Immortal time bias

Inspired by Shih C-C et al QJM 2019.[1] Immortal Bridge, Mount Tai, ChinaPhoto by https://en.wikipedia.org/wiki/User:PfctdayeliseSky edit by MC – sky from sunset over South Island New Zealand This paper struck me as interesting because of its size, its overlap with previous topics on the blog (VCIND, CHD in RA), but most of all because it … Continue reading Immortal time bias

Needling runners’ knees

Inspired by Siqueira et al 2018.[1] A shot from the Ealing half marathon 2018 at around the 9 mile point - my arms were aching after taking over 2k of photos through a heavy zoom lens whilst waiting for my boy (5448) to come past 😀 This paper popped up on PubCrawler this morning. I’m … Continue reading Needling runners’ knees

Cranial epidural abscess

Inspired by Priola et al 2019.[1] This is the first reported case of a cranial epidural abscess as a likely complication of acupuncture treatment. The report was written by the specialist neurosurgical team under whom the patient was admitted. This is often the case in such unusual and serious adverse events, but it also limits … Continue reading Cranial epidural abscess

The problem with sham

Inspired by an invitation to present on the topic to politicians in Madrid who apparently want to stop the practice of acupuncture by doctors in Spain - 18 January 2019. I have been lecturing on the scientific perspectives of acupuncture around the globe for over two decades. I have numerous PowerPoint slides to call upon, … Continue reading The problem with sham

EA vs conventional Rx in MUI

Inspired by Liu et al. Mayo Clin Proc 2019.[1] Another huge trial from the team at the China Academy of Chinese Medical Sciences in Beijing. This follows on from two previous large multicentre trials,[2,3] both of which I have reported on in this blog: https://bmas.blog/2018/10/05/ea-for-chronic-severe-functional-constipation/ and https://bmas.blog/2018/10/11/ea-for-stress-urinary-incontinence/ Having established specific effects of electroacupuncture (EA) in … Continue reading EA vs conventional Rx in MUI

20000 needles…

Inspired by Ronel et al Mil Med 2018.[1] My first blog of 2019 and I have been struggling to find inspiration. That is what comes from setting yourself an arbitrary target rather than just waiting for something divine. The former is driven by the modern requirements of a social media presence, and the latter is … Continue reading 20000 needles…

CHD incidence in RA and acupuncture

Inspired by Wu et al. BMC Complement Altern Med 2018.[1] The title of this paper is rather eye-catching for the Western medic: Acupuncture decreased the risk of coronary heart disease in patients with rheumatoid arthritis in Taiwan… Really? Are you suggesting that acupuncture is the next statin? Surely not! Well, let me start by saying … Continue reading CHD incidence in RA and acupuncture

Gastroparesis 2018

On the 18th December another Cochrane Review popped up on my daily PubMed search: Acupuncture for symptomatic gastroparesis.[1] Cochrane reviews are substantial pieces of work, with numerous peer and editorial review stages built in to the process. The rigorous approach to assessing bias and the adoption of the GRADE system to summarise findings often results … Continue reading Gastroparesis 2018