1 Department of Health Sciences, University of York, York, UK
2 Wythenshawe Hospital, Manchester, UK
|Received:||3 May 2012|
|Accepted:||19 September 2012|
|Published:||24 October 2012|
Acupuncture is used by patients as a treatment for irritable bowel syndrome (IBS) but the evidence on effectiveness is limited. The purpose of the study was to evaluate the effectiveness of acupuncture for irritable bowel syndrome in primary care when provided as an adjunct to usual care.
Design: A two-arm pragmatic randomised controlled trial.
Setting: Primary care in the United Kingdom.
Patients: 233 patients had irritable bowel syndrome with average duration of 13 years and score of at least 100 on the IBS Symptom Severity Score (SSS).
There was a statistically significant difference between groups at three months favouring acupuncture with a reduction in IBS Symptom Severity Score of −27.43 (95% CI: –48.66 to −6.21, p = 0.012). The number needed to treat for successful treatment (≥50 point reduction in the IBS SSS) was six (95% CI: 3 to 17), based on 49% success in the acupuncture group vs. 31% in the control group, a difference between groups of 18% (95% CI: 6% to 31%). This benefit largely persisted at 6, 9 and 12 months.
Acupuncture for irritable bowel syndrome provided an additional benefit over usual care alone. The magnitude of the effect was sustained over the longer term. Acupuncture should be considered as a treatment option to be offered in primary care alongside other evidenced based treatments.
Click below to read the entire study.
Acupuncture for Irritable Bowel Syndrome_Primary Care Based Pragmatic Randomised Controlled Trial
Current Controlled Trials ISRCTN08827905