Update on the Clinical Effect of Acupuncture Therapy in Patients with Gouty Arthritis: Systematic Review and Meta-Analysis.

Evid Based Complement Alternat Med

Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China.

Published: October 2016

AI Article Synopsis

  • The study evaluates the effectiveness and safety of acupuncture for treating acute gouty arthritis by analyzing data from 28 randomized controlled trials involving 2237 patients.
  • Compared to traditional medications, acupuncture showed better results in relieving symptoms within 24 hours, reducing serum urate levels, and alleviating pain, while having fewer adverse effects.
  • However, the authors caution that the findings may overstate acupuncture's benefits due to flaws in the studies reviewed, highlighting the need for more rigorous and larger-scale research.

Article Abstract

. The aim of this study is to evaluate the clinical efficacy and safety of acupuncture therapy in the treatment of acute gouty arthritis. . A literature search of PubMed, EMBASE, ISI Web of Science, CENTRAL, and CNKI was conducted from the inception date of each database up to October 2015. Two investigators screened each article independently and were blinded to the findings of the other reviewer. Data was extracted according to the predetermined collection form. Meta-analysis was performed. . We analyzed data from 28 RCTs involving 2237 patients with gouty arthritis. Compared with conventional pharmacological treatments acupuncture was more effective in rendering patients free from symptoms after 24 hours, lowering serum urate, alleviating pain associated with gouty arthritis, and decreasing the ESR; regarding CRP, no statistically significant difference was found. In addition, the frequency of adverse events in acupuncture treatment was lower than that in control group. . Based on the findings of our study, we cautiously suggest that acupuncture is an effective and safe therapy for patients with gouty arthritis. However, the potential beneficial effect of acupuncture might be overstated due to the methodological deficiency of included studies. High quality RCTs with larger scale are encouraged.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5099464PMC
http://dx.doi.org/10.1155/2016/9451670DOI Listing

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