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Inicio Medicina Clínica (English Edition) Medical indications for acupuncture: Systematic review
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Vol. 147. Issue 6.
Pages 250-256 (September 2016)
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Vol. 147. Issue 6.
Pages 250-256 (September 2016)
Review
DOI: 10.1016/j.medcle.2016.10.006
Medical indications for acupuncture: Systematic review
Indicaciones médicas de la acupuntura: revisión sistemática
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Juan Muñoz-Ortegoa,1,
Corresponding author
juanmunozortego@gmail.com

Corresponding author.
, Maite Solans-Domènechb, Carme Carrionb,c, on behalf of ABE Working Group 1
a Unidad de Acupuntura, Servicio de Reumatología, Centro Médico Teknon, Barcelona, Spain
b Agència de Qualitat i Avaluació Sanitàries de Catalunya, Barcelona, Spain
c TransLab Research Group, Department de Ciències Mèdiques, Universitat de Girona, Girona, Spain
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Tables (4)
Table 1. Number of good or very good quality reviews identified, grouped by medical specialty. Studies which conclude that acupuncture is effective and non-effective are specified.
Table 2. Characteristics of systematic reviews identified which were studying the efficacy of acupuncture in rheumatic diseases.
Table 3. Characteristics of identified systematic reviews that detect efficacy of acupuncture in orthopaedic pathologies.
Table 4. Characteristics of identified systematic reviews that detect efficacy of acupuncture in psychiatric disorders.
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Abstract

Acupuncture is a medical procedure with a very wide range of indications according to the WHO. However the indications require robust scientific evidence to support them. We have conducted a systematic review (2010–2015) in order to define in which pathologies acupuncture can be an effective strategy, STRICTA criteria that aim to set up acupuncture clinical trials standard criteria were defined in 2010. Only systematic reviews and meta-analyses of good or very good methodological quality according to SIGN criteria were selected. Its main objective was to evaluate the effectiveness of acupuncture in the management of any disease. Most of the final 31 selected reviews focus on chronic pain-related diseases, mainly in the disciplines of neurology, orthopaedics and rheumatology. Current evidence supports the use of acupuncture in the treatment of headaches, migraines, back pain, cervical pain and osteoarthritis. The remaining pathologies still require further good quality studies.

Keywords:
Acupuncture
Systematic review
Acupuncture therapy
Resumen

La acupuntura es un procedimiento médico con un abanico de indicaciones muy amplio según la OMS. Sin embargo, toda indicación requiere hoy en día una sólida evidencia científica. Para ello, llevamos a cabo una revisión sistemática desde 2010, fecha de aparición de los criterios STRICTA que normalizaron los ensayos clínicos en el campo de la acupuntura, hasta 2015. Se seleccionaron las revisiones y los metaanálisis de buena o muy buena calidad metodológica según los criterios SIGN y que tuvieran como objetivo principal evaluar la eficacia de la acupuntura en el manejo de cualquier patología. La mayor parte de las 31 revisiones finales trataban sobre enfermedades que cursaban con dolor, principalmente de carácter crónico en las áreas de neurología, traumatología y reumatología. La evidencia actual sustenta su indicación en el tratamiento de las cefaleas, migrañas, lumbalgias, cervicalgias y artrosis. El resto de patologías aún requieren mayores estudios para poder establecer firmes conclusiones.

Palabras clave:
Acupuntura
Revisión sistemática
Terapia con acupuntura

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