Korean Journal of Acupuncture

  • 제30권1호
  • /
  • Pages.21-26
  • /
  • 2013
  • /
  • 2287-3368(pISSN)
  • /
  • 2287-3376(eISSN)
경락경혈학회 (Society for Meridian and Acupoint)
권호 표지
DOI QR코드

DOI QR Code

2000년부터 독일에서 수행된 대규모 침 임상연구들에 대한 고찰: ASH, ART, ARC, GERAC

Review of the Large-Scale Clinical Researches on Acupuncture in Germany: ASH, ART, ARC, and GERAC

  • 윤주연 (우석대학교 한의과대학 한의학과) ;
  • 한국인 (우석대학교 한의과대학 한의학과) ;
  • 정진수 (우석대학교 한의과대학 한의학과) ;
  • 이승호 (우석대학교 한의과대학 본초학교실) ;
  • 장인수 (우석대학교 한의과대학 한방내과학교실)
  • Yoon, Juyeon (Department of Korean Medicine, College of Korean Medicine, Woosuk University) ;
  • Han, Kuk-In (Department of Korean Medicine, College of Korean Medicine, Woosuk University) ;
  • Jeong, Jinsu (Department of Korean Medicine, College of Korean Medicine, Woosuk University) ;
  • Lee, Seungho (Department of Herbal Medicine, College of Korean Medicine, Woosuk University) ;
  • Jang, Insoo (Department of Internal Medicine, College of Korean Medicine, Woosuk University)
  • 투고 : 2013.03.05
  • 심사 : 2013.03.19
  • 발행 : 2013.03.27
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives : The purpose is to introduce the recent large-scale clinical researches for safety, efficacy and effectiveness of acupuncture in Germany. Results : In 2000, the German Federal Committee of Physicians and Health insurer proposed that large research initiatives on acupuncture, Acupuncture Model Projects(Modellvorhaben Akupunktur), could be conducted by health insurance companies for several pain that acupuncture is syndromes to justify the insurance-based reimbursement. Accordingly, 4 clinical researches were carried out; the Acupuncture Safety and Health economics studies(ASH), the Acupuncture Randomised Trial(ART), the Acupuncture in Routine Care studies(ARC), and the German Acupuncture trial(GERAC). Meanwhile, ASH is a prospective observational study for safety and costs. ART and GERAC are composed of RCTs for efficacy. ARC includes 6 pragmatic RCTs with additional non-randomized cohort study for effectiveness. We investigated the papers related to them and discussed about the outcomes. The researches showed that acupuncture is effective in practice for several chronic conditions such as migraine, tension-type headache, chronic low back pain, osteoarthritis of knee, dysmenorrhea, and allergic rhinitis. Based in part on them, the German health authorities decided that acupuncture would be included into routine reimbursement by social health insurance funds for chronic low back pain and chronic osteoarthritis of the knee in 2006. Conclusions : The German clinical researches may suggest the clues for establishing the evidence of acupuncture treatment.

