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THE WAY FORWARD

THE WAY FORWARD

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THE WAY FORWARD

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  1. New Zealand School of Acupuncture & Traditional Chinese Medicine THE WAY FORWARD Integration of Acupuncture into Mainstream Medicine Jo Graham & Kate Duke

  2. New Zealand School of Acupuncture & Traditional Chinese Medicine What is acupuncture and how does it work? • EASTERN • “Qi” • WESTERN • Release of opioid & other peptides • Activates hypothalamus & pituitary gland • Alters immune functions

  3. New Zealand School of Acupuncture & Traditional Chinese Medicine Why Integration? • Increase in popularity • Accessibility • Safe and fewer side effects or other negative effects • Proven effective modality • International acceptance • Cost effectiveness & affordability??

  4. New Zealand School of Acupuncture & Traditional Chinese Medicine World Health Organisation (WHO) Recognition • WHO publications surrounding Traditional Medicine • WHO guidelines and strategies on Traditional Medicine Integration Utilization Evaluation Cooperation • New Zealand participation in WHO?

  5. New Zealand School of Acupuncture & Traditional Chinese Medicine Cost Effectiveness “Is Acupuncture for Pain Relief in General Practice Cost Effective?” Lindall S: Acupuncture in Medicine Dec1999 Vol17(2) • YES. Acupuncture is cost effective in certain pain conditions

  6. New Zealand School of Acupuncture & Traditional Chinese Medicine “Cost Effectiveness analysis of a randomised trial of acupuncture for chronic headache in primary care” Wonderling D, Vickers A et al BMJ 15/03/04 Findings: • Improved Quality of Life • Decreased time off work • Decreased medication • Decreased visits to GP

  7. New Zealand School of Acupuncture & Traditional Chinese Medicine Evidence of EffectivenessNational Institutes of Health (NIH) Consensus Conference 1997 • Post operative nausea and vomiting • Chemotherapy nausea and vomiting • Post operative dental pain

  8. New Zealand School of Acupuncture & Traditional Chinese Medicine Reasonable Studies for Relief of Pain • Lateral epicondylitis • Dysmenorrhoea • Fibromyalgia • Lower back pain • Post operative pain

  9. New Zealand School of Acupuncture & Traditional Chinese Medicine Positive Clinical Trials • Addiction • Carpal tunnel syndrome • Osteoarthritis • Headache • Stroke rehabilitation

  10. New Zealand School of Acupuncture & Traditional Chinese Medicine • Data in support of acupuncture is as strong as for many Western medical therapies • Advantage is less adverse side effects

  11. New Zealand School of Acupuncture & Traditional Chinese Medicine International Examples of Integration • Australia • USA • UK

  12. New Zealand School of Acupuncture & Traditional Chinese Medicine Addiction Services • Reduction in withdrawal symptoms, relapse rates & an increase in retention rates • NADA protocol is the cornerstone of over 800 detox centres worldwde

  13. New Zealand School of Acupuncture & Traditional Chinese Medicine Gynaecology & Obstetrics Reported successful clinical studies • Obstetrics:- Induction, morning sickness, correction of abnormal foetal positions, deficient lactation • Gynaecology:- primary dysmenorrhoea, premenstrual syndrome, infertility, menopausal syndrome

  14. New Zealand School of Acupuncture & Traditional Chinese Medicine Chronic / Persistent Pain • Prevalence estimates range from 10.1% -55.2% of the general population • Higher in females - usually musculoskeletal origin • Significant use of health care resources

  15. New Zealand School of Acupuncture & Traditional Chinese Medicine Clinical Evidence • “Limited evidence that acupuncture is more effective than no treatment for chronic pain” • Systemic Review: Pain 2000 ; 86:217-225 • “Acupuncture found to be superior to no treatment” • Vickers A et al Quality & Safety in Health Care2002;11:92-97 • “Most results favoured acupuncture” • Patel M et al International Journal of Epidemiology, Vol 18,900-906 1989

  16. New Zealand School of Acupuncture & Traditional Chinese Medicine Acupuncture at the Wellington Regional Pain Service • Available since 2000 • Used in a variety of conditions • Limited service • Patients trialed 4-6 times

  17. Education Programmes Detoxification Centres Obstetrics and Gynaecology Stroke rehabilitation Pain Clinics Post operative nausea and vomiting Cancer New Zealand School of Acupuncture & Traditional Chinese Medicine THE WAY FORWARD: Ideas for integration

  18. New Zealand School of Acupuncture & Traditional Chinese Medicine QUESTIONS?? Thank you for your time