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Acupuncture et sevrage tabagique PowerPoint Presentation

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Published on : Mar 14, 2014
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Slide 1 - Acupuncture et sevrage tabagique Que conclure en Novembre 2001? Docteur Philippe CASTERA SEQUENCE 4
Slide 2 - Les erreurs de White et al. 2000 ECR de Vibes-1977 oublié. ECR Gilbey-1977 inclus à tord. Groupes comparés erronés pour deux ECR (Lamontagne-1980 et Martin-1981).
Slide 3 - Acupuncture vs no treatmentEn fin de traitement  3 ECR  559 patients inclus  29,6% vs 9% OR 3,46 (95%CI) [2,13-5,62]  Significatif
Slide 4 - Acupuncture vs no treatmentà 1 an  2 ECR  726 patients inclus  11% vs 4,1% OR 2,90 (95%CI) [1,57 – 5,37]  Significatif
Slide 5 - Acupuncture vraie vs factice, en fin de traitement  12 ECR  2128 patients inclus  29,8% vs 26,2% OR : 1,31 (95%CI) [1,07 – 1,60]  Significatif
Slide 6 - Acupuncture vraie vs facticeà 6 mois  4 ECR  465 patients inclus  26,8% vs 16,8% OR : 1,80 (95%CI) [1,10 – 2,93]  Significatif
Slide 7 - Acupuncture vraie vs facticeà 1 an  2 ECR  1196 patients inclus  13,9% vs 13,7% OR : 1,02 (95%CI) [0,72 – 1,44]  Non significatif
Slide 8 - Premières conclusionstous protocoles confondus L’acupuncture multiplie les chances d’arrêter le tabac à 1 an, par trois. L’acupuncture vraie est supérieure à la factice, de façon significative, jusqu’à 6 mois. Les résultats à 1 an sont non significatifs. Y a t’il des protocoles plus efficaces?
Slide 9 - Acupuncture vraie vs facticeUn ou deux points  8 ECR  1688 patients inclus  23,71% vs 23,68% OR : 1,07 (95%CI) [0,85 – 1,35]  Non significatif
Slide 10 - Acupuncture vraie vs facticeTrois points et plus  5 ECR  472 patients inclus  51,95% vs 31,94% OR : 2,68 (95%CI) [1,78 – 4,03]  Significatif
Slide 11 - Conclusion Selon les meilleures données disponibles aujourd’hui, l’acupuncture est supérieure au placebo. Les protocoles comportant plus de trois points différents obtiennent, en fin de traitement, des résultats comparables ou supérieurs aux meilleurs traitements existants. Les acupuncteurs doivent participer à l’évaluation de l’acupuncture.