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.
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
Vickers AJ, Acupuncture Trialists' Collaboration FT. Placing Acupuncture in Perspective—Reply. JAMA Intern Med. 2013;173(8):713-714. doi:10.1001/jamainternmed.2013.242