Evidence map›Paper›PMID 19922248›Full record

SynthesisJournal of alternative and complementary medicine (New York, N.Y.)2009

Acupuncture for treatment of insomnia: a systematic review of randomized controlled trials.

Huijuan Cao, Xingfang Pan, Hua Li, Jianping Liu

2 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in Journal of alternative and complementary medicine (New York, N.Y.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 54 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 9 pooled it
6.5field-weighted citation impact, top 4% 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.

NCT05410288 nacompletednot on this mapstarted 2022, after this paper: background citation

A Clinical Investigation of the Effects of Acu-TENS and Acupressure on the Sleep Quality of Older Adults With Insomnia: A Pilot Randomized, Placebo-controlled Clinical Trial

TypeinterventionalSponsorThe Hong Kong Polytechnic UniversityRan2022 to 2023Enrolled76ConditionsacuTENS, Sleep Quality, Insomnia, AcupressureArmsAcu-TENS, acupressure+SHP, placebo stimulation+SHP, sleep hygiene program(SHP)
NCT06079385 nacompletednot on this mapstarted 2022, after this paper: background citation

The Effect of Acupuncture Treatment on Sleep Quality in Post-Stroke Patients

TypeinterventionalSponsorIstanbul Physical Medicine Rehabilitation Training and Research HospitalRan2022 to 2022Enrolled70ConditionsStroke, ComplementaryArmsAcupuncture treatment
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 9 syntheses or guidelines pooled it, 169 citations in OpenAlex.

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  9. Acupuncture for insomnia.The Cochrane database of systematic reviews · 2012
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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

4 authors at 1 institution in 1 country.

Huijuan CaoCenter for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Xingfang Pan
Hua Li
Jianping Liu
Beijing University of Chinese Medicine · CN

Funding

Cochrane Complementary Medicine Field: Resource for ResearchR24AT001293 · NCCIH · UNIVERSITY OF MARYLAND BALTIMORE · PI BERMAN, BRIAN M, WIELAND, LISA SUSAN · 2003 to 2022
$9.4M
NCCIH NIH HHS R24 AT001293
6 · The paper itself

Abstract

backgroundAcupuncture is commonly used in treating insomnia in China, and clinical studies have shown that acupuncture may have a beneficial effect on insomnia compared with Western medication.

methodsWe included randomized controlled trials on acupuncture for insomnia. We searched PubMed, the Cochrane Library (2008 Issue 3), China Network Knowledge Infrastructure (CNKI), Chinese Scientific Journal Database (VIP), and Wan Fang Database. All searches ended in December 2008. Two authors extracted data and assessed the trials' quality independently. RevMan 5.0.17 software was used for data analysis with effect estimate presented as relative risk (RR) and mean difference (MD) with a 95% confidence interval (CI).

resultsForty-six (46) randomized trials involving 3811 patients were included, and the methodological quality of trials was generally fair in terms of randomization, blinding, and intention-to-treat analysis. Meta-analyses showed a beneficial effect of acupuncture compared with no treatment (MD -3.28, 95% CI -6.10 to -0.46, p = 0.02; 4 trials) and real acupressure compared with sham acupressure (MD -2.94, 95% CI -5.77 to -0.11, p = 0.04; 2 trials) on total scores of Pittsburgh Sleep Quality Index. Acupuncture was superior to medications regarding the number of patients with total sleep duration increased for >3 hours (RR 1.53, 95% CI 1.24-1.88, p < 0.0001). However, there was no difference between acupuncture and medications in average sleep duration (MD -0.06, 95% CI -0.30-0.18, p = 0.63). Acupuncture plus medications showed better effect than medications alone on total sleep duration (MD 1.09, 95% CI 0.56-1.61, p < 0.0001). Similarly, acupuncture plus herbs was significantly better than herbs alone on increase of sleep rates (RR 1.67, 95% CI 1.12-2.50, p = 0.01). There were no serious adverse effects with related to acupuncture treatment in the included trials.

conclusionsAcupuncture appears to be effective in treatment of insomnia. However, further large, rigorous designed trials are warranted.

Indexed as

Acupuncture TherapyAcupressureCombined Modality TherapyHumansHypnotics and SedativesPhytotherapyRandomized Controlled Trials as TopicSleep Initiation and Maintenance DisordersTreatment OutcomeHypnotics and Sedatives

Identifiers

PMID19922248
PMCPMC3156618
OpenAlexW2058621382

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.