Friends of Science in Medicine
Acupuncture Found to be Pointless
25 July 2016
Complementary and Alternative Health practices are increasingly under scrutiny as government looks for ways of cutting waste from the nation’s escalating health budget. Removing treatments and medicines that don’t work is an obvious starting point.
A recent government commissioned report from Australia’s top health research body, the National Health and Medical Research Council, found no credible scientific evidence of clinical effectiveness for any of the 18 most commonly used “Alternative” modalities (Reflexology, Homeopathy, Iridology etc.).
Friends of Science in Medicine (FSM) emphasises the importance of having credible scientific evidence of clinical effectiveness underpin the delivery of healthcare in Australia. We are now arguing that it's time to add acupuncture to the list of “treatments” for which there is no evidence of efficacy, a primary requirement for Medicare support.
In a comprehensive review, FSM has detailed the origins of acupuncture, the many conflicting and contradictory aspects of its practice, its incompatibility with well-established scientific principles and the inconsistency of the beliefs and practices of different schools of acupuncturists.
Despite millions of dollars having been spent on research into the effectiveness of acupuncture, that research has found that there is no consistent evidence that acupuncture provides any lasting benefit beyond a placebo effect.
Given the above, FSM calls on governments and health agencies not to endorse acupuncture or subsidise its applications, particularly at a time when evidence-based medicines and treatments are under threat as part of cost-cutting measures.
“Acupuncture has been studied for decades and the evidence for any clinical benefit continues to be weak and inconsistent,” said neuroscientist and executive member of FSM, Professor Marcello Costa, “There is no longer any justification for more studies. There is more than enough evidence to confidently conclude that acupuncture doesn’t work.”
“All health care providers who accept that they should base their treatments on scientific evidence but still include acupuncture as part of their health interventions, should seriously revise their practice,” emphasised Dr Sue Ieraci, emergency medicine specialist and advocate for evidence based medicine, “There is no place for acupuncture in evidence-based Medicine.”
The review is available at <http://www.scienceinmedicine.org.au/images/pdf/acupuncturereview.pdf>.
WELCOME FROM THE PRESIDENT OF FRIENDS OF SCIENCE IN MEDICINE
Welcome to our website. We hope you visit often. Our Association, Friends of Science in Medicine (FSM) was formed at the end of 2011 to emphasise the importance of having health care in Australia based upon evidence, scientifically sound research and established scientific knowledge.
The founders of FSM were and are concerned about the increasing number of health courses and interventions on offer to Australians that fall far short of this standard, as well as the inadequacy of the measures that are supposed to protect students and consumers from such practices.
This is no alarmist statement. Many supposed health treatments have no scientific evidence of their effectiveness, some have been shown to cause harm, while many could not possibly work as they are incompatible with well-established principles of physics, chemistry, physiology and pharmacology. Many are pseudoscientific; assuming the trappings of scientifically sound practices in order to gain the credibility of these without subjecting themselves to the well understood tests of scientific examination that have proved so effective in giving us medical procedures and medicines that really work.
We were particularly concerned that some of our universities were allowing pseudoscientific approaches to health education to be presented in health science courses without critical analysis of the principles behind them or of the claims of efficacy made for these procedures and treatments, including such practices as Homeopathy, Energy Medicine, Kinesiology, Chiropractic “subluxation” theory, Cranial Sacral therapy and more. All of these approaches lack scientific credibility, but apparent endorsement of them by our universities can confer undeserved credibility on useless and sometimes dangerous approaches to healthcare.
While suspect university courses provided the impetus for the creation of FSM, all aspects of the penetration of pseudoscience into our healthcare system concerns us. Many, such as Iridology, Reflexology, Rolfing, Homeopathy, much of traditional Chinese and Indian medicines, etc, are an affront to our knowledge of physiology and pathology and, relying as so many of them do on mysterious, undefinable, undetectable “energy”, could never be validated by scientific investigations as, virtually by definition, they have made themselves impossible to test.
We would emphasise, however, that FSM strongly supports the need to conduct independent and disinterested scientific evaluations of those “Alternative and/or Complementary” therapies where the anecdotal evidence for benefit is strong and the underlying explanations are not incompatible with modern biological and physical sciences. Much that is of current therapeutic benefit was developed by such an approach.
As Friends of Science in Medicine, we are also aware of and concerned by the discovery of cases where poor scientific methodology and the fraudulent manipulation of data have occurred within the medical/scientific establishment. Some individual researchers and some of the major pharmaceutical companies have been involved in these unacceptable practices. While FSM deplores such activities, it recognizes that there are already many and increasing checks and balances within Medicine that aim to minimise such incidents.The same cannot be said for Alternative and/or Complementary medicine, which is why FSM is concentrating its efforts in this area.
Valid scientific and medical research must adhere to well-established and widely recognized “best practice” protocols. FSM wants the evaluation of all potential health treatments to be subjected to similar standards for validation.
When we informed the scientific and clinical communities of the establishment of FSM and sought support, we were overwhelmed with encouragement from home and abroad. As of January 2014 we have over 1000 leading scientists, clinicians, lawyers and consumer advocates, (listed herein), as supporters.
FSM has no formal links to any industry or organisation and its executive members serve in a voluntary capacity.
Speaking with a strong voice provided by our constituency we will make every effort to ensure that Australians have access to interventions and medicines backed by science-based tertiary education and scientific evidence of their clinical effectiveness. FSM will work towards ensuring that precious public health dollars are not wasted funding spurious treatments, many of which have actually been proven to be ineffective and thus dangerous, despite their small direct risk.
With the efforts of hundreds of like-minded and knowledgeable Friends, we will strive to help the public understand the importance of a good evidence base for any treatment they are offered. We will advocate for regulatory changes that better protect the public from misleading, even fraudulent, health-related claims.
You will find much more about us, and the outcomes we seek, in the pages that follow. We issue a regular online newsletter to our Friends to keep them informed of our activities. We will keep the content fresh and would welcome your feedback about our work as well as about the effectiveness of this site.
Professor John Dwyer AO
Founding President FSM