http://www.gopubmed.org/web/gopubmed/ acupuncture and fibromyalgia syndrome 105 documents semantically analyzed top author statistics 1 2 Top Years Publications 2007 14 2006 12 2005 10 2009 9 2008 9 2000 7 2010 6 2004 6 1999 6 1998 4 2001 3 2003 2 2002 2 1997 2 1992 2 1996 1 1995 1 1993 1 1991 1 1989 1 1 2 Top Countries Publications USA 36 United Kingdom 7 Germany 7 China 6 Sweden 6 Turkey 3 Switzerland 3 Spain 2 Brazil 2 Netherlands 2 Japan 1 Israel 1 France 1 Singapore 1 Russia 1 Belgium 1 Canada 1 1 2 3 Top Cities Publications Ann Arbor 7 Baltimore 5 Exeter 4 Essen 4 Beijing 3 Stockholm 3 Seattle 3 So Paulo 2 Diyarbak?r 2 Gainesville 2 Munich 2 Boston 2 Linkping 2 Geneva 2 Kyoto 1 Chicago 1 Cleveland 1 Toledo, Spain 1 Shijiazhuang 1 Madrid 1 1 2 3 1 2 3 4 Top Journals Publications Acupunct Med 5 Zhongguo Zhen Jiu 4 J Altern Complement Med 3 Rheumatology (oxford) 3 Best Pract Res Cl Rh 3 J Altern Complem Med 3 Ann Intern Med 3 Bmj 3 Am Fam Physician 2 Rheumatol Int 2 Altern Ther Health M 2 Mmw Fortschr Med 2 Curr Rheumatol Rep 2 Mayo Clin Proc 2 Clin Exp Rheumatol 2 Curr Pain Headache Rep 2 Eur J Pain 2 J Rheumatol Suppl 2 South Med J 2 Ugeskr Laeger 2 1 2 3 4 1 2 3 ... 27 Top Terms Publications Fibromyalgia 104 Humans 94 Acupuncture 85 Patients 61 Acupuncture Therapy 54 Syndrome 46 Treatment Outcome 31 Adult 30 Evaluation Studies as Topic 26 Middle Aged 26 Medicine 24 Complementary Therapies 24 Pain 24 Pain Measurement 23 Physics 19 Therapeutics 16 Acupuncture Analgesia 16 Fatigue 15 Randomized Controlled Trials as Topic 15 Exercise 15 1 2 3 ... 27 1 2 3 ... 13 Top Authors Publications Clauw D 4 Berman B 4 Swyers J 4 Lund I 3 Gracely R 3 Ernst E 3 Singh B 2 Imamura M 2 Gur A 2 Irnich D 2 Staud R 2 Lundeberg T 2 McLean S 2 Harris R 2 Williams D 2 Petzke F 2 Gerdle B 2 Sandberg M 2 Lindberg L 2 Buchwald D 2 1 2 3 ... 13 系统综述 http://plus.mcmaster.ca/EvidenceUpdates/MMA.aspx?ArticleID=33691 Langhorst J, Klose P, Musial F, et al. Efficacy of acupuncture in fibromyalgia syndrome--a systematic review with a meta-analysis of controlled clinical trials. Rheumatology (Oxford). 2010 Apr;49(4):778-88. Epub 2010 Jan 25. (Review) PMID: 20100789 ReadAbstract ReadComments DISCIPLINE RELEVANCE TO PRACTICE IS THIS NEWS? General Internal Medicine-Primary Care(US) General Practice(GP)/Family Practice(FP) Internal Medicine Rheumatology Special Interest - Pain -- Physician Print Save Article Email this article to a colleague Abstract OBJECTIVE: To systematically review the efficacy of acupuncture in fibromyalgia syndrome (FMS). METHODS: MEDLINE, PsychInfo, EMBASE, CAMBASE and the Cochrane Library were screened (through July 2009). The reference sections of original studies and systematic reviews for randomized controlled trials (RCTs) on acupuncture in FMS were searched. RESULTS: Seven RCTs with a median treatment time of 9 (range 6-25) sessions and 385 patients were included. Outcomes of interest were key symptoms of FMS, namely pain, fatigue, sleep disturbances, reduced physical function and side effects at post-treatment. Follow-up of two RCTs with a median follow-up of 26 weeks was available. Standardized mean differences (SMDs) comparing verum and control acupuncture were calculated. Strong evidence for the reduction of pain (SMD -0.25; 95% CI -0.49, -0.02; P = 0.04) was found at post-treatment. There was no evidence for the reduction of fatigue and sleep disturbances, or the improvement of physical function at post-treatment. There was no evidence for the reduction of pain and improvement of physical function at the latest follow-up. Subgroup analyses resulted in moderate evidence for a significant and small reduction of pain at post-treatment in studies with electro-stimulation and individualized acupuncture. Stratifying the type of controls (penetrating vs non-penetrating control acupuncture) did not change the results. Significant reduction of pain was only present in studies with risk of bias. Side effects were inconsistently reported. CONCLUSION: A small analgesic effect of acupuncture was present, which, however, was not clearly distinguishable from bias. Thus, acupuncture cannot be recommended for the management of FMS. Comments from Clinical Raters Rheumatology I have rated the relevance high but since many of my colleagues assert that they do not think fibromyalgia is a rheumatological disorder, they may disagree. Rheumatology This meta-analysis confirms that while acupuncture may be helpful for the select individual patient, we continue to lack evidence to advocate it as part of the generalized FMS treatment plan. Special Interest - Pain -- Physician Meta-analysis demonstrated small analgesic effect of acupuncture. Acupuncture could be recommended for fibromyalgia as an adjunct treatment modality. Special Interest - Pain -- Physician This meta-analysis of publications on the use of acupuncture showed what other meta-analyses show: often there are insufficient good quality publications from which to reach a conclusion. In this case, the meta-analysis showed that acupuncture probably has a small effect on pain but no significant effect on any other symptoms that fibromyalgia sufferers experience, and probably little clinical utility in the treatment of fibromyalgia. It also showed that the choice of a control treatment for acupuncture can be problematic and may explain the varied results in studies looking at acupuncture in the treatment of fibromyalgia, and in the study of acupuncture in the treatment of other medical conditions. Overall, this meta-analysis does not support the use of acupuncture in the treatment of fibromyalgia.
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