From Needles to Numbers: Leveraging Electronic Medical Records in Acupuncture Studies.

Acupuncture, a cornerstone of traditional Chinese medicine, is recognized for its therapeutic benefits in chronic pain management. However, its integration into Western medicine is limited. Current research often features small sample sizes and single-center studies, lacking the statistical power for broader acceptance by those unfamiliar with non-Western medicine. This perspective advocates for utilizing electronic medical records (EMRs) to enhance acupuncture research. EMRs compile extensive clinical and demographic data, enabling comprehensive analyses. We present a preliminary review of the TriNetX database indicating increased acupuncture use following Medicare's coverage for low back pain with sciatica, notably among minority populations, despite the COVID-19 pandemic. In addition, data suggest potential links between acupuncture and reduced opioid use, faster recovery, and improved patient-reported outcomes. Employing EMRs for comparative effectiveness research, health economics, and longitudinal studies can validate acupuncture's efficacy and safety. By adopting big data analytics, researchers can meet contemporary standards and foster acceptance among policymakers and clinicians. This approach could expand access to acupuncture and establish it as a key component of evidence-based integrative medicine. We urge physician-acupuncturists and researchers to lead this evolution in acupuncture research.