Bei welchen Indikationen ist die Akupunktur gesichert wirksam? – Zusammenfassung der Übersichtsarbeit The State of Evidence in Acupuncture
摘要
Research on acupuncture has increased significantly in recent decades, making it difficult to keep up with the growing evidence on its effectiveness for various medical conditions. Earlier reviews mainly covered the years 2005–2017. Our review, a project supported by SMS, assessed the current evidence for acupuncture from 2017–2022 by analyzing systematic reviews and meta-analyses (SR/MA) found in PubMed.
Each SR/MA was evaluated with regard to review quality, data quality, and evidence strength, and results were grouped into four categories: (1) positive effect, (2) potential positive effect, (3) insufficient or unclear evidence, and (4) no effect.
After exclusions, the review encompassed 862 SR/MA covering 184 medical conditions. Acupuncture showed a positive effect for ten conditions, including chronic pain, low back pain, knee osteoarthritis, postoperative nausea and vomiting, migraine, tension-type headache, cancer-related fatigue, menopausal symptoms, female infertility (as an adjunct), and chronic prostatitis/chronic pelvic pain syndrome in men. For 82 conditions, there was potential positive evidence; for 86, evidence was inconclusive or insufficient; and for six, no effect was found. Compared to earlier years, both the amount and quality of evidence have improved, though more high-quality primary studies are needed for consistent results. Future research should follow guidelines like STRICTA and CONSORT.