Letters to JAMA Exposing Acupuncture Research
Flaws Applauded by TCMAAA
TCMAAA calls for stricter adherence to research
ethics and well-designed acupuncture studies among the integrative medicine
community
TAMPA, Fla.--(BUSINESS WIRE)--In five letters to the editor
published in the latest issue of JAMA, the Journal of the American Medical
Association, acupuncture clinicians and researchers around the world point
to key flaws that call into question the validity and research methods used in
a randomized clinical trial published in JAMA in October of 2014. The
Australian study, Acupuncture for chronic knee pain: a randomized clinical
trial, by Hinman, et al., concluded, "In patients older than 50 years with
moderate or severe chronic knee pain, neither laser nor needle acupuncture
conferred benefit over sham for pain or function. Our findings do not support
acupuncture for these patients." Many American acupuncturists were
outraged when the October 2014 article was published in JAMA and have called
for a review of the study's design and protocols.
Yong Ming Li, MD, Ph.D., of New Jersey challenges that the
researchers altered the aims and hypotheses of the study after the data was collected and the trial
was closed. According to the original aims and hypotheses submitted to the
official clinical trials registry in 2009 the objective of the study was not to
evaluate the effectiveness of traditional needle acupuncture against sham laser
acupuncture, but to evaluate laser acupuncture against sham laser acupuncture
with needle acupuncture serving as a positive control for laser acupuncture.
Protocols originally filed with the registry as well as the authors' baseline
publication do not describe sham laser acupuncture as being a control for
needle acupuncture. Dr. Li's letter furthermore debates the validity of using
sham laser acupuncture as a control for needle acupuncture, as it is not
generally accepted as a valid control for needle acupuncture.
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