Evidence map›Paper›PMID 22867026›Full record

ArticleJournal of alternative and complementary medicine (New York, N.Y.)2012

The ADDOPT study (Acupuncture to Decrease Disparities in Outcomes of Pain Treatment): feasibility of offering acupuncture in the community health center setting.

M Diane McKee, Benjamin Kligler, Arthur E Blank, Jason Fletcher, Anne Jeffres, William Casalaina, Francesca Biryukov

Abstract readEvaluation StudyMulticenter Study
In one paragraph

Article in Journal of alternative and complementary medicine (New York, N.Y.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Acupuncture for chronic nonspecific low back pain.The Cochrane database of systematic reviews · 2020
    Pooled it
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  3. "It's Better in a Group Anyway": Patient Experiences of Group and Individual Acupuncture.Journal of alternative and complementary medicine (New York, N.Y.) · 2018
    Trial
  4. Outcomes of acupuncture for chronic pain in urban primary care.Journal of the American Board of Family Medicine : JABFM
    Trial
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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

7 authors at 4 institutions in 2 countries.

M Diane McKeeDepartment of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
Benjamin Kligler
Arthur E Blank
Jason Fletcher
Anne Jeffres
William Casalaina
Francesca Biryukov
Albert Einstein College of Medicine · USSwedish Medical Center · USYeshiva University · USPacific College of Oriental Medicine · US

Funding

Acupuncture to Decrease Disparities in Outcomes of Pain Treatment (ADDOPT)R21AT004543 · NCCIH · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI MCKEE, MELISSA DIANE · 2008 to 2010
$679k
NCCIH NIH HHS R21 AT004543
6 · The paper itself

Abstract

objectivesThis article describes the feasibility and acceptability of the Acupuncture to Decrease Disparities in Outcomes of Pain Treatment (ADDOPT) trial, which incorporates acupuncture as an adjunct to usual treatment for chronic pain in urban health centers.

designThe study assessed feasibility (ability to carry out in real-world practice; adequacy of resources; acceptability to patients, acupuncturists, and primary care clinicians).

settingFour (4) community health centers in the Bronx, NY, participating in the New York City Research and Improvement Networking Group (NYC RING), a practice-based research network dedicated to decreasing health disparities through primary care research and quality improvement in the urban safety net setting, were involved. SUBJECTS: The subjects comprised participants receiving care for chronic pain due to osteoarthritis, or neck or back pain at four Bronx health centers serving low-income families.

interventionThe intervention involved up to 14 weekly acupuncture treatments. OUTCOME MEASURES: Pain and functional status are assessed during a 6-week run-in period before, during, and postacupuncture treatment using the Brief Pain Inventory and the 12-Item Short Form Health Survey. This article reports on baseline status, referral and recruitment, engagement with treatment, and delivery of the intervention across sites.

resultsOf 400 patients referred, 185 have initiated treatment. The majority of attending physicians have referred, most commonly for back pain (n=103; 60.6%). Participants' average age is 53.9 (standard deviation [SD] 14.1); 54.1% are Hispanic; and 57.6% are on Medicaid. Half (48%) report "poor" or "fair" overall health. Patients report an average disability score of 74 (SD 27.0) and baseline pain severity on the Brief Pain Inventory of 6 (SD 1.9). Patients have completed a mean of 8.0 (SD 4.7) treatments; 72.4% complete >5 sessions.

conclusionsClinicians in this urban setting have incorporated acupuncture into chronic pain management. Despite disability and lack of familiarity, patients initiate acupuncture and show high levels of engagement with treatment.

Indexed as

Acupuncture TherapyCommunity Health ServicesPain ManagementActivities of Daily LivingAdultAge FactorsBack PainChronic PainEthnicityHealth StatusHumansMedicaidNeck PainNew York CityOsteoarthritisPatient Acceptance of Health Care

Identifiers

PMID22867026
PMCPMC3429271
OpenAlexW2060208095

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.