Evidence map›Paper›PMID 21968279›Full record

Trial reportMenopause (New York, N.Y.)2012

A pilot randomized, single-blind, placebo-controlled trial of traditional acupuncture for vasomotor symptoms and mechanistic pathways of menopause.

Jeannette M Painovich, Chrisandra L Shufelt, Ricardo Azziz, Yuching Yang, Mark O Goodarzi, Glenn D Braunstein, Beth Y Karlan, Paul M Stewart, C Noel Bairey Merz

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Menopause (New York, N.Y.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Acupuncture for menopausal hot flushes.The Cochrane database of systematic reviews · 2013
    Pooled it
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  11. Review
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  17. Ischemic heart disease in women: a focus on risk factors.Trends in cardiovascular medicine · 2015
    Review
  18. Acupuncture to Treat Sleep Disorders in Postmenopausal Women: A Systematic Review.Evidence-based complementary and alternative medicine : eCAM · 2015
    Review
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

9 authors at 5 institutions in 3 countries.

Jeannette M PainovichDepartment of Medicine, Cedars-Sinai Heart Institute, Los Angeles, CA 90048, USA. jeannette.painovich@cshs.org
Chrisandra L Shufelt
Ricardo Azziz
Yuching Yang
Mark O Goodarzi
Glenn D Braunstein
Beth Y Karlan
Paul M Stewart
C Noel Bairey Merz
Cedars-Sinai Smidt Heart Institute · USCedars-Sinai Medical Center · USEndocrinology Research Center · RUAugusta University Health · USUniversity of Birmingham · GB

Funding

ZONA-FREE HAMSTER OVA ASSAY AS AN INDICATOR OF MALE FERTILITYM01RR000425 · NCRR · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI ANDERSON, GAIL V · 1985 to 2011
$74.2M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
Effects of Traditional Acupuncture on Mechanisms of CHDR01AT001482 · NCCIH · CEDARS-SINAI MEDICAL CENTER · PI BAIREY MERZ, CATHLEEN NOEL · 2005 to 2009
$2.1M
NCATS NIH HHS UL1 TR000124NCCIH NIH HHS 3R01AT001482-03S1NCCIH NIH HHS 3R01AT001482-04S1NCCIH NIH HHS R01 AT001482NCRR NIH HHS M01 RR000425NCRR NIH HHS M01-RR00425
6 · The paper itself

Abstract

objectiveThe aim of this study was to conduct a pilot study for the feasibility of planning a definitive clinical trial comparing traditional acupuncture (TA) with sham acupuncture (SA) and waiting control (WC) on menopause-related vasomotor symptoms (VMS), quality of life, and the hypothalamic-pituitary-adrenal axis in perimenopausal and postmenopausal women.

methodsThirty-three perimenopausal and postmenopausal women with at least seven VMS daily were randomized to TA, SA, or WC. The TA and SA groups were given three treatments per week for 12 weeks. Outcomes included the number and severity of VMS, Menopause-Specific Quality of Life Questionnaire, Beck Depression Inventory, Spielberg State-Trait Anxiety Instrument, Pittsburgh Quality Sleep Index, 24-hour urine cortisol and metabolites, and adrenocorticotropic hormone stimulation testing.

resultsBoth the TA and SA groups demonstrated improved VMS trends compared with the WC group (Δ -3.5 ± 3.00 vs -4.1 ± 3.79 vs -1.2 ± 2.4, respectively; P = 20) and significantly improved Menopause-Specific Quality of Life Questionnaire vasomotor scores (Δ -1.5 ± 2.02 vs -1.8 ± 1.52 vs -0.3 ± 0.64, respectively; P = 0.04). There were no psychosocial group differences. Exit 24-hour urinary measures were lower in the TA versus the SA or WC group in total cortisol metabolites (4,658.9 ± 1,670.9 vs 7,735.8 ± 3,747.9 vs 5,166.0 ± 2,234.5, P = 0.03; respectively) and dehydroepiandrosterone (41.4 ± 27.46, 161.2 ± 222.77, and 252.4 ± 385.40, respectively; P = 0.05). The response data on adrenocorticotropic hormone stimulation cortisol also trended in the hypothesized direction (P = 0.17).

conclusionsBoth TA and SA reduce VMS frequency and severity and improve VMS-related quality of life compared with WC; however, TA alone may impact the hypothalamic-pituitary-adrenal axis. This association is viewed as preliminary and hypothesis generating and should be explored in a large clinical trial.

Indexed as

Acupuncture TherapyFemaleHot FlashesHumansHypothalamo-Hypophyseal SystemMenopauseMiddle AgedPerimenopausePilot ProjectsPituitary-Adrenal SystemPlacebosPostmenopauseQuality of LifeSingle-Blind MethodSurveys and QuestionnairesPlacebos

Identifiers

PMID21968279
PMCPMC3246091
OpenAlexW2081175041

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.