Note to our followers: Our nearly 13-year run of daily publication of new content on HealthNewsReview.org came to a close at the end of 2018. Publisher Gary Schwitzer and other contributors may post new articles periodically. But all of the 6,000+ articles we have published contain lessons to help you improve your critical thinking about health care interventions. And those will be still be alive on the site for a couple of years.
Read Original Story

Acupuncture May Be Worth a Shot for COPD

Rating

2 Star

Categories

Acupuncture May Be Worth a Shot for COPD

Our Review Summary

The story includes several independent experts for comment, but the article fails to put the study into perspective. With language like, “Clearly… a viable alternative,” readers leave with the wrong impression regarding the significance of the research. The story would have done better to include facts, such as :

  • small, single-blinded clinical trial
  • study participants only followed for three months
  • some quantification of  study data (ie. How were improvements measured to merit the claims made by researchers?)

 

Why This Matters

Many patients with COPD, a condition often due to long-term use of cigarettes, have shortness of breath with activity resulting in impaired quality of life. Though there are a number of medications that have been available to treat COPD for years, patients often still have symptoms that affect their daily function.Thus, safe and effective new treatments for COPD would be welcome. For the reader of this article, that new treatment would appear to be acupuncture. But there is good reason to believe this is more based on hype and hope than reality and evidence. This is a small study from Japan and even if true, COPD is a heterogeneous disease, meaning that it is crucial to repeat in other settings and patients before declaring it effective. It is also important to know whether this helps a bit or a lot – it isn’t clear from reading this article. Just because acupuncture is safe and may work doesn’t mean it should be embraced. The experts quoted in this piece have lowered the bar with their supportive words. The article needs someone to say the obvious – this may offer hope but let’s wait for larger, more definitive studies. The net result is that the reader is mislead.

Criteria

Does the story adequately discuss the costs of the intervention?

Not Satisfactory

The story does not detail the costs associated with an acupuncture treatment (which may often entail out-of-pocket expenses), or how many treatments are necessary before the patient sees a noticeable benefit.

Does the story adequately quantify the benefits of the treatment/test/product/procedure?

Not Satisfactory

The article did not quantify any results from the study. It didn’t quantify the size of the benefit?  Was this a real “game changer” or statistically significant while offering little real improvement in daily activities? How many acupuncture treatments did participants experience before seeing improvements in their quality of life? How much longer were these participants able to walk without becoming breathless? And how were improvements in quality of life measured by the researchers? The story also mentions that acupuncture “may improve stomach function,” but how was this measured? None of these data were discussed further.

Does the story adequately explain/quantify the harms of the intervention?

Not Satisfactory

Dr. Tong-Joo Gan of Duke University hints that there are few downsides to acupuncture, but the story does not specifically point out any harms or side effects from acupuncture. Probably the key point is at the very end where the acupuncturists say don’t try acupuncture first.

Does the story seem to grasp the quality of the evidence?

Not Satisfactory

The story gives the reader a good overview of the study design and appropriately mentions the control group, which received the sham acupuncture treatment. However, many details regarding the study are still unclear. Were the 68 people all on the same COPD medications before undergoing the study? How many treatments did each person receive? How long did the benefit last?

Furthermore, the article tilts more in favor of acupuncture treatment, with the use of quotes like, “Clearly it looks like a viable alternative to treat chronic COPD,” as there is no discussion of any limitations of the research, such as the relatively small study size or being only a single blinded study. According to WebMD, “[Acupuncture] makes perfect sense…

Does the story commit disease-mongering?

Satisfactory

There is no disease mongering. The story appropriately details COPD, as well as its symptoms and treatment.

Does the story use independent sources and identify conflicts of interest?

Satisfactory

Although the story does not directly quote the study’s authors, it does include three independent experts – two medical doctors and one licensed acupuncturist. However, the article could have benefited if an independent expert specifically addressed any limitations of the study or of acupuncture.

Does the story compare the new approach with existing alternatives?

Not Satisfactory

The story does not address any other alternative treatments for COPD, except acupuncture. The implication is that one can use standard meds or those meds plus acupuncture. There are other non-medicine treatments for COPD. If the mechanism for action is relaxation, there are also other forms of relaxation.

Does the story establish the availability of the treatment/test/product/procedure?

Not Satisfactory

Although the story does mention that patients “must choose a licensed and experienced acupuncturist,” it does not detail how many of those professionals practice in the US.

Does the story establish the true novelty of the approach?

Not Satisfactory

No background information was given in the story. It is unclear how this particular study contributes to the existing body of knowledge regarding acupuncture and COPD.

Does the story appear to rely solely or largely on a news release?

Satisfactory

There is evidence of original reporting, as the story uses three independent experts. Although the article does not rely on the press release, the release details and quantifies more of the study’s design and results, on which the WebMD story could have done more.

Total Score: 3 of 10 Satisfactory

Comments

Please note, comments are no longer published through this website. All previously made comments are still archived and available for viewing through select posts.