PMID- 36112861
OWN - NLM
STAT- MEDLINE
DCOM- 20230118
LR  - 20230118
IS  - 1759-9873 (Electronic)
IS  - 0964-5284 (Linking)
VI  - 41
IP  - 1
DP  - 2023 Feb
TI  - An audit of structure-based medical acupuncture by a single provider in patients 
      with musculoskeletal pain using PROMIS scores as the outcome.
PG  - 48-54
LID - 10.1177/09645284221118589 [doi]
AB  - BACKGROUND: To assess whether structure-based medical acupuncture (SMA) can 
      improve Patient-Reported Outcomes Measurement Information System (PROMIS) scores 
      in patients presenting with musculoskeletal pain. METHODS: An audit was conducted 
      of all patients presenting with musculoskeletal pain treated by a single provider 
      with SMA in 2017. Inclusion criteria included a pre-treatment and at least one 
      post-treatment PROMIS score. Patient demographics and previous treatments tried 
      were recorded. Documented events other than acupuncture that were thought to 
      interfere with PROMIS scores were recorded, and no further scores were used after 
      these events. A maximum of nine visits after the initial visit were used. The 
      PROMIS domains assessed included anxiety, depression, pain interference and 
      physical function. RESULTS: Seventy-two patients who had been treated with SMA 
      met the inclusion criteria. Sixty-five of the patients (90%) had chronic pain. 
      For their presenting complaint, 59 (82%) had previously sought treatment from 
      another non-operative provider, 60 (83%) had tried physical therapy, and 20 (28%) 
      had even had surgery. Despite this, SMA appeared to be able to significantly 
      improve PROMIS anxiety at visits 1-3 and PROMIS depression at visit 3. After just 
      one treatment, minimal clinically important differences (MCID) were reached in 
      32%-44% of patients for PROMIS anxiety, 17%-36% for PROMIS depression, 28%-29% 
      for PROMIS physical function, and 21%-36% for PROMIS pain interference, based on 
      low and high cut-offs of a range of quoted MCID values. CONCLUSION: In a 
      difficult patient population with musculoskeletal pain, SMA is a technique that 
      can likely be used to improve PROMIS anxiety and depression, although no firm 
      conclusions can be drawn from this uncontrolled clinical audit. Of note, MCIDs 
      were sometimes obtained even after just one treatment.
FAU - Tang, Chi-Tsai
AU  - Tang CT
AUID- ORCID: 0000-0002-0442-5714
AD  - Division of Physical Medicine and Rehabilitation, Department of Orthopaedic 
      Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 
      USA.
FAU - Sookochoff, Michael
AU  - Sookochoff M
AD  - Division of Physical Medicine and Rehabilitation, Department of Orthopaedic 
      Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 
      USA.
FAU - Rhea, Lee
AU  - Rhea L
AD  - Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
FAU - Carrier, Jonathan
AU  - Carrier J
AD  - Henry Ford Health System, Detroit, MI, USA.
FAU - Prather, Heidi
AU  - Prather H
AD  - Hospital for Special Surgery, New York, NY, USA.
FAU - Guan, Ling
AU  - Guan L
AD  - Chinese PLA General Hospital, Beijing, Beijing, China.
LA  - eng
PT  - Journal Article
DEP - 20220913
PL  - England
TA  - Acupunct Med
JT  - Acupuncture in medicine : journal of the British Medical Acupuncture Society
JID - 9304117
SB  - IM
MH  - Humans
MH  - *Musculoskeletal Pain/therapy
MH  - Anxiety/therapy
MH  - Patients
MH  - Surveys and Questionnaires
MH  - *Acupuncture Therapy
OTO - NOTNLM
OT  - acupuncture
OT  - anxiety disorders
OT  - depression and mood disorders
OT  - musculoskeletal disorders
OT  - orthopaedic and trauma
OT  - pain management
OT  - physical medicine and rehabilitation
OT  - psychiatry
EDAT- 2022/09/17 06:00
MHDA- 2023/01/19 06:00
CRDT- 2022/09/16 15:33
PHST- 2022/09/17 06:00 [pubmed]
PHST- 2023/01/19 06:00 [medline]
PHST- 2022/09/16 15:33 [entrez]
AID - 10.1177/09645284221118589 [doi]
PST - ppublish
SO  - Acupunct Med. 2023 Feb;41(1):48-54. doi: 10.1177/09645284221118589. Epub 2022 Sep 
      13.