Review of the Acupuncture Randomized Trials(ART) and the Acupuncture in Routine Care(ARC): the Acupuncture Trials in Germany

Kuk-In Han, Juyeon Yoon, J. Jeong, Seung-Ho Lee, Insoo Jang
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Abstract

Objectives : The purpose is to review large-scale clinical researches, the acupuncture randomized trials(ART) and the acupuncture in routine care(ARC), concerning efficacy and effectiveness of acupuncture performed in Germany. Methods and Results : We have reviewed the studies that were searched by keyword ‘acupuncture’ as the title and ‘Witt CM’ as one of the main authors in PubMed. Sixteen clinical reports focused on the ART and ARC studies were analyzed among all thirty six were searched. Six studies were related with the ART and eight were focused on the ARC, and other two were on both. Finally, across all researches except osteoarthritis of knee trials in the ART, compared the acupuncture group with the control were significantly improved. On the other hand, ARC showed that additional acupuncture plus routine care was more effective than routine care alone and the response to treatment of the non-randomized group did not differ the one of the randomized acupuncture group. Conclusions : The results may suggest that acupuncture treatment has obvious clinical effectiveness. These results are expected to inspire domestic research and clinical applications in Korea, and more rigorous research on the efficacy of acupuncture should be guaranteed.
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针刺随机试验(ART)和针刺常规护理(ARC)综述:德国的针刺试验
目的:回顾在德国开展的大规模临床研究、针刺随机试验(ART)和针刺常规护理(ARC)对针灸疗效和效果的影响。方法与结果:我们回顾了PubMed中以关键词“针灸”为标题,以“Witt CM”为主要作者之一检索的研究。在所有36份临床报告中分析了16份关注ART和ARC研究的报告。6项研究与ART相关,8项研究关注ARC,另外2项研究两者都涉及。最后,在所有研究中,除膝关节骨关节炎试验外,针刺组与对照组相比均有显著改善。另一方面,ARC显示额外的针灸加常规护理比单独的常规护理更有效,非随机组的治疗反应与随机针刺组的治疗反应没有差异。结论:针刺治疗有明显的临床疗效。希望这一结果能给国内研究和临床应用带来启发,并保证对针灸疗效进行更严格的研究。
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