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Editor's Correspondence
April 22, 2013

Placing Acupuncture in Perspective—Reply

Andrew J. Vickers, DPhil; for the Acupuncture Trialists' Collaboration
Author Affiliations

Author Affiliation: Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, New York.

Group Information: The members of the Acupuncture Trialists' Collaboration are listed in Arch Intern Med. 2012;172(19):1444-1453.

JAMA Intern Med. 2013;173(8):713-714. doi:10.1001/jamainternmed.2013.242

In reply

My colleagues and I would like to thank the authors for their comments. Indeed, we find ourselves in agreement with many of the points made. Barrett and London correctly argue that a demonstration of an intervention's effectiveness in the context of a randomized trial does not imply that it is immune from misuse in routine clinical practice. That said, real-world evaluations of acupuncture clinical practice do suggest that there is a relatively low incidence of adverse events related to delayed diagnosis or misplaced advice on medication.1

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