Effekt og sikkerhet ved akupunktur behandling av barn: Oversikt over oversikter

Efficacy and safety of acupuncture in children: an overview of systematic reviews

Authors
Yang, C. Hao, Z. Zhang, L. L. Guo, Q.
Year
2015
Journal
Pediatric Research
Volume
78
Pages
112-9
In recent years, acupuncture has increasingly being integrated into pediatric health care. It was used on ~150,000 children (0.2%). We aim to update the evidence for the efficacy and safety of acupuncture for children and evaluate the methodological qualities of these studies to improve future research in this area. We included 24 systematic reviews, comprising 142 randomized controlled trials (RCTs) with 12,787 participants. Only 25% (6/24) reviews were considered to be high quality (10.00+/-0.63). High-quality systematic reviews and Cochrane systematic reviews tend to yield neutral or negative results (P = 0.052, 0.009 respectively). The efficacy of acupuncture for five diseases (Cerebral Palsy (CP), nocturnal enuresis, tic disorders, amblyopia, and pain reduction) is promising. It was unclear for hypoxic ischemic encephalopathy, attention deficit hyperactivity disorder, mumps, autism spectrum disorder (ASD), asthma, nausea/vomiting, and myopia. Acupuncture is not effective for epilepsy. Only six reviews reported adverse events (AEs) and no fatal side effects were reported. The efficacy of acupuncture for some diseases is promising and there have been no fatal side effects reported. Further high-quality studies are justified, with five diseases in particular as research priorities.

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Type of intervention

Treatment and Child Welfare Interventions

Topic

Mental Health Problems and Disorders

Autism Spectrum Disorder

Other Problems

Encopresis/Enuresis

Tics and Tourettes

Biological Risk Factors, Diseases and Symptoms

Somatic Disease

Mental/Physical Impairment

Intervention

Alternative Treatment

Accupuncture

Age group

Age not specified

Characteristics

Overviews of Reviews

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