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Management of Menopause Symptoms with Acupuncture: An Umbrella Systematic Review and Meta-Analysis.

Publication ,  Journal Article
Befus, D; Coeytaux, RR; Goldstein, KM; McDuffie, JR; Shepherd-Banigan, M; Goode, AP; Kosinski, A; Van Noord, MG; Adam, SS; Masilamani, V ...
Published in: J Altern Complement Med
April 2018

OBJECTIVES: Vasomotor symptoms (VMSs) are the most common symptoms reported during menopause. Although hormone therapy is effective for reducing VMSs, its use is restricted in some women. Many women with VMSs thus seek nonhormonal, nonpharmacologic treatment options such as acupuncture. DESIGN: An umbrella systematic review (SR) was conducted, supplemented by a search of published randomized controlled trials (RCTs), that assessed the effectiveness of acupuncture for VMSs, health-related quality of life (HRQOL), and adverse effects of treatment in perimenopausal or postmenopausal women. Meta-analyses were conducted using a random-effects model when data were sufficient. RESULTS: Three SRs and four new RCTs were identified that met eligibility criteria. Meta-analyses of this study revealed statistically significant standardized mean differences (SMDs) associated with acupuncture compared with no acupuncture at reducing VMS frequency (SMD -0.66, 95% confidence interval [CI] -1.06 to -0.26, I2 = 61.7%, 5 trials) and VMS severity (SMD -0.49, 95% CI -0.85 to -0.13, I2 = 18.1%, 4 trials) and improving HRQOL outcomes (SMD -0.93, 95% CI -1.20 to -0.67, I2 = 0.0%, 3 trials). SMDs were smaller or not statistically significant when acupuncture was compared with sham acupuncture. CONCLUSIONS: Evidence from RCTs supports the use of acupuncture as an adjunctive or stand-alone treatment for reducing VMSs and improving HRQOL outcomes, with the caveat that observed clinical benefit associated with acupuncture may be due, in part, or in whole to nonspecific effects. The safety of acupuncture in the treatment of VMSs has not been rigorously examined, but there is no clear signal for a significant potential for harm.

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Published In

J Altern Complement Med

DOI

EISSN

1557-7708

Publication Date

April 2018

Volume

24

Issue

4

Start / End Page

314 / 323

Location

United States

Related Subject Headings

  • Quality of Life
  • Middle Aged
  • Menopause
  • Humans
  • Hot Flashes
  • Female
  • Complementary & Alternative Medicine
  • Acupuncture Therapy
  • 4208 Traditional, complementary and integrative medicine
  • 1104 Complementary and Alternative Medicine
 

Citation

APA
Chicago
ICMJE
MLA
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Befus, D., Coeytaux, R. R., Goldstein, K. M., McDuffie, J. R., Shepherd-Banigan, M., Goode, A. P., … Williams, J. W. (2018). Management of Menopause Symptoms with Acupuncture: An Umbrella Systematic Review and Meta-Analysis. J Altern Complement Med, 24(4), 314–323. https://doi.org/10.1089/acm.2016.0408
Befus, Deanna, Remy R. Coeytaux, Karen M. Goldstein, Jennifer R. McDuffie, Megan Shepherd-Banigan, Adam P. Goode, Andrzej Kosinski, et al. “Management of Menopause Symptoms with Acupuncture: An Umbrella Systematic Review and Meta-Analysis.J Altern Complement Med 24, no. 4 (April 2018): 314–23. https://doi.org/10.1089/acm.2016.0408.
Befus D, Coeytaux RR, Goldstein KM, McDuffie JR, Shepherd-Banigan M, Goode AP, et al. Management of Menopause Symptoms with Acupuncture: An Umbrella Systematic Review and Meta-Analysis. J Altern Complement Med. 2018 Apr;24(4):314–23.
Befus, Deanna, et al. “Management of Menopause Symptoms with Acupuncture: An Umbrella Systematic Review and Meta-Analysis.J Altern Complement Med, vol. 24, no. 4, Apr. 2018, pp. 314–23. Pubmed, doi:10.1089/acm.2016.0408.
Befus D, Coeytaux RR, Goldstein KM, McDuffie JR, Shepherd-Banigan M, Goode AP, Kosinski A, Van Noord MG, Adam SS, Masilamani V, Nagi A, Williams JW. Management of Menopause Symptoms with Acupuncture: An Umbrella Systematic Review and Meta-Analysis. J Altern Complement Med. 2018 Apr;24(4):314–323.
Journal cover image

Published In

J Altern Complement Med

DOI

EISSN

1557-7708

Publication Date

April 2018

Volume

24

Issue

4

Start / End Page

314 / 323

Location

United States

Related Subject Headings

  • Quality of Life
  • Middle Aged
  • Menopause
  • Humans
  • Hot Flashes
  • Female
  • Complementary & Alternative Medicine
  • Acupuncture Therapy
  • 4208 Traditional, complementary and integrative medicine
  • 1104 Complementary and Alternative Medicine