The Clinical Effectiveness of Acupuncture for Pain Relief – you can be Certain of Uncertainty

@article{Johnson2006TheCE,
  title={The Clinical Effectiveness of Acupuncture for Pain Relief – you can be Certain of Uncertainty},
  author={Mark I. Johnson},
  journal={Acupuncture in Medicine},
  year={2006},
  volume={24},
  pages={71 - 79}
}
Nowadays the volume of published research is so overwhelming that practitioners are turning to expert groups to interpret and summarise research for them. This paper critically reviews the processes used to establish one-sentence statements about the effectiveness of acupuncture for pain relief. Some one-sentence statements claim that acupuncture is not clinically effective because systematic reviews of clinical trials find similar amounts of pain relief between sham acupuncture and real… 
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References

SHOWING 1-10 OF 71 REFERENCES
Acupuncture for back pain: a meta-analysis of randomized controlled trials.
TLDR
Acupuncture was shown to be superior to various control interventions, although there is insufficient evidence to state whether it is superior to placebo.
A trial method for assessing the adequacy of acupuncture treatments.
TLDR
This method of assessing adequacy grouped 15 controlled clinical trials of acupuncture according to their average scores, suggesting that the method may not be reliable in other situations because adequacy scores were inconsistent, possibly indicating problems with the scale.
A systematic review of randomized controlled trials of acupuncture for neck pain.
TLDR
The hypothesis that acupuncture is efficacious in the treatment of neck pain is not based on the available evidence from sound clinical trials, and further studies are justified.
Acupuncture for osteoarthritis of the knee: a systematic review.
TLDR
The existing evidence suggests that acupuncture may play a role in the treatment of knee OA and future research should define an optimal acupuncture treatment, measure quality of life, and assess acupuncture combined with other modalities.
Effectiveness of Acupuncture as Adjunctive Therapy in Osteoarthritis of the Knee
TLDR
The evidence suggested that acupuncture seemed to alleviate knee pain and function compared with sham acupuncture controls, although 2 trials comparing acupuncture with an active, nonpharmacologic treatment (physical therapy) did not indicate such an effect.
Is acupuncture effective in the treatment of fibromyalgia?
TLDR
The limited amount of high-quality evidence suggests that real acupuncture is more effective than sham acupuncture for improving symptoms of patients with FMS, but further high- quality randomized trials are needed to provide more robust data on effectiveness.
Reviews of acupuncture for chronic neck pain: pitfalls in conducting systematic reviews.
TLDR
The problems associated with scoring trials are discussed and further work to increase the scope of scoring mechanisms is recommended in order to produce meaningful systematic reviews in the future.
Acupuncture for idiopathic headache.
TLDR
Overall, the existing evidence supports the value of acupuncture for the treatment of idiopathic headaches, however, the quality and amount of evidence are not fully convincing.
The effectiveness of acupuncture in the management of acute and chronic low back pain. A systematic review within the framework of the Cochrane Collaboration Back Review Group.
TLDR
This systematic review of randomized controlled trials indicated that there was no evidence showing acupuncture to be more effective than no treatment, and the authors would not recommend acupuncture as a regular treatment for patients with low back pain.
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