Evidence map›Paper›PMID 24204065›Full record

Trial reportJournal of the American Board of Family Medicine : JABFM

Outcomes of acupuncture for chronic pain in urban primary care.

M Diane McKee, Benjamin Kligler, Jason Fletcher, Francesca Biryukov, William Casalaina, Belinda Anderson, Arthur Blank

Open access · bronzeAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
13.6field-weighted citation impact, top 2% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Trial
  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
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  13. Interprofessional Competencies in Integrative Primary Healthcare.Global advances in health and medicine · 2015
    Article
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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 3 institutions in 1 country.

M Diane McKeethe Department of Family and Social Medicine, lbert Einstein College of Medicine, Bronx, NY; the Department of Integrative Medicine, Beth Israel Medical Center, New York, NY; the Swedish Institute, New York, NY; and the Pacific College of Oriental Medicine, New York, NY.
Benjamin Kligler
Jason Fletcher
Francesca Biryukov
William Casalaina
Belinda Anderson
Arthur Blank
Albert Einstein College of Medicine · USMount Sinai Beth Israel · USSwedish Medical Center · 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

purposeThe purpose of this study was to describe outcomes of the Acupuncture to Decrease Disparities in Outcomes of Pain Treatment (ADDOPT) trial, testing acupuncture as an adjunct to usual treatment for chronic pain in urban health centers.

methodWe conducted a quasi-experimental trial. Primary care patients (>21 years old) with chronic pain caused by osteoarthritis or neck or back pain at 4 hospital-owned safety net health centers in the Bronx, New York, received weekly acupuncture treatments provided by supervised acupuncture students for up to 14 weeks. Pain and functional status were assessed during a 6-week run-in period before acupuncture, during treatment, and after treatment.

resultsOf 495 referred patients, 226 (47%) initiated acupuncture. Back pain was the most common referring diagnosis (59.5%) followed by osteoarthritis (16.3%). Patients were older (mean age, 54.3 years), mostly insured by Medicaid (60.4%), often receiving disability (38.3%), and often in poor or fair overall health (46.7%). They had high baseline levels of pain (mean severity per the Brief Pain Inventory, 6.8; mean days with pain, 12.3 of 14). The mean number of treatments was 9.7 (standard deviation, 7.3). Pain severity improved from baseline (6.8 vs. 5.6 at 12 weeks and 5.5 at 24 weeks), as did physical well-being (31.8 vs. 35.7 at 12 weeks and 35.3 at 24 weeks). Using hierarchical linear modeling methods, reduction in pain severity between baseline and the treatment phase was significant (P < .001). Improvements in physical well-being were significant at 12 and 24 weeks after baseline (P < .001).

conclusionsReferred primary care patients experienced high levels of pain and pain-related disability. Weekly acupuncture was associated with short-term improvements in pain and quality of life.

Indexed as

Persons with DisabilitiesUrban Health ServicesUrban PopulationAcupuncture TherapyChronic PainFemaleFollow-Up StudiesHumansMaleMiddle AgedPrimary Health CareRetrospective StudiesSurveys and QuestionnairesTreatment OutcomeUnited StatesAcupunctureChronic PainComplementary MedicineUnderserved Populations

Identifiers

PMID24204065
PMCPMC3979293
OpenAlexW2157199511

What OpenQuestion holds

Textmetadata
LicenceTDM
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.