Evidence map›Paper›PMID 18537469›Full record

Trial reportJournal of alternative and complementary medicine (New York, N.Y.)2008

Development of protocols for randomized sham-controlled trials of complex treatment interventions: Japanese acupuncture for endometriosis-related pelvic pain.

Rosa N Schnyer, Diane Iuliano, Joseph Kay, Monica Shields, Peter Wayne

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of alternative and complementary medicine (New York, N.Y.), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
14.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Acupuncture for pain in endometriosis.The Cochrane database of systematic reviews · 2011
    Pooled it
  3. Guideline
  4. Trial
  5. Trial
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  7. Trial
  8. Trial
  9. Trial
  10. Article
  11. Article
  12. Review
  13. Article
  14. Acupuncture intervention for acute pain in the Emergency Department trial: a consensus process.Acupuncture in medicine : journal of the British Medical Acupuncture Society · 2022
    Article
  15. Article
  16. Article
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Rosa N SchnyerNew England School of Acupuncture, Watertown, MA, USA. rosa_schnyer@hms.harvard.edu
Diane Iuliano
Joseph Kay
Monica Shields
Peter Wayne
New England School of Acupuncture · USHarvard University · US

Funding

NESA Acupuncture Research CollaborativeU19AT002022 · NCCIH · NEW ENGLAND SCHOOL OF ACUPUNCTURE · PI WAYNE, PETER MICHAEL · 2003 to 2009
$4.0M
NCCIH NIH HHS 5 U19 AT002022
6 · The paper itself

Abstract

backgroundVery little research has been conducted in the West to evaluate the clinical efficacy of Japanese acupuncture (JA). The characteristics that define and differentiate JA from Chinese acupuncture styles add specific challenges to the operationalization of treatment protocols for use in clinical trials.

objectivesTo develop an ecologically valid and viable multimodal treatment intervention, including active and sham protocols, for use in a pilot randomized sham-controlled trial of a style of JA in treating endometriosis-related chronic pelvic pain in adolescents and young women.

methodsA focus group format was used to systematize the diagnostic framework, operationalize the intake, design the treatment protocols, and develop a viable and effective sham acupuncture intervention using the Streitberger device and sham moxibustion. Implementation of the treatment protocol employed the manualization process to provide flexibility of treatment while assuring replicability and standardization.

settingThe Japanese Acupuncture Department at the New England School of Acupuncture in Newton, MA.

resultsCompleted study visit forms indicated good compliance of study practitioners with active and sham treatment protocols. The specific JA protocols used in our pilot study were well tolerated by the adolescent girls who participated in the trial. No serious adverse events were reported by any participants. Our protocols were successful in maintaining patient blinding and minimizing differences in outcome expectations between treatment groups.

conclusionsManualization provided a viable method for conforming to the interactive nature of JA treatments, yet facilitated compliance with a replicable treatment protocol. Sham controls of complex, multicomponent JA interventions pose unique challenges. The modified Streitberger needle in conjunction with sham moxibustion showed promise as a viable control in clinical trails of JA; both components of this sham protocol require further validation.

Indexed as

Women's HealthAcupuncture PointsAcupuncture TherapyAdultClinical ProtocolsEndometriosisFemaleFocus GroupsHumansMiddle AgedPain MeasurementPelvic PainPilot ProjectsRandomized Controlled Trials as TopicTreatment Outcome

Identifiers

PMID18537469
PMCPMC3152801
OpenAlexW2039862452

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.