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A systematic review of evidence for the effectiveness of practitioner-based complementary and alternative therapies in the management of rheumatic diseases: rheumatoid arthritis

Macfarlane, Gary J., Paudyal, Priya, Doherty, Michael, Ernst, Edzard, Lewith, George, MacPherson, Hugh, Sim, Julius and Jones, Gareth.T. Arthritis Research UK Working Group on Complementary and Alternative Therapies for the Management of the Rheumatic Diseases (2012) A systematic review of evidence for the effectiveness of practitioner-based complementary and alternative therapies in the management of rheumatic diseases: rheumatoid arthritis Rheumatology (doi:10.1093/rheumatology/kes133). (PMID:22661556).

Record type: Article

Abstract

Objective. To critically review the evidence on the effectiveness of complementary therapies for patients with RA.

Methods. Randomized controlled trials, published in English up to May 2011, were identified using systematic searches of bibliographic databases and searching of reference lists. Information was extracted on outcomes and statistical significance in comparison with alternative treatments and reported side effects. The methodological quality of the identified studies was determined using the Jadad scoring system. All outcomes were considered but with a focus on patient global assessment and pain reporting.

Results. Eleven eligible trials were identified covering seven therapies. Three trials that compared acupuncture with sham acupuncture reported no significant difference in pain reduction between the groups but one out of two reported an improvement in patient global assessment. Except for reduction in physician's global assessment of treatment and disease activity reported in one trial, no other comparative benefit of acupuncture was seen. There were two studies on meditation and one each on autogenic training, healing therapy, progressive muscle relaxation, static magnets and tai chi. None of these trials reported positive comparative effects on pain but some positive effects on patient global assessment were noted at individual time points in the healing therapy and magnet therapy studies. A small number of other outcomes showed comparative improvement in individual trials. There were no reports of major adverse events.

Conclusion. The very limited evidence available indicates that for none of the practitioner-based complementary therapies considered here is there good evidence of efficacy or effectiveness in the management of RA.

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More information

e-pub ahead of print date: 1 June 2012
Keywords: complementary medicine, randomized controlled trials, rheumatoid arthritis, acupuncture, meditation, autogenic training, healing therapy, progressive muscle relaxation, static magnets, tai chi
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 341463
URI: http://eprints.soton.ac.uk/id/eprint/341463
ISSN: 1462-0324
PURE UUID: 3a07fc09-89f0-44d2-9470-f02cca4e90a4

Catalogue record

Date deposited: 24 Jul 2012 15:52
Last modified: 18 Jul 2017 05:36

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Contributors

Author: Gary J. Macfarlane
Author: Priya Paudyal
Author: Michael Doherty
Author: Edzard Ernst
Author: George Lewith
Author: Hugh MacPherson
Author: Julius Sim
Author: Gareth.T. Jones

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