Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/77875
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Title: Combined electroacupuncture and auricular acupuncture for postoperative pain after abdominal surgery for gynecological diseases : study protocol for a randomized controlled trial
Authors: Lam, WL
Yeung, WF 
Wong, MK
Cheung, CW
Chan, KKL
Ngan, HYS
Wong, CKH
Chen, HY
Lao, L
Issue Date: 2018
Source: Trials, 2018, v. 19, 8, p. 1-13
Abstract: Background: Postoperative pain is a major complaint following abdominal surgery for gynecological diseases. Effective postoperative pain control after abdominal surgery is particularly important for patient recovery, mobility, and satisfaction. Acupuncture has been commonly used for pain management. However, its efficacy in postoperative pain control is inconclusive and health economic evaluation is limited. Methods: A randomized, sham-controlled, patient- and- assessor-blind trial is designed to evaluate the efficacy and safety of acupuncture in managing postoperative pain following abdominal surgery of gynecological diseases. Patients who are eligible for laparotomy with a midline incision for gynecological neoplasia, including ovarian mass, uterine mass, and cervical lesions, will be recruited. Seventy-two participants will be randomly allocated to an acupuncture or non-invasive sham control in a 1:1 ratio. Treatment will be done within 2 h before operation, upon arrival to the ward and once daily for 5 days. The Pain Numerical Rating Scale (NRS) on the first 5 days during hospitalization will be the primary outcome and will be analyzed using the area-under-the-curve (AUC) method. The secondary outcome measures include frequency of rescue analgesic use during hospital stay, cumulative morphine consumption; quality of recovery as measured by time to recovery variables and the Quality of Recovery-9 (QoR-9); quality of life as measured by the Short Form-6 dimension (SF-6D) and EuroQol-5 Dimension-5 Level (EQ-5D-5 L). The incremental cost-effectiveness ratio of acupuncture vs sham acupuncture will be calculated. Discussion: This study protocol provides an example of integrative medicine practice in a hospital setting for the management of postoperative pain using acupuncture treatment. The acupuncture treatment protocol, if proven to be effective, can be implemented in routine settings to play a role in postoperative pain management for patients who have undergone abdominal surgery for gynecological diseases.
Keywords: Acupuncture
Analgesia
AUC
Health economic analysis
Morphine consumption
Operation
Placebo
RCT
Publisher: BioMed Central
Journal: Trials 
EISSN: 1745-6215
DOI: 10.1186/s13063-017-2359-8
Rights: © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
The following publication Lam, W. L., Yeung, W. F., Wong, M. K., Cheung, C. W., Chan, K. K. L., Ngan, H. Y. S., … Lao, L. (2018). Combined electroacupuncture and auricular acupuncture for postoperative pain after abdominal surgery for gynecological diseases : study protocol for a randomized controlled trial. Trials, 19, 8, 1-13 is available at https://dx.doi.org/10.1186/s13063-017-2359-8
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