Needle Acupuncture for Substance Use Disorders: A Systematic Review

doi:10.7249/RR1030

GSTDTAP > 资源环境科学

DOI	10.7249/RR1030
报告编号	RR-1030-OSD
	Needle Acupuncture for Substance Use Disorders: A Systematic Review
	Sean Grant; Susanne Hempel; Ryan Kandrack; Aneesa Motala; Roberta M. Shanman; Marika Booth; Jeremy N. V. Miles; Whitney Dudley; Melony E. Sorbero
	2015
出版年	2015
页数	146
语种	英语
国家	美国
出版者	RAND Corporation
领域	资源环境
英文摘要	RAND researchers conducted a systematic review that synthesized evidence from randomized controlled trials of needle acupuncture — used adjunctively or as monotherapy — to provide estimates of its efficacy and safety for treating adults diagnosed with alcohol, opioid, stimulant, or cannabis use disorder. Outcomes of interest included relapse, frequency and quantity of substance use, withdrawal symptoms, treatment dropout, functional status, health-related quality of life, and adverse events. When possible, meta-analyses and meta-regressions were conducted using the Hartung-Knapp-Sidik-Jonkman method for random-effects models. Quality of evidence was assessed using the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) approach. Forty-one trials (reported in 48 publications) with 5,227 participants were included. The available evidence suggests no consistent effect of acupuncture versus comparator interventions on substance use outcomes. There were positive effects for withdrawal symptoms and anxiety, yet these results were based on low or very low quality of evidence. Meta-regressions indicated that treatment dropout results differed by substance targeted, and withdrawal/craving symptoms and treatment dropout differed by acupuncture type. We found no evidence to suggest that effects of needle acupuncture differed systematically by acupuncture when offered as adjunctive versus monotherapy or by type of comparator. Only 12 studies provided safety data, and these data suggest that acupuncture is not typically associated with serious adverse events. Given the quality of evidence, there is uncertainty with regard to the magnitude or stability of effect estimates.
英文关键词	Health Interventions Acupuncture Substance Abuse Treatment Substance Use Harm Reduction Substance Use
URL	查看原文
来源平台	Rand Corporation
引用统计
文献类型	科技报告
条目标识符	http://119.78.100.173/C666/handle/2XK7JSWQ/4184
专题	资源环境科学
推荐引用方式 GB/T 7714	Sean Grant,Susanne Hempel,Ryan Kandrack,et al. Needle Acupuncture for Substance Use Disorders: A Systematic Review:RAND Corporation,2015.