Evidence map›Paper›PMID 19109766›Full record

SynthesisCellular and molecular neurobiology2009

A meta-analysis of acupuncture combined with opioid receptor agonists for treatment of opiate-withdrawal symptoms.

Ting-Ting Liu, Jie Shi, David H Epstein, Yan-Ping Bao, Lin Lu

Abstract readMeta-Analysis
In one paragraph

Synthesis in Cellular and molecular neurobiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
6.1field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Acupuncture for neonatal abstinence syndrome in newborn infants.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Methadone at tapered doses for the management of opioid withdrawal.The Cochrane database of systematic reviews · 2013
    Pooled it
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Efficacy of Electroacupuncture Combined with Methadone Maintenance Therapy: A Case-Control Study.Evidence-based complementary and alternative medicine : eCAM · 2019
    Article
  13. Article
  14. Article
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 2 countries.

Ting-Ting LiuNational Institute on Drug Dependence, Peking University, Hai Dian District, Beijing, China.
Jie Shi
David H Epstein
Yan-Ping Bao
Lin Lu
Peking University · CNNational Institute on Drug Abuse · US

Funding

Evaluation Of Treatments Of Opioid And Cocaine DependenceZIADA000175 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI PRESTON, KENZIE · 2009 to 2016
$7.4M
Intramural NIH HHS Z99 DA999999
6 · The paper itself

Abstract

This review extends a prior meta-analysis of acupuncture's utility for treating opioid detoxification, addressing the efficacy of acupuncture when combined with allopathic therapies. Both English and Chinese databases were searched for randomized trials comparing acupuncture combined with opioid agonist treatment versus opioid agonists alone for treating symptoms of opioid withdrawal. The methodological quality of each study was assessed with Jadad's scale (1-2 = low; 3-5 = high). Meta-analysis was performed with fixed- or random-effect models in RevMan software; the outcome measures assessed were withdrawal-symptoms score, relapse rate, side effects, and medication dosage. Withdrawal-symptom scores were lower in combined treatment trials than in agonist-alone trials on withdrawal days 1, 7, 9, and 10. Combined treatment also produced lower reported rates of side effects and appeared to lower the required dose of opioid agonist. There was no significant difference on relapse rate after 6 months. This meta-analysis suggests that acupuncture combined with opioid agonists can effectively be used to manage the withdrawal symptoms. One limitation of this meta-analysis is the poor quality of the methodology of some included trials. High-quality studies are needed to confirm findings regarding the side effects and medication dosage.

Indexed as

Acupuncture TherapyAdultAnalgesics, OpioidCombined Modality TherapyHumansMaleMedicine, Chinese TraditionalMethadoneOpioid-Related DisordersRandomized Controlled Trials as TopicReceptors, OpioidRecurrenceSubstance Withdrawal SyndromeTreatment OutcomeYoung AdultAnalgesics, OpioidMethadoneReceptors, Opioid

Identifiers

PMID19109766
PMCPMC3689320
OpenAlexW2037383967

What OpenQuestion holds

Textmetadata
LicenceTDM
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.