Das modelivorhaben akupunktur der ersatzkassen: Ein zwischenbericht zu den ergebnissen der beobachtungsstudie

Wolfgang Weidenhammer, Andrea Streng, Susanne Reitmary, Andrea Hoppe, Klaus Linde, Dieter Melchart

Publikation: Beitrag in FachzeitschriftArtikelBegutachtung

14 Zitate (Scopus)


Introduction: The German Social Law allows the health insurance companies to perform so called "Modellvorhaben" (trial phases) in order to investigate effectiveness and efficiency of health care interventions under real life conditions. We report preliminary results of a study representing one component of the concomitant research strategy of a Modellvorhaben on acupuncture by a group of German social health insurance companies. Objective: Description of the usage of acupuncture in routine care of out-patients, estimation of the incidence of adverse effects, description of the therapeutic effects of acupuncture. Methods: Open prospective multicenter observational study of patients suffering from chronic headache, low back pain and osteoarthritic pain. Acupuncture is performed by registered medical acupuncturists with at least 140 hours of acupuncture training. Results: By March, 25, 2002 data from 97 733 patients (80.5% female; mean age 55.1 ± 15.5 yrs) treated by 7050 acupuncturists were available for analysis. The most frequent indication for acupuncture was low back pain (45.7%). The relative frequency of chronic headache was 35.2% and 12.1% for osteoarthritic pain, respectively. Multiple indications were reported in 7% of the patients. The median duration of complaints was 3 years. 70.8% of the patients were treated with acupuncture for the first time. 7.9 acupuncture sessions were reported per patient on average. 34.3% of the patients received concomitant treatment. The therapeutic effectiveness was judged by the physicians as very good in 21.6% of the patients, as good in 55.1%, and as minimal in 16.8%. In 3.6% complaints were rated as unchanged or worse. Adverse effects were reported in 7.1% of all patients, whereas severe adverse effects were documented in 6 cases meaning a frequency of below 0.01%. Outlook: About 500 000 patients are expected for this ongoing study. An electronic version of the documentation is currently being tested. At present, more detailed patient-based data obtained in a random sample of patients are analyzed.

Titel in ÜbersetzungAcupuncture trial study of a group of German social health insurance companies: A preliminary report of the results of an observational study
Seiten (von - bis)183-192
FachzeitschriftDeutsche Zeitschrift fur Akupunktur
PublikationsstatusVeröffentlicht - 2002


  • Acupuncture
  • Adverse effects
  • Headache
  • Low back pain
  • Observational study
  • Osteoarthritic pain


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