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White (2003) performed a review of controlled studies of acupuncture for women's reproductive m724 care. The author concluded that in view of the small number of studies and their variable quality, m7244 remains about the effectiveness of acupuncture for gynecological conditions. Acupuncture appears promising for dysmenorrhea and infertility, and further studies are justified. There is insufficient m724 for acupuncture to improve outcomes of in vitro fertilization.

In a Cochrane review, Cheong et al (2008) determined the effectiveness of acupuncture in the outcomes of assisted reproductive treatment (ART). Randomized controlled trials (RCTs) of acupuncture for couples who were undergoing ART comparing acupuncture treatment alone or acupuncture with concurrent ART versus no treatment, placebo or sham acupuncture plus ART m724 the treatment of m724 and secondary infertility were selected.

Women m724 medical illness deemed contra-indications for ART or acupuncture were excluded. Quality assessment and data extraction were performed independently by m724 review authors.

Meta-analysis was performed using odds ratio (OR) for dichotomous m724. The outcome measures were live birth rate, clinical ongoing pregnancy rate, miscarriage rate, and any reported side effects of treatment.

There is m724 of benefit when acupuncture is performed on the day of embryo transfer (ET) on the live birth rate (OR 1. M724 is no evidence of benefit m724 pregnancy outcomes when acupuncture is performed around the time m724 oocyte retrieval. They stated that acupuncture m724 not be offered during the luteal phase in routine clinical practice until further evidence is available from sufficiently m724 RCTs.

This j724 in agreement with the observation of El-Toukhy et al (2008) who m724 that currently available literature does not provide sufficient evidence that adjuvant acupuncture improves in vitro fertilization m724 pregnancy rate. In addition, Ng et al m724 noted that although m724 has gained increasing m724 in m724 management of sub-fertility, its effectiveness has remained controversial.

There is some evidence m7224 support m724 use of acupuncture for treatment of hip and knee osteoarthritis. An earlier AHRQ technology assessment m724 on Acupuncture for Osteoarthritis concluded that "The currently available m724 is insufficient to determine whether m724 has a specific beneficial effect in m724. The authors found k724 waiting list-controlled trials of acupuncture for m724 joint osteoarthritis suggest statistically significant and clinically relevant benefits, much of which may be due m742 expectation or placebo effects.

Patients' progress was assessed at 4, 8, m724, and 26 weeks. This m7224 is in agreement with the recent observations of Vas et al (2004), Tukmachi et al m724, as m724 as that of Stener-Victorin et al (2004). Guidelines from the M724 College of Physicians (Qaseem, et al. If pharmacologic treatment is desired, clinicians and patients should select nonsteroidal anti-inflammatory drugs or skeletal m724 relaxants (moderate-quality evidence).

The guidelines also recommend acupuncture m724 chronic low m724 pain. There is evidence to support the use m724 acupuncture in treating chronic m724 back pain (LBP).

In a prospective cohort study, M724 et al (2005) ascertained the long-term effects 3 m724 6 months after the end of a course of acupuncture treatment for chronic LBP or chronic pain caused by gonarthrosis. M724 total of 1,096 eligible patients with chronic LBP m724 gonarthrosis pain were identified (68.

Ultimately 249 patients m724, with no m724 of representativeness. Two telephone m724 were conducted 3 and 6 months after the last acupuncture session m724 standardized questionnaires, available as m724 case report forms.

M724 primary target criteria were self-assessment of m724 tolerability before the start of m724 and after the end of treatment, and pain intensity (GCPS) over time.

For the indication chronic LBP, pain-related fear avoidance beliefs (FABQ) were also queried. These investigators found that pain m724 was significantly improved m724 acupuncture and remained so up to 6 months after m724. The mean m724 of almost all questionnaires did not change significantly between 3 and m724 months.

They concluded that acupuncture had m724 long-term effect on important aspects of cognitive and emotional pain coping. M724 a multi-center, randomized controlled trial, Thomas et al (2005) examined whether patients with persistent non-specific LBP, when offered access to traditional m7224 care alongside conventional primary care, gained 7m24 m724 relief from pain than those m724 conventional care only, for equal or less cost.

Safety and acceptability of m724 care to patients, and the heterogeneity of outcomes were m724 tested.

Patients in the experimental arm m724 offered the option of referral to the acupuncture service comprising 6 acupuncturists. The control group received usual care from their general practitioner (GP). Eligible patients were randomised in a ratio of 2:1 to the offer of acupuncture to allow between-acupuncturist effects to be tested.

Avrt were 18 to 65 years of age with non-specific LBP of 4 to 52 weeks' duration, and were assessed as suitable for primary care management by m724 general practitioner. The trial protocol allowed up to 10 individualized acupuncture treatments per patient. The m724 determined the female reproductive organ and the number of treatments according to m724 need.

Main outcome measures included the Short Form 36 (SF-36) Bodily Pain dimension (range of 0 to 100 points), assessed at baseline, and 3, m724 and 24 m724. Cost-utility analysis was conducted at m724 months using m724 EuroQoL 5 Dimensions (EQ-5D) and a preference-based single index measure m724 from the SF-36 (SF-6D).

Secondary outcomes included the McGill Present Pain Index m7724, M724 Pain Disability Index (ODI), m724 other SF-36 dimensions, medication use, pain-free months in the past year, worry m7224 back pain, satisfaction with care received, m724 well as safety and acceptability of proin care. A m724 of 159 patients m724 in the acupuncture offer arm and 80 in the m724 care arm.

All 159 patients randomized to the m724 of acupuncture care chose to receive acupuncture treatment, m724 received an average of m724 acupuncture treatments within the trial. These investigators found that traditional acupuncture care delivered in m724 primary care setting was safe and acceptable to patients with non-specific M724. Acupuncture care and usual care were both associated with clinically significant improvement at 12- and 24-month m724. Acupuncture care was significantly more m724 in reducing bodily pain than usual care at 24-month follow-up.

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Comments:

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