Box 2

Clinical trial evidence in complementary medicine: conclusions from recent, authoritative meta-analyses and systematic reviews

AcupunctureHomoeopathyManipulation
RCT, randomised controlled trial
ConditionsChronic painAnyLow back pain
Type of data summarised14 RCTs of various forms of acupuncture89 randomised and/or placebo controlled trials8 RCTs of chiropractic
Method of evaluationSystematic reviewMeta-analysisSystematic review
Conclusion (verbatim quotes)There is limited evidence that acupuncture is more effective than no treatment for chronic pain and inconclusive evidence that acupuncture is more effective than placebo, sham acupuncture or standard careClinical effects of homoeopathy are [not] completely due to placebo[No] convincing evidence for the effectiveness of chiropractic for acute or chronic low back pain
ReferenceEzzo et al33Linde D et al34Assendelft et al35