pain.
The efficacy and safety of warming acupuncture and moxibustion on rheumatoid arthritis
TLDR
This study will compare the efficacy and safety of warming acupuncture and moxibustion with common acupuncture in the treatment of RA, providing reliable evidence for clinical application.
Nonpharmacological Interventions for Pain in Patients with Temporomandibular Joint Disorders: A Systematic Review.
TLDR
The evidence pointed out that acupuncture, laser therapy, and physiotherapy are potentially useful interventions for pain relief in patients with temporomandibular joint disorders, however, there is a lack of consistency and short-term follow-up in the studies to determine the lasting of such effect.
Moxibustion for rheumatoid arthritis
TLDR
This study will provide a high-quality synthesis of current evidence of moxibustion for asthma from several aspects including morning stiffness, pain and joint swelling and provide updated evidence to judge whether moxIBustion is an effective and safe intervention for patients with RA.
Prevalence and Factors Associated with Concomitant Chinese Medicine Use by Rheumatoid Arthritis Patients in A Multi-Ethnic Asian Population
TLDR
Concomitant CM use among patients with RA treated in a tertiary referral centre in Singapore is high but voluntary disclosure is low, and associations identified can help doctors identify and enquire about CM use, minimizing potential adverse interactions.
...
...

References

SHOWING 1-10 OF 49 REFERENCES
Acupuncture for pain relief in patients with rheumatoid arthritis: a systematic review.
TLDR
Controversial evidence exists in placebo-controlled trials concerning the efficacy of acupuncture for RA, and Rigorous and well-controlled randomized trials are warranted.
A systematic review of evidence for the effectiveness of practitioner-based complementary and alternative therapies in the management of rheumatic diseases: rheumatoid arthritis.
TLDR
The very limited evidence available indicates that for none of the practitioner-based complementary therapies considered here is there good evidence of efficacy or effectiveness in the management of RA.
The effectiveness of acupuncture on pain, physical function and health-related quality of life in patients with rheumatoid arthritis: a systematic review protocol.
TLDR
The objective of this review is to identify and synthesize the best available evidence on the effectiveness of acupuncture on pain, physical function and health-related quality of life in patients with rheumatoid arthritis.
A pilot study of acupuncture as adjunctive treatment of rheumatoid arthritis
TLDR
There was no significant difference in the proportion of patients that reached ACR20 between the AC and controlAC groups, and this negative result can be related to the small sample size, selection of patients, type of acupuncture protocol applied, and difficulties in establishing an innocuous and trustworthy placebo group to studies involving acupuncture.
Acupuncture for rheumatoid arthritis: A randomized, sham-controlled clinical trial
TLDR
Acupuncture can achieve a positive result compared with the sham, and it is effective in treating rheumatoid arthritis.
Acupuncture for rheumatoid arthritis: a systematic review.
TLDR
In conclusion, penetrating or non-penetrating sham-controlled RCTs failed to show specific effects of acupuncture for pain control in patients with RA and more rigorous research seems to be warranted.
Diagnosis and objective pain assessment of traditional Chinese medicine may be useful to demonstrate specific effects of acupuncture in low back pain: A prospective, randomized, controlled and single blinded pre-study
TLDR
Objectively measurable physical parameters such as the angle of flexion before and after acupuncture (inclinometry) may be more suitable to measure pain relief than subjective assessment by VAS in acupuncture studies.
The effect of acupuncture on patients with rheumatoid arthritis: a randomized, placebo-controlled cross-over study.
TLDR
A randomized placebo-controlled cross-over design to evaluate acupuncture as a useful treatment adjunct in the management of patients with rheumatoid arthritis demonstrated no significant effect of treatment or period and no significant interaction between treatment and period for any outcome variable.
Acupuncture in the treatment of rheumatoid arthritis: a double-blind controlled pilot study
TLDR
A number of recommendations are allowed to be made to facilitate the design of a large-scale trial, which in turn will help to clarify the existing evidence base on acupuncture for RA.
...
...