Daniel J Crespin1, Kristen H Griffin2, Jill R Johnson2, Cynthia Miller3, Michael D Finch4, Rachael L Rivard2, Scott Anseth5, Jeffery A Dusek2. 1. Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota. 2. Integrative Health Research Center, Penny George Institute for Health and Healing, Allina Health, Minneapolis, Minnesota. 3. Penny George Institute for Health and Healing, Allina Health, Abbott Northwestern Hospital, Minneapolis, Minnesota. 4. Medical Industry Leadership Institute, Carlson School of Management, University of Minnesota, Minneapolis, Minnesota. 5. Twin Cities Orthopedics, Edina, Minnesota.
Abstract
OBJECTIVE: Given the risks of opioid medications, nonpharmacological strategies should be considered for total joint replacement patients. We investigated acupuncture as an adjunct therapy for postsurgical pain management in a total joint replacement program by examining which total hip and knee replacement patients elected to receive acupuncture and the effect of acupuncture on short-term pain. DESIGN: A total joint replacement program using fast-track physiotherapy offered elective postsurgical acupuncture to all patients, at no additional cost, as an adjunct therapy to opioids for pain management. SETTING: The Joint Replacement Center at Abbott Northwestern Hospital, a 630-bed teaching and specialty hospital in Minneapolis, Minnesota from 2010 to 2012. SUBJECTS: Our sample included 2,500 admissions of total hip (THR) and total knee replacement (TKR) patients. METHODS: Self-reported pain was assessed before and after acupuncture using a 0-10 scale and categorized as none/mild (0-4) and moderate/severe pain (5-10). RESULTS: Seventy-five percent of admissions included acupuncture. Women (Odds Ratio: 1.48, 95% Confidence Interval (CI): 1.22, 1.81) had higher odds of receiving acupuncture compared to men, and nonwhite patients (Odds Ratio: 0.55, 95% CI: 0.39, 0.78) had lower odds of receiving acupuncture compared to white patients. Average short-term pain reduction was 1.91 points (95% CI: 1.83, 1.99), a 45% reduction from the mean prepain score. Forty-one percent of patients reported moderate/severe pain prior to receiving acupuncture, while only 15% indicated moderate/severe pain after acupuncture. CONCLUSIONS: Acupuncture may be a viable adjunct to pharmacological approaches for pain management after THR or TKR. Wiley Periodicals, Inc.
OBJECTIVE: Given the risks of opioid medications, nonpharmacological strategies should be considered for total joint replacement patients. We investigated acupuncture as an adjunct therapy for postsurgical pain management in a total joint replacement program by examining which total hip and knee replacement patients elected to receive acupuncture and the effect of acupuncture on short-term pain. DESIGN: A total joint replacement program using fast-track physiotherapy offered elective postsurgical acupuncture to all patients, at no additional cost, as an adjunct therapy to opioids for pain management. SETTING: The Joint Replacement Center at Abbott Northwestern Hospital, a 630-bed teaching and specialty hospital in Minneapolis, Minnesota from 2010 to 2012. SUBJECTS: Our sample included 2,500 admissions of total hip (THR) and total knee replacement (TKR) patients. METHODS: Self-reported pain was assessed before and after acupuncture using a 0-10 scale and categorized as none/mild (0-4) and moderate/severe pain (5-10). RESULTS: Seventy-five percent of admissions included acupuncture. Women (Odds Ratio: 1.48, 95% Confidence Interval (CI): 1.22, 1.81) had higher odds of receiving acupuncture compared to men, and nonwhite patients (Odds Ratio: 0.55, 95% CI: 0.39, 0.78) had lower odds of receiving acupuncture compared to white patients. Average short-term pain reduction was 1.91 points (95% CI: 1.83, 1.99), a 45% reduction from the mean prepain score. Forty-one percent of patients reported moderate/severe pain prior to receiving acupuncture, while only 15% indicated moderate/severe pain after acupuncture. CONCLUSIONS: Acupuncture may be a viable adjunct to pharmacological approaches for pain management after THR or TKR. Wiley Periodicals, Inc.
Authors: Jeffery A Dusek; Kristen H Griffin; Michael D Finch; Rachael L Rivard; David Watson Journal: J Altern Complement Med Date: 2018-02-23 Impact factor: 2.579
Authors: Dario Tedesco; Davide Gori; Karishma R Desai; Steven Asch; Ian R Carroll; Catherine Curtin; Kathryn M McDonald; Maria P Fantini; Tina Hernandez-Boussard Journal: JAMA Surg Date: 2017-10-18 Impact factor: 14.766
Authors: Kent C Nate; Kristen H Griffin; Jon B Christianson; Jeffery A Dusek Journal: Evid Based Complement Alternat Med Date: 2015-11-26 Impact factor: 2.629