Randomized controlled trial of a special acupuncture technique for pain after thoracotomy Journal Article

Authors: Deng, G.; Rusch, V.; Vickers, A.; Malhotra, V.; Ginex, P.; Downey, R.; Bains, M.; Park, B.; Rizk, N.; Flores, R.; Yeung, S.; Cassileth, B.
Article Title: Randomized controlled trial of a special acupuncture technique for pain after thoracotomy
Abstract: Objective: We sought to determine whether an acupuncture technique specially developed for a surgical oncology population (intervention) reduces pain or analgesic use after thoracotomy compared with a sham acupuncture technique (control). Methods: One hundred sixty-two patients with cancer undergoing thoracotomy were randomized to group A (preoperative implantation of small intradermal needles that were retained for 4 weeks) or group B (preoperative placement of sham needles at the same schedule). The numeric rating scale of pain and total opioid use was evaluated during the in-patient stay, and the Brief Pain Inventory and Medication Quantification Scale were evaluated after discharge up to 3 months after the operation. Results: The principal analysis, a comparison of Brief Pain Inventory pain intensity scores at the 30-day follow-up, showed no significant difference between the intervention and control groups. Pain scores were marginally higher in the intervention group (0.05; 95% confidence interval, 0.74 to -0.64; P = .9). There were also no statistically significant differences between groups for secondary end points, including chronic pain assessments at 60 and 90 days, in-patient pain, and medication use in the hospital and after discharge. Conclusion: A special acupuncture technique, as provided in this study, did not reduce pain or use of pain medication after thoracotomy more than a sham technique. © 2008 The American Association for Thoracic Surgery.
Keywords: adult; controlled study; aged; middle aged; major clinical study; clinical trial; neoplasms; controlled clinical trial; randomized controlled trial; thoracotomy; hospital discharge; acupuncture; analgesics, opioid; pain measurement; pain assessment; postoperative pain; pain, postoperative; single-blind method; acupuncture analgesia
Journal Title: Journal of Thoracic and Cardiovascular Surgery
Volume: 136
Issue: 6
ISSN: 0022-5223
Publisher: Mosby Elsevier  
Date Published: 2008-12-01
Start Page: 1464
End Page: 1469
Language: English
DOI: 10.1016/j.jtcvs.2008.07.053
PUBMED: 19114190
PROVIDER: scopus
PMCID: PMC2633643
Notes: --- - "Cited By (since 1996): 5" - "Export Date: 17 November 2011" - "CODEN: JTCSA" - "Source: Scopus"
Citation Impact
MSK Authors
  1. Valerie W Rusch
    770 Rusch
  2. Nabil Rizk
    139 Rizk
  3. Barrie R Cassileth
    198 Cassileth
  4. Gary E Deng
    66 Deng
  5. Raja Flores
    108 Flores
  6. Andrew J Vickers
    696 Vickers
  7. Bernard J Park
    200 Park
  8. Pamela K Ginex
    41 Ginex
  9. Robert J Downey
    231 Downey
  10. Manjit S Bains
    300 Bains
  11. Kwokwai Yeung
    36 Yeung