Korean Journal of Acupuncture

Society for Meridian and Acupoint (경락경혈학회)
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Review of the Large-Scale Clinical Researches on Acupuncture in Germany: ASH, ART, ARC, and GERAC

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

  • 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)
  • 윤주연 (우석대학교 한의과대학 한의학과) ;
  • 한국인 (우석대학교 한의과대학 한의학과) ;
  • 정진수 (우석대학교 한의과대학 한의학과) ;
  • 이승호 (우석대학교 한의과대학 본초학교실) ;
  • 장인수 (우석대학교 한의과대학 한방내과학교실)
  • Received : 2013.03.05
  • Accepted : 2013.03.19
  • Published : 2013.03.27
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Abstract

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.

Keywords

References

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