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. Author manuscript; available in PMC: 2011 May 23.
Published in final edited form as: Cochrane Database Syst Rev. 2009 Jan 21;(1):CD007587. doi: 10.1002/14651858.CD007587
Methods Blinding: patients and data-collecting physician
Dropouts/withdrawals: none (all patients completed the follow-up)
Observation period: baseline 4 weeks; treatment 8 weeks; follow-up 12 months
Acupuncturists’ assessments: GA (probably) exactly the same way/80% - BB exactly the same way/90%
Participants Number of patients included/analyzed: 30/30
Condition: tension-type headache (Ad Hoc criteria)
Demographics: mean age 33 years; 87% female
Setting: headache outpatient department of a university hospital in Italy
Time since onset of headaches: mean 8 years
Interventions Acupuncture points: individualized according to traditional Chinese medicine, possibility of changing points
Information on acupuncturist: n = 1
DeChi achieved?: yes
Number of treatment sessions: 8 (20 minutes each)
Frequency of treatment sessions: 1/week
Control intervention: sham (non-acupuncture points in the same regions)
Outcomes Method for outcome measurement: diary
Outcomes: headache score, duration, frequency, intensity, analgesic use, response
Notes Rigorous trial; acupuncture seems to be clearly better in all outcomes, but most differences are not statistically significant; surprisingly negative conclusions
Number of headache days at 3 months recalculated from baseline values and percentage reduction. As no standard deviation was available, the pooled baseline standard deviation was used. Data for headache index and analgesic use extrapolated from figures.
Risk of bias
Item Authors’ judgement Description
Adequate sequence generation? Unclear No description
Allocation concealment? Unclear No description
Blinding?
All outcomes
Yes Patients and physician collecting the diaries were blinded. Description of the procedure suggests adequate blinding.
Incomplete outcome data addressed?
All outcomes
Yes Explicit statement that there were no losses to follow-up
Free of selective reporting? Yes Relevant outcomes reported in figures or text
Incomplete follow-up outcome data addressed? Yes Explicit statement that there were no losses to follow-up