A Randomized Clinical Trial of Group Acupuncture for Painful Diabetic Neuropathy Among Diverse Safety Net Patients
| العنوان: | A Randomized Clinical Trial of Group Acupuncture for Painful Diabetic Neuropathy Among Diverse Safety Net Patients |
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| المؤلفون: | Frederick Hecht, Maria T. Chao, Unity Nguyen, Trilce Santana, Dean Schillinger, Steve Gregorich, Rhianon Liu |
| المصدر: | Pain medicine (Malden, Mass.), vol 20, iss 11 Pain Med |
| بيانات النشر: | Oxford University Press (OUP), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Clinical Trials and Supportive Activities, Clinical Sciences, Acupuncture Therapy, Pain, law.invention, Diabetic Neuropathies, Quality of life, Randomized controlled trial, Clinical Research, Anesthesiology, law, Rating scale, Diabetes mellitus, Complementary and Integrative Health, Diabetes Mellitus, medicine, Acupuncture, Humans, Peripheral Neuropathy, business.industry, Diabetes, Pain Research, Neurosciences, Pharmacology and Pharmaceutical Sciences, General Medicine, Middle Aged, medicine.disease, INTEGRATIVE MEDICINE SECTION, Confidence interval, Neuropathy, Health Disparities, Anesthesiology and Pain Medicine, Painful diabetic neuropathy, Randomized Clinical Trial, Usual care, Quality of Life, Public Health and Health Services, Physical therapy, Female, Patient Safety, Neurology (clinical), Chronic Pain, business |
| الوصف: | Objective Existing pharmacologic approaches for painful diabetic neuropathy (PDN) are limited in efficacy and have side effects. We examined the feasibility, acceptability, and effects of group acupuncture for PDN. Design and Setting We randomized patients with PDN from a public safety net hospital to 1) usual care, 2) usual care plus 12 weeks of group acupuncture once weekly, or 3) usual care plus 12 weeks of group acupuncture twice weekly. Methods The primary outcome was change in weekly pain intensity (daily 0–10 numerical rating scale [NRS] averaged over seven days) from baseline to week 12. We also assessed health-related quality of life and related symptoms at baseline and weeks 6, 12, and 18. Results We enrolled 40 patients with PDN (baseline pain = 5.3). Among participants randomized to acupuncture, 92% attended at least one treatment (mean treatments = 10.1). We observed no significant differences between once- vs twice-weekly acupuncture and combined those groups for the main analyses. Compared with usual care, participants randomized to acupuncture experienced greater decreases in pain during the 12-week intervention period (between-group differences from baseline = –2.06, 95% confidence interval [CI] = –3.01 to –1.10), but benefits were not maintained after acupuncture ended (baseline to week 18 = –0.61, 95% CI = –1.46 to 0.24). Quality of life improved for acupuncture participants (baseline to week 12 difference = 11.79, 95% CI = 1.92 to 21.66), but group differences were not significant compared with usual care (25.58, 95% CI = –3.90 to 55.06). Conclusions Group acupuncture is feasible and acceptable among linguistically and racially diverse safety net patients. Findings suggest clinically relevant reduction in pain from PDN and quality of life improvements associated with acupuncture, with no differences based on frequency. |
| وصف الملف: | application/pdf |
| تدمد: | 1526-4637 1526-2375 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c56e7fe8fea83c0ae24ecdd06aabd514 https://doi.org/10.1093/pm/pnz117 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....c56e7fe8fea83c0ae24ecdd06aabd514 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15264637 15262375 |
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