Evidence map›Paper›PMID 23818069›Full record

SynthesisThe Cochrane database of systematic reviews2013

Acupuncture for stress urinary incontinence in adults.

Yang Wang, Liu Zhishun, Weina Peng, Jie Zhao, Baoyan Liu

Registry-linked trialOpen access · greenAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The Cochrane database of systematic reviews, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05053373 (Evaluation of Integrated Optimization Schemes for Female Stress Incontinence), which is not on this map. Cited by 27 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 8 pooled it
3.0field-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.

NCT05053373 nacompletednot on this mapstarted 2014, after this paper: background citation

Evaluation of Integrated Optimization Schemes for Female Stress Incontinence

TypeinterventionalSponsorShanghai Yueyang Integrated Medicine HospitalRan2014 to 2017Enrolled358ConditionsStress Urinary Incontinence in WomenArmsElectroacupuncture group, Sham electroacupuncture group, Pelvic floor muscle training
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 8 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  8. Mid-urethral sling operations for stress urinary incontinence in women.The Cochrane database of systematic reviews · 2017
    Pooled it
  9. Trial
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  11. A pilot study on the use of acupuncture or pelvic floor muscle training for mixed urinary incontinence.Acupuncture in medicine : journal of the British Medical Acupuncture Society · 2016
    Trial
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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 1 institution in 1 country.

Yang WangDepartment of Acupuncture and Moxibustion, Guang An Men Hospital, China Academy of Chinese Medical Sciences, Beijing,China. migofree@126.com.
Liu Zhishun
Weina Peng
Jie Zhao
Baoyan Liu
Chinese Academy of Medical Sciences & Peking Union Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of acupuncture for stress urinary incontinence is increasing in frequency, especially in Asian area. However, its effectiveness and side effects have not been evaluated.

objectivesTo assess the effectiveness and side effects of acupuncture for stress urinary incontinence in adults. SEARCH

methodsWe searched the Cochrane Incontinence Group Specialised Register (searched 28 January 2013), EMBASE, AMED, Chinese Biomedical Literature Database (CBM), Chinese Acupuncture Trials Register and China National Knowledge Infrastructure (CNKI) (all searched 20 February 2013). In addition, we searched the reference lists of relevant articles and contacted authors and trialists in the field. SELECTION CRITERIA: Randomised and quasi-randomised controlled trials of acupuncture interventions without other treatments for the management of stress urinary incontinence for adults. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed eligibility, trial quality and extracted data. We meta-analysed data where appropriate. MAIN

resultsWe identified 17 possibly eligible studies but only one small trial with 60 women met our inclusion criteria. The trial compared acupuncture versus midodrine, a drug for treating hypotension. The risk of bias was high as there was no concealment of randomised allocation, and there was no blinding of assessment of outcome. In addition, it was not possible to blind participants or health providers to the interventions. The statistical methods were not described.More women improved in the acupuncture group (73% with acupuncture versus 33% with midodrine; risk ratio (RR) 2.20, 95% confidence interval (CI) 1.27 to 3.81) but the cure rates were low and not statistically significantly different (13% versus 7%; RR 2.00, 95% CI 0.40 to 10.11). There were adverse events in the drug group only. AUTHORS'

conclusionsThe effect of acupuncture for stress urinary incontinence for adults is uncertain. There is not enough evidence to determine whether acupuncture is more effective than drug treatment.

Indexed as

Acupuncture TherapyAdrenergic alpha-1 Receptor AgonistsAdultFemaleHumansMidodrineRandomized Controlled Trials as TopicUrinary Incontinence, StressAdrenergic alpha-1 Receptor AgonistsMidodrine

Identifiers

PMID23818069
PMCPMC11262557
OpenAlexW1686917789

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.