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FACT
Focus on Alternative and Complementary Therapies

Efficacy of acupuncture in patients with pain due to osteoarthritis of the knee – the Acupuncture Randomised Trials (ART)

Becker-Witt C1, Brinkhaus B1, Jena S1, Weber K1, Linde K1,2, Streng A2, Wagenpfeil S3, Melchart D2,4, Willich SN1
1Institute for Social Medicine, Epidemiology, and Health Economics, Charité University Medical Center, Berlin, Germany
2Centre for Complementary Medicine Research, Department of Internal Medicine II, Technische Universität München, Munich, Germany
3Institute of Medical Statistics and Epidemiology, Technische Universität München, Munich, Germany
4Division of Complementary Medicine, Department of Internal Medicine, Universitätsspital Zürich, Switzerland

Objective

In a randomised, controlled trial we investigated whether acupuncture is more effective than no acupuncture or minimal acupuncture in patients with osteoarthritis of the knee.

Materials and methods

Patients (age 50–75 years) with pain caused by osteoarthritis of the knee (radiological alterations in knee > 1–2 according to Kellgren) were randomised to treatment with semi-standardised acupuncture (AC), minimal acupuncture (MA) or to waiting list control (WL). Both AC and MA were administered by specialised acupuncture physicians in 31 outpatient centres and consisted of 12 sessions per patient over 8 weeks. Patients completed standardised questionnaires at baseline and end of week 8. The main outcome parameter was the difference between the WOMAC scores before randomisation and at the end of week 8. Secondary outcome parameters were the Pain Disability Index (PDI) and health-related quality of life (SF-36).

Results

A total of 299 patients (67% female, 64 ± 6 years) were included from March 2002 to January 2003 into one of the three treatment groups (AC, MA or WL). The final outcome results will be presented at the conference.

Conclusion

The results of the present study will aid in determining the efficacy of acupuncture treatment in patients with chronic pain syndromes.

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