Research Article

Clinical Efficacy of Acupuncture for the Treatment of Rheumatoid Arthritis: Meta-Analysis of Randomized Clinical Trials

Table 1

Characteristics of randomized controlled trials included in the systematic review

StudyYearCountrySampleAge, mean ± SDFemale, n(%)Follow-upClinicalTrials.govAcupointsInterventionControl
AcupunctureControlAcupunctureControl

Adly et al.2021Egypt26/3468.8 ± 2.669.1 ± 2.818 (60.0)23 (76.6)4 weeksNCT04684693ST25, LR8, SP6, SP9, and PC6Laser acupuncture  +  aerobic exerciseAerobic exercise
Zanette et al.2008Brazil20/2053.1 ± 12.446.5 ± 9.917 (85)20 (100)9 weeks/Supine position: EX1, PC6, IG4, EX28, CV12, CV6, ST36, SP6, and LV3; Ventral position: UB20, UB22, UB23, GV4, GV14, UB11, and UB60Acupuncture (20 min, 2 times weekly for 5 weeks) plus analgesiaPenetrating sham acupuncture (nonacupoints, minimal, 20 min, 10 times) plus analgesia
Tam et al.2007China12/12/1256.4 ± 8.5 58.1 ± 12.057.6 ± 8.311 (91.7) 10 (83.3)8 (66.7)10 weeksNCT00404443LI11, TE5, LI4, ST36, GB34, and GB39Acupuncture (40 min, 2 times weekly for 10 weeks) plus analgesiaPenetrating sham electroacupuncture plus analgesia
Seca et al.2019Portugal35/3557.3 ± 11.356.5 ± 16.431 (88.6)30 (85.7)4 weeksNCT02553005TB5, GB39, HT3, and KI7Verum acupuncture (2 times weekly for 4 weeks)Penetrating sham acupuncture (2 times weekly for 4 weeks)
Adly et al.2021Egypt30/3068.9 ± 2.769.1 ± 2.941 (68.3)4 weeksNCT04758689ST36, LR8, SP9, and PC6Laser acupuncture  +  aerobic exercise  +  methotrexateAerobic exercise  +  methotrexate
Adly et al.2017Egypt15/1561.9 ± 2.663.2 ± 3.722 (73.3)4 weeks/LR3, ST25, ST36, SI3, SI4, LI4, LI11, SP6, SP9, GB25, GB34, and HT7Laser acupuncture (12 sessions over 4 weeks)Reflexology therapy (12 sessions over 4 weeks)
Zukow et al.2011Poland35/3258.1 ± 11.557.6 ± 9.233 (94.3)32 (91.4)22 weeks/LI3, LI4, LI10, LI11, TE5, ST36, SP 4, SP6, BL7, BL43, BL56, BL60, BL62, GB34, GB38, GB39, GB41, GV4, GV14, and GV20Acupuncture (30-45 min)Penetrating sham acupuncture (30-45 min)
Huang et al.2018China81/8248 ± 549 ± 864 (79.0)63 (76.8)4 weeks//Acupuncture  +  Zhuang medicine (7 times weekly for 4 weeks)  +  csDMARDscsDMARDs
Wu et al.2006China45/4552 ± 1251 ± 1136 (80.0)35 (77.8)5 months/SJ14, SI9, LI15, LU5, LI11, PC3, SJ4, SI5, LI5, EX-UE9, EX-LE5, LR8, GB33, ST36, GB34, KI3, ST41, BL60, GB40, EX-LE10, and ST7Acupuncture (once every other day for 30 m
in)
Methotrexate
Lv et al.2021China51/4941 ± 1441 ± 1433 (64.7)24 (71.4)12 weeks/RN12, RN10, RN4, RN6, ST24, and ST26Bo's abdominal acupuncture (every other day)  +  MethotrexateMethotrexate
Liang et al.2012China40/4040 ± 938 ± 931 (77.5)32 (80.0)4 weeks/BL20, BL23, ST36, CV4, Ex-LE10, LI5, PC7, LI11, TE10, LI15, TE14, Ex-LE5, ST41, and Ex-UE9Acupuncture (30 min, 5 times weekly for 4 weeks)  +  Meloxicam  +  Methotrexate  +  LeflunomideMeloxicam  +  Methotrexate  +  Leflunomide