Acupuncture for
osteoarthritis of the knee
Osteoarthritis
(OA) is most commonly located in the knee and is a major cause of pain, activity
limitation and health care utilisation, especially among older people. There appears to be
an unmet need for treatment for this condition, while a systematic review and recent
randomised trials have provided evidence that acupuncture is more effective than placebo
for osteoarthritis of the knee. There remain however a number of substantive questions
regarding effectiveness and cost-effectiveness of acupuncture for OA of the knee.
The
aim of the research is to pilot a full-scale cost-effectiveness study using a pragmatic
randomised trial RCT design. This will be a Phase II study based on the MRCs
guidelines for the evaluation of complex interventions. This pilot will enable
us to determine the key parameters for a Phase III study or definitive RCT. Harriet
Lansdown, a Medical Research Council funded MSc student has conducted this pilot at the
University of York. We hope to publish the results in 2008.