키워드

참고문헌

  1. Lee M. Analysis of clinical efficacy of Korean traditional medicine health technology using evidence based medicine. Korea Institute of Oriental Medicine. 2011.
  2. Witt CM, Brinkhaus B, Reinhold T, Willich SN. Efficacy, effectiveness, safety and costs of acupuncture for chronic pain - results of a large research initiative. Acupunt Med. 2006 ; 24(Suppl) : S33-9.
  3. Cummings M. Modellvorhaben Akupunktur - a summary of the ART, ARC and GERAC trials. Acupunt Med. 2009 ; 27(1) : 26-30. https://doi.org/10.1136/aim.2008.000281
  4. The Seoul Economic Daily. 2005 May 26 [accessed 2013 Feb 26] URL=http://economy.hankooki.com/lpage/news/200505/e20 05052616525270610.htm.
  5. Witt CM, Pach D, Brinkhaus B, Wruck K, Tag B, Mank S, et al. Safety of acupuncture: results of a prospective observational study with 229,230 patients and introduction of a medical information and consent form. Forsh Komplementmed. 2009 ; 16 : 91-7. https://doi.org/10.1159/000209315
  6. Linde K, Streng A, Jürgens S, Hoppe A, Brinkhaus B, Witt C, et al. Acupuncture for patients with migraine: a randomised controlled trial. JAMA. 2005 ; 293(17) : 2118-25. https://doi.org/10.1001/jama.293.17.2118
  7. Witt C, Brinkhaus B, Jena S, Linde K, Streng A, Wagenpfeil S, et al. Acupuncture in patients with osteoarthritis of the knee: a randomised trial. Lancet. 2005 ; 366(9480) : 136-43. https://doi.org/10.1016/S0140-6736(05)66871-7
  8. Brinkhaus B, Witt CM, Jena S, Linde K, Streng A, Wagenpfeil S, et al. Acupuncture in patients with chronic low back pain: a randomised controlled trial. Arch Intern Med. 2006 ; 166(4) : 450-7.
  9. Melchart D, Streng A, Hoppe A, Brinkhaus B, Witt C, Wagenpfeil S, et al. Acupuncture in patients with tension-type headache: a randomised controlled trial. BMJ. 2005 ; 331(7513) : 376-82. https://doi.org/10.1136/bmj.38512.405440.8F
  10. Witt CM, Jena S, Selim D, Brinkhaus B, Reinhold T, Wruck K, et al. Pragmatic randomised trial evaluating the clinical and economic effectiveness of acupuncture for chronic low back pain. Am J Epidemiol. 2006 ; 164(5) : 487-96. https://doi.org/10.1093/aje/kwj224
  11. Witt CM, Reinhold T, Brinkhaus B, Roll S, Jena S, Willich SN. Acupuncture in patients with dysmenorrhea: a randomised study on clinical effectiveness and cost-effectiveness in usual care. Am J Obstet Gynecol. 2008 ; 198(2) : 166.e1-8. https://doi.org/10.1016/j.ajog.2007.07.041
  12. Jena S, Witt CM, Brinkhaus B, Wegsheider K, Willich SN. Acupuncture in patients with headache. Cephalalgia. 2008 ; 28 : 969-79. https://doi.org/10.1111/j.1468-2982.2008.01640.x
  13. Witt CM, Jena S, Brinkhaus B, Liecker B, Wegscheider K, Willich SN. Acupuncture in patients with osteoarthritis of the knee or hip. Arthritis Rheum. 2006 ; 54(11) : 3485-93. https://doi.org/10.1002/art.22154
  14. Witt CM, Jena S, Brinkhaus B, Liecker B, Wegscheider K, Willich SN. Acupuncture for patients with chronic neck pain. Pain. 2006 ; 125(1-2) : 98-106. https://doi.org/10.1016/j.pain.2006.05.013
  15. Brinkhaus B, Witt CM, Jena S, Liecker B, Wegscheider K, Willich SN. Acupuncture in patients with allergic rhinitis: a pragmatic randomised trial. Ann Allergy Asthma Immunol. 2008 ; 101 : 535-43. https://doi.org/10.1016/S1081-1206(10)60294-3
  16. Endres HG, Bowing G, Diener HC, Lange S, Maier C, Molsberger A, et al. Acupuncture for tension-type headache: a multicentre, sham-controlled, patient-and observer-blinded, randomised trial. J Headache Pain. 2007 ; 8 : 306-14. https://doi.org/10.1007/s10194-007-0416-5
  17. Scharf H-P, Mansmann U, Streitberger K, Witte S, Kramer J, Maier C, et al. Acupuncture and knee osteoarthritis: a threearmed randomised trial. Ann Intern Med. 2006 ; 145 : 12-20. https://doi.org/10.7326/0003-4819-145-1-200607040-00005
  18. Haake M, Muller H-H, Schade-Brittinger C, Basler HD, Schafer H, Maier C, et al. German acupuncture trials(GERAC) for chronic low back pain: randomised, multicenter, blinded, parallel- group trial with 3 groups. Arch Intern Med. 2007 ; 167(17) : 1892-98. https://doi.org/10.1001/Archinte.167.17.1892
  19. Diener HC, Kronfeld K, Boewing G, Lungenhausen M, Maier C, Molsberger A, et al. Efficacy of acupuncture for the prophylaxis of migraine: a multicentre randomised controlled clinical trial. Lancet Neurol. 2006 ; 5 : 310-6. https://doi.org/10.1016/S1474-4422(06)70382-9
  20. Witt CM. Clinical research on acupuncture - concepts and guidance on efficacy and effectiveness research. Chin J Integr Med. 2011 ; 17(3) : 166-72. https://doi.org/10.1007/s11655-011-0662-x
  21. Witt CM, Ludtke R, Wegscheider K, Willich SN. Physician characteristics and variation in treatment outcomes: are better qualified and experienced physicians more successful in treating patients with chronic pain with acupuncture? J Pain. 2010 ; 11(5) : 431-5. https://doi.org/10.1016/j.jpain.2009.08.010
  22. Witt CM, Schutzler L, Ludtke R, Wegscheider K, Willich SN. Patient characteristics and variation in treatment outcomes: which patients benefit most from acupuncture for chronic pain? Clin J Pain. 2011 ; 27(6) :550-5. https://doi.org/10.1097/AJP.0b013e31820dfbf5
  23. Witt CM, Martins F, Willich SN, Schutzler L. Can I help you? Physicians' expectations as predictor for treatment outcome. Eur J pain. 2012 ; 16(10) : 1455-66. https://doi.org/10.1002/j.1532-2149.2012.00152.x

피인용 문헌

  1. 독일에서 수행된 대규모의 침 치료 임상연구 Acupuncture Randomized Trials와 the Acupuncture in Routine Care에 대한 고찰 vol.30, pp.5, 2013, https://doi.org/10.13045/acupunct.2013051
  2. 독일에서의 침술 건강보험 급여화 사례 연구 vol.23, pp.3, 2013, https://doi.org/10.25153/spkom.2019.23.3.009
  3. 한약 임상시험의 특성 : 질병관리본부 임상연구정보서비스(CRIS)를 중심으로 vol.41, pp.6, 2013, https://doi.org/10.22246/jikm.2020.41.6.959