Focus on Alternative and Complementary Therapies
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Focus Alternat Complement Ther©2005 Pharmaceutical Press
Focus Altern Complement Ther 2006; 11: 156
German researchers investigated characteristics and outcomes of patients undergoing acupuncture treatment for osteoarthritic pain under conditions of routine care in the framework of statutory health insurance in Germany. Patients with chronic pain due to osteoarthritis treated with acupuncture as the leading form of therapy were included in an observational study. Detailedquestionnaires including instruments to measure pain intensity, disability and quality of life were filled in before treatment, after treatment and at 6 months. Patients suffering from osteoarthritis of the knee and hip also filled in the WOMAC Osteoarthritis Index questionnaire. A total of 736 patients were included in the main analysis. Seventy (10%) patients and 278 (38%) patients, respectively, suffered exclusively from primary osteoarthritis of the hip or knee, 239 (33%) from another type of osteoarthritis and 149 (20%) had more than one affected joint. On average, patients received 8.7 ± 3.1 acupuncture treatments. Statistically significant and clinically relevant improvements were seen in all subgroups both after treatment and at 6 months in all major outcome measures. In patients with osteoarthritis of the hip, the WOMAC sum score was 47.9 ± 20.7 at baseline, 34.8 ± 20.0 after treatment and 33.1 ± 22.2 at 6 months. The respective values in patients with osteoarthritis of the knee were 51.7 ± 20.9, 34.1 ± 23.3 and 34.6 ± 25.1.