Cochrane · systematic review · CD013010
Acupuncture for hip osteoarthritis
Manheimer, E, Cheng, K, Wieland, LS, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
34
current version
GRADE rated
9
No studies
22
Included studies
NR
No studies 22 · 64.7%Ungraded 3 · 8.8%Very low 3 · 8.8%Low 4 · 11.8%Moderate 2 · 5.9%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Acupuncture versus sham acupuncture for hip osteoarthritis
Population: patients with hip osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain (short‐term) WOMAC scale from: 0 to 100 (higher is worse pain). Acupuncture vs sham acupuncture | no estimate extracted | 2 studies · 105 participants | Moderate Downgraded: imprecision |
Function (short‐term) WOMAC scale from: 0 to 100 (higher is worse function). Acupuncture vs sham acupuncture | no estimate extracted | 2 studies · 105 participants | Moderate Downgraded: imprecision |
Quality of life Acupuncture vs sham acupuncture | no estimate extracted | NR | No studies |
Number of patients experiencing adverse events Acupuncture vs sham acupuncture | no estimate extracted | NR | No studies |
Withdrawals due to adverse events Acupuncture vs sham acupuncture | no estimate extracted | NR | No studies |
Serious adverse events Acupuncture vs sham acupuncture | no estimate extracted | NR | No studies |
Acupuncture as an addition to the routine primary care that trial participants were receiving from their physicians versus routine primary physician care alone for hip osteoarthritis
Population: Patients with hip osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcomesa Acupuncture as an addition to the routine primary care that trial participants were receiving from their physicians vs routine primary physician care alone | no estimate extracted | NR | No studies |
Pain (short‐term) WOMAC scale from: 0 to 100 (higher is worse pain). Acupuncture as an addition to the routine primary care that trial participants were receiving from their physicians vs routine primary physician care alone | no estimate extracted | 1 study · 137 participants | Low Downgraded: risk of bias, imprecision |
Function (short‐term) WOMAC scale from: 0 to 100 (higher is worse function). Acupuncture as an addition to the routine primary care that trial participants were receiving from their physicians vs routine primary physician care alone | no estimate extracted | 1 study · 137 participants | Low Downgraded: risk of bias, imprecision |
Quality of life (physical component) (short‐term) SF‐36 physical component scale from 0 to 100 (higher is better quality of life). Acupuncture as an addition to the routine primary care that trial participants were receiving from their physicians vs routine primary physician care alone | no estimate extracted | 1 study · 137 participants | Low Downgraded: risk of bias, imprecision |
Quality of life (mental component) (short‐term) SF‐36 physical component scale from 0 to 100 (higher is better quality of life). Acupuncture as an addition to the routine primary care that trial participants were receiving from their physicians vs routine primary physician care alone | no estimate extracted | 1 study · 137 participants | Low Downgraded: risk of bias, imprecision |
Number of patients experiencing adverse events Acupuncture as an addition to the routine primary care that trial participants were receiving from their physicians vs routine primary physician care alone | no estimate extracted | NR | No studies |
Withdrawals due to adverse events Acupuncture as an addition to the routine primary care that trial participants were receiving from their physicians vs routine primary physician care alone | no estimate extracted | NR | No studies |
Serious adverse events Acupuncture as an addition to the routine primary care that trial participants were receiving from their physicians vs routine primary physician care alone | no estimate extracted | NR | No studies |
Acupuncture versus advice plus exercise for hip osteoarthritis
Population: patients with hip osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcomesa Acupuncture vs advice plus exercise | no estimate extracted | NR | No studies |
Pain (short‐term) Acupuncture vs advice plus exercise | no estimate extracted | NR | No studies |
Function (short‐term) Acupuncture vs advice plus exercise | no estimate extracted | NR | No studies |
Symptom severity (modified WOMAC total) (range 0‐1,600, with lower scores indicating decrease in symptom severity) Acupuncture vs advice plus exercise | no estimate extracted | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision |
Number of patients experiencing adverse events Acupuncture vs advice plus exercise | no estimate extracted | NR | No studies |
Withdrawals due to adverse events Acupuncture vs advice plus exercise | no estimate extracted | NR | No studies |
Serious adverse events Acupuncture vs advice plus exercise | no estimate extracted | NR | No studies |
Acupuncture as an addition to patient education versus patient education alone for hip osteoarthritis
Population: Patients with hip osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain (short‐term) VAS scale from: 0 to 100 (higher is worse pain). Acupuncture as an addition to patient education vs patient education alone | no estimate extracted | 1 study · 25 participants | Ungraded |
Function (short‐term) DRI scale from: 0 to 100 (higher is worse function). Acupuncture as an addition to patient education vs patient education alone | no estimate extracted | 1 study · 25 participants | Ungraded |
Quality of life (short‐term) GSI scale from 0 to 10 (higher is worse quality of life). Acupuncture as an addition to patient education vs patient education alone | no estimate extracted | 1 study · 25 participants | Ungraded |
Number of patients experiencing adverse events Acupuncture as an addition to patient education vs patient education alone | no estimate extracted | NR | No studies |
Withdrawals due to adverse events Acupuncture as an addition to patient education vs patient education alone | no estimate extracted | NR | No studies |
Serious adverse events Acupuncture as an addition to patient education vs patient education alone | no estimate extracted | NR | No studies |
Acupuncture versus NSAIDs for hip osteoarthritis
Population: patients with hip osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcomesa Acupuncture vs NSAIDs | no estimate extracted | NR | No studies |
Pain (short‐term) VAS scale from: 0 to 100 (higher is worse pain). Acupuncture vs NSAIDs | no estimate extracted | 1 study · 60 participants | Very low Downgraded: risk of bias, imprecision |
Function (short‐term) Harris function score from: 0 to 47 (higher is better function). Acupuncture vs NSAIDs | no estimate extracted | 1 study · 60 participants | Very low Downgraded: risk of bias, imprecision |
Quality of life Acupuncture vs NSAIDs | no estimate extracted | NR | No studies |
Number of patients experiencing adverse events Acupuncture vs NSAIDs | no estimate extracted | NR | No studies |
Withdrawals due to adverse events Acupuncture vs NSAIDs | no estimate extracted | NR | No studies |
Serious adverse events Acupuncture vs NSAIDs | no estimate extracted | NR | No studies |