PMID- 33341226
OWN - NLM
STAT- MEDLINE
DCOM- 20210308
LR  - 20210308
IS  - 1471-6771 (Electronic)
IS  - 0007-0912 (Linking)
VI  - 126
IP  - 3
DP  - 2021 Mar
TI  - Multicentre randomised controlled clinical trial of electroacupuncture with usual 
      care for patients with non-acute pain after back surgery.
PG  - 692-699
LID - S0007-0912(20)30926-0 [pii]
LID - 10.1016/j.bja.2020.10.038 [doi]
AB  - BACKGROUND: The purpose of this study was to investigate the effectiveness and 
      safety between electroacupuncture (EA) combined with usual care (UC) and UC alone 
      for pain reduction and functional improvement in patients with non-acute low back 
      pain (LBP) after back surgery. METHODS: In this multicentre, randomised, 
      assessor-blinded active-controlled trial, 108 participants were equally 
      randomised to either the EA with UC or the UC alone. Participants in the EA with 
      UC group received EA treatment and UC treatment twice a week for 4 weeks; those 
      allocated to the UC group received only UC. The primary outcome was the VAS pain 
      intensity score. The secondary outcomes were functional improvement (Oswestry 
      Disability Index [ODI]) and the quality of life (EuroQol-5-dimension 
      questionnaire [EQ-5D]). The outcomes were measured at Week 5. RESULTS: 
      Significant reductions were observed in the VAS (mean difference [MD] -8.15; 
      P=0.0311) and ODI scores (MD -3.98; P=0.0460) between two groups after 4 weeks of 
      treatment. No meaningful differences were found in the EQ-5D scores and incidence 
      of adverse events (AEs) between the groups. The reported AEs did not have a 
      causal relationship with EA treatment. CONCLUSIONS: The results showed that EA 
      with UC treatment was more effective than UC alone and relatively safe in 
      patients with non-acute LBP after back surgery. EA with UC treatment may be 
      considered as an effective, integrated, conservative treatment for patients with 
      non-acute LBP after back surgery. CLINICAL TRIAL REGISTRATION: KCT0001939.
CI  - Copyright (c) 2020 British Journal of Anaesthesia. Published by Elsevier Ltd. All 
      rights reserved.
FAU - Heo, In
AU  - Heo I
AD  - Spine & Joint Center, Department of Korean Rehabilitation Medicine, Pusan 
      National University Korean Medicine Hospital, Yangsan, South Korea; Division of 
      Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, 
      South Korea.
FAU - Shin, Byung-Cheul
AU  - Shin BC
AD  - Spine & Joint Center, Department of Korean Rehabilitation Medicine, Pusan 
      National University Korean Medicine Hospital, Yangsan, South Korea; Division of 
      Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, 
      South Korea.
FAU - Cho, Jae-Heung
AU  - Cho JH
AD  - Department of Korean Rehabilitation Medicine, Kyung Hee University, Seoul, South 
      Korea.
FAU - Ha, In-Hyuk
AU  - Ha IH
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, 
      South Korea.
FAU - Hwang, Eui-Hyoung
AU  - Hwang EH
AD  - Spine & Joint Center, Department of Korean Rehabilitation Medicine, Pusan 
      National University Korean Medicine Hospital, Yangsan, South Korea; Division of 
      Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, 
      South Korea.
FAU - Lee, Jun-Hwan
AU  - Lee JH
AD  - Clinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, South 
      Korea; University of Science & Technology, Korean Medicine Life Science, Campus 
      of Korea Institute of Oriental Medicine, Daejeon, South Korea.
FAU - Kim, Koh-Woon
AU  - Kim KW
AD  - Department of Korean Rehabilitation Medicine, Kyung Hee University, Seoul, South 
      Korea.
FAU - Kim, Me-Riong
AU  - Kim MR
AD  - Jaseng Hospital of Korean Medicine, Seoul, South Korea.
FAU - Jung, So-Young
AU  - Jung SY
AD  - Clinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, South 
      Korea.
FAU - Kwon, Ojin
AU  - Kwon O
AD  - Clinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, South 
      Korea.
FAU - Kim, Nam-Kwen
AU  - Kim NK
AD  - Department of Ophthalmology & Otolaryngology and Dermatology, School of Korean 
      Medicine, Pusan National University, Yangsan, South Korea.
FAU - Son, Dong-Wuk
AU  - Son DW
AD  - Department of Neurosurgery, Yangsan Pusan National University Hospital, Yangsan, 
      South Korea.
FAU - Shin, Kyung-Min
AU  - Shin KM
AD  - Clinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, South 
      Korea. Electronic address: kyungmin7221@kiom.re.kr.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
DEP - 20201216
PL  - England
TA  - Br J Anaesth
JT  - British journal of anaesthesia
JID - 0372541
SB  - IM
MH  - Electric Stimulation Therapy/*methods
MH  - Electroacupuncture/*methods
MH  - Female
MH  - Humans
MH  - Low Back Pain/*therapy
MH  - Male
MH  - Middle Aged
MH  - Pain Management/*methods
MH  - Pain Measurement
MH  - *Spinal Fusion
MH  - Treatment Outcome
OTO - NOTNLM
OT  - back surgery
OT  - electroacupuncture
OT  - integrative medicine
OT  - low back pain
OT  - postoperative pain
OT  - randomised controlled trial
EDAT- 2020/12/21 06:00
MHDA- 2021/03/09 06:00
CRDT- 2020/12/20 20:20
PHST- 2019/12/20 00:00 [received]
PHST- 2020/09/28 00:00 [revised]
PHST- 2020/10/23 00:00 [accepted]
PHST- 2020/12/21 06:00 [pubmed]
PHST- 2021/03/09 06:00 [medline]
PHST- 2020/12/20 20:20 [entrez]
AID - S0007-0912(20)30926-0 [pii]
AID - 10.1016/j.bja.2020.10.038 [doi]
PST - ppublish
SO  - Br J Anaesth. 2021 Mar;126(3):692-699. doi: 10.1016/j.bja.2020.10.038. Epub 2020 
      Dec 16.