Evidence map›Paper›PMID 27965830›Full record

ArticlePilot and feasibility studies2016

Western medical acupuncture in a group setting for knee osteoarthritis: results of a pilot randomised controlled trial.

Adrian White, Liz Tough, Vicky Eyre, Jane Vickery, Anthea Asprey, Cath Quinn, Fiona Warren, Colin Pritchard, Nadine E Foster, Rod S Taylor and 2 more

Open access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Acutherapy for Knee Osteoarthritis Relief in the Elderly: A Systematic Review and Meta-Analysis.Evidence-based complementary and alternative medicine : eCAM · 2019
    Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 1 country.

Adrian WhitePrimary Care, Plymouth University Peninsula Schools of Medicine and Dentistry, Room 14, ITTC Building, Plymouth Science Park, Plymouth, PL6 8BX UK.
Liz ToughPrimary Care, Plymouth University Peninsula Schools of Medicine and Dentistry, Room 14, ITTC Building, Plymouth Science Park, Plymouth, PL6 8BX UK.
Vicky EyrePeninsula CTU, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, UK.
Jane VickeryPeninsula CTU, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, UK.
Anthea AspreyPrimary Care, University of Exeter Medical School, Exeter, UK.
Cath QuinnPrimary Care, Plymouth University Peninsula Schools of Medicine and Dentistry, Room 14, ITTC Building, Plymouth Science Park, Plymouth, PL6 8BX UK.
Fiona WarrenPrimary Care, University of Exeter Medical School, Exeter, UK.
Colin PritchardRoyal Cornwall Hospitals NHS trust, Truro, UK.
Nadine E FosterArthritis Research UK Primary Care Centre, Research Institute of Primary Care and Health Sciences, Keele University, Keele, UK.
Rod S TaylorPrimary Care, University of Exeter Medical School, Exeter, UK.
Martin UnderwoodWarwick Medical School, Coventry, UK.
Paul DieppePrimary Care, University of Exeter Medical School, Exeter, UK.
University of Exeter · GBUniversity of Plymouth · GBPeninsula College of Medicine and Dentistry · GBKeele University · GBRoyal Cornwall Hospital · GBUniversity of Warwick · GB

Funding

Department of Health NIHR-RP-011-015Department of Health PB-PG-0610-22292
6 · The paper itself

Abstract

backgroundEvidence suggests acupuncture may be effective for treating the symptoms of knee osteoarthritis. Offering this in a group setting may offer cost savings. The aim of this study was to establish the feasibility of a definitive trial to assess the clinical and cost-effectiveness of Western medical acupuncture given in groups, or given individually, for adults with severe knee pain attributable to osteoarthritis.

methodsA pilot randomised controlled trial (RCT) was conducted. Participants were recruited from seven general practices in Plymouth, Devon. Acupuncture was provided, at a dosage that increased up to and including electroacupuncture if no pain relief was reported, by one experienced acupuncturist in a community clinic. Potentially eligible adults aged at least 45 years with knee osteoarthritis were identified from practice registers, screened and randomised to either: (1) standardised advice and exercise booklet alone ('standard'); (2) booklet plus group acupuncture ('group'); and (3) booklet plus individual acupuncture ('individual'). Both acupuncture arms received up to ten treatments over 12 weeks. Recruitment, retention and data completion rates were recorded, and participants completed questionnaires on acceptability. We collected pain, stiffness and function data (using the Western Ontario McMaster Universities Osteoarthritis Index; WOMAC) and general health (EQ-5D) and economic measures at baseline and 14 weeks post-randomisation.

resultsWe screened 149 people and randomised 60 (40 %), 20 per arm. The overall 14 week follow-up rate was 77 %, but only 70 % in the 'standard' group; 4.1 % of data points were missing. The study was acceptable to participants. Changes in WOMAC pain score (intention to treat complete case analysis) from baseline to 14 week follow-up were: 'standard', 0.4 (95 % confidence interval (CI) -1.4, 2.2,

conclusionsA definitive three-arm trial is feasible. Further follow-up reminders, minimum data collection and incentives should be considered to improve participant retention in the follow-up processes in the standardised advice and exercise booklet arm.

trial registrationISRCTN05305406.

Indexed as

AcupunctureHealthcare deliveryKnee osteoarthritisPilot projectPrimary health careRandomised controlled trial

Identifiers

PMID27965830
PMCPMC5153913
OpenAlexW2294067373

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.