The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    If you found the information here helpful, please consider supporting this site.If you found the information here helpful, please consider supporting this site.

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  • Recent Comments

    Review: Acupuncture treatment for insomnia

    The results are positive, but poor study design makes it impossible to conclude it’s beneficial.

    First, the details.

    • The methodological quality of studies was assessed using the modified Jadad score.
    • The acupuncture procedure was appraised by the STRICTA criteria.
    • 20 studies of traditional needle acupuncture were identified for review.

    And, the results.

    • Most studies concluded that traditional needle acupuncture was significantly more effective than benzodiazepines for treating insomnia (91% vs 75%, respectively).
    • 2 more appropriately conducted trials reported that traditional needle acupuncture was more effective in improving sleep than sleep hygiene counseling and sham acupuncture.
    • Standardized and individualized acupuncture were similarly effective.

    The bottom line?
    The authors concluded, “Despite these positive outcomes, there were methodological shortcomings in the studies reviewed, including imprecise diagnostic procedure, problems with randomization, blinding issues, and insufficient safety data. Hence, the superior efficacy of traditional needle acupuncture over other treatments could not be ascertained.”

    But if the studies are flawed, then any conclusion about the effectiveness of traditional acupuncture, not just how it compares to other treatments, is in doubt.

    A 2007 Cochrane review written by some of the same authors came to a similar conclusion. “Poor methodological quality and significant clinical heterogeneity, means that the current evidence is not sufficiently extensive or rigorous to support the use of any form of acupuncture for the treatment of insomnia.”

    3/24/09 20:07 JR

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