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FACT
Focus on Alternative and Complementary Therapies

Effectiveness of acupuncture in patients with allergic asthma – the Acupuncture in Routine Care (ARC) Study

Brinkhaus B, Witt C, Jena S, Willich SN
Institute for Social Medicine, Epidemiology, and Health Economics, Charité University Medical Center, Berlin, Germany

Objective

The aim of the study was to evaluate the effectiveness of acupuncture in addition to routine care in patients with allergic asthma compared to treatment with routine care alone.

Materials and methods

In a randomised controlled study with an additional cohort, patients ≥ 18 years with allergic asthma were randomly allocated to a group receiving up to 15 acupuncture sessions over 3 months (ACU) or to a control group (CON) receiving no acupuncture. Patients not consenting to randomisation received acupuncture treatment (NR-ACU). In addition, all patients were allowed to receive usual medical care. Asthma specific quality of life (AQLQ) and health-related general quality of life (SF-36) were assessed at baseline and after 3 months.

Results

A total of 1445 patients (43.8 ± 13.5 years, 59% female; ACU: 184, CON: 173, NR-ACU: 1088) were included in the study. At 3 months, the improvement of AQLQ was more pronounced in the ACU than in the CON (AQLQ: from 4.3 ± 1.1 to 5.2 ± 1.1; and from 4.5 ± 0.9 to 4.6 ± 1.2, P < 0.001). Similarly, the SF-36 improved more in the ACU compared to the CON (mental component scale: from 43.6 ± 11.0 to 48.0 ± 9.7; and from 45.3 ± 10.7 to 45.2 ± 10.8, P = 0.015; physical component scale 45.8 ± 9.6 to 49.1 ± 8.7; and from 46.4 ± 8.5 to 46.4 ± 9.1, P < 0.001). After receiving acupuncture the NR-ACU showed similar results when compared to the ACU.

Conclusion

Treatment with acupuncture in addition to routine care in patients with allergic asthma was associated with a significant improvement of disease specific and general quality of life compared to treatment with routine care alone.

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