Evidence map›Paper›PMID 27412100›Full record

ArticleBMJ open2016

Risk of epilepsy in stroke patients receiving acupuncture treatment: a nationwide retrospective matched-cohort study.

Shu-Wen Weng, Chien-Chang Liao, Chun-Chieh Yeh, Ta-Liang Chen, Hsin-Long Lane, Jaung-Geng Lin, Chun-Chuan Shih

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
7.1field-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.

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

12 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

7 authors at 5 institutions in 2 countries.

Shu-Wen WengGraduate Institute of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan Department of Chinese Medicine, Taichung Hospital, Ministry of Health and Welfare, Taichung, Taiwan.
Chien-Chang LiaoGraduate Institute of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan Department of Anesthesiology, Taipei Medical University Hospital, Taipei, Taiwan Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan Health Policy Research Center, Taipei Medical University Hospital, Taipei, Taiwan.
Chun-Chieh YehDepartment of Surgery, China Medical University Hospital, Taichung, Taiwan Department of Surgery, University of Illinois, Chicago, Illinois, USA.
Ta-Liang ChenDepartment of Anesthesiology, Taipei Medical University Hospital, Taipei, Taiwan Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan Health Policy Research Center, Taipei Medical University Hospital, Taipei, Taiwan.
Hsin-Long LaneSchool of Chinese Medicine for Post-Baccalaureate, I-Shou University, Kaohsiung City, Taiwan.
Jaung-Geng LinGraduate Institute of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan Department of Healthcare Administration, Asia University, Taichung, Taiwan.
Chun-Chuan ShihSchool of Chinese Medicine for Post-Baccalaureate, I-Shou University, Kaohsiung City, Taiwan Program for the Clinical Drug Discovery from Botanical Herbs, College of Pharmacy, Taipei Medical University, Taipei, Taiwan.
China Medical University · TWTaipei Medical University · TWI-Shou University · TWMinistry of Health and Welfare · TWTaipei Medical University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the risk of epilepsy in stroke patients receiving and not receiving acupuncture treatment.

designRetrospective cohort study.

settingThis study was based on Taiwan's National Health Insurance Research Database that included information on stroke patients hospitalised between 1 January 2000 and 31 December 2004.

participantsWe identified 42 040 patients hospitalised with newly diagnosed stroke who were aged 20 years and above. PRIMARY AND SECONDARY OUTCOME MEASURES: We compared incident epilepsy during the follow-up period until the end of 2009 in stroke patients who were and were not receiving acupuncture. The adjusted HRs and 95% CIs of epilepsy associated with acupuncture were calculated using multivariate Cox proportional hazard regression.

resultsStroke patients who received acupuncture treatment (9.8 per 1000 person-years) experienced a reduced incidence of epilepsy compared to those who did not receive acupuncture treatment (11.5 per 1000 person-years), with an HR of 0.74 (95% CI 0.68 to 0.80) after adjustment for sociodemographic factors and coexisting medical conditions. Acupuncture treatment was associated with a decreased risk of epilepsy, particularly among stroke patients aged 20-69 years. The log-rank test probability curve indicated that stroke patients receiving acupuncture treatment had a reduced probability of epilepsy compared with individuals who did not receive acupuncture treatment during the follow-up period (p<0.0001).

conclusionsStroke patients who received acupuncture treatment had a reduced risk of epilepsy compared with those not receiving acupuncture treatment. However, the protective effects associated with acupuncture treatment require further validation in prospective cohort studies.

Indexed as

Acupuncture TherapyAdultAgedAged, 80 and overEpilepsyFemaleHospitalizationHumansMaleMiddle AgedNational Health ProgramsProportional Hazards ModelsProspective StudiesRetrospective StudiesRisk FactorsStrokeAcupuncture

Identifiers

PMID27412100
PMCPMC4947771
OpenAlexW2470841034

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.