Evidence map›Paper›PMID 29773696›Full record

Trial reportBMJ open2018

Electroacupuncture as a complement to usual care for patients with non-acute low back pain after back surgery: a pilot randomised controlled trial.

In Heo, Man-Suk Hwang, Eui-Hyoung Hwang, Jae-Heung Cho, In-Hyuk Ha, Kyung-Min Shin, Jun-Hwan Lee, Nam-Kwen Kim, Dong-Wuk Son, Byung-Cheul Shin

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01966250 (Electroacupuncture as a Complement to Usual Care for Patients With Non-acute Pain After Back Surgery), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 9% 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.

NCT01966250 nacompletednot on this map

Electroacupuncture as a Complement to Usual Care for Patients With Non-acute Pain After Back Surgery: a Study Protocol for a Pilot Randomized Controlled Trial

TypeinterventionalSponsorKorean Medicine Hospital of Pusan National UniversityRan2013 to 2015Enrolled40ConditionsLow Back Pain, Pain, Postoperative, Failed Back Surgery SyndromeArmselectroacupuncture and usual care, Usual care
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Effect of Acupuncture on Chronic Pain with Depression: A Systematic Review.Evidence-based complementary and alternative medicine : eCAM · 2020
    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

10 authors at 6 institutions in 1 country.

In HeoDepartment of Korean Medical Science, School of Korean Medicine, Pusan National University, Yangsan, The Republic of Korea.
Man-Suk HwangDepartment of Rehabilitation Medicine of Korean Medicine, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, The Republic of Korea.
Eui-Hyoung HwangDepartment of Rehabilitation Medicine of Korean Medicine, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, The Republic of Korea.
Jae-Heung ChoDepartment of Korean Rehabilitation Medicine, Kyung Hee University, Seoul, The Republic of Korea.
In-Hyuk HaJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea.ORCID 0000-0002-5020-6723
Kyung-Min ShinClinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, The Republic of Korea.
Jun-Hwan LeeClinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, The Republic of Korea.
Nam-Kwen KimDepartment of Ophthalmology & Otolaryngology and Dermatology, Pusan National University Korean Medicine Hospital, Yangsan, The Republic of Korea.
Dong-Wuk SonDepartment of Neurosurgery, Yangsan Pusan National University Hospital, Yangsan, The Republic of Korea.
Byung-Cheul ShinDepartment of Rehabilitation Medicine of Korean Medicine, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, The Republic of Korea.
Pusan National University · KRKorea Institute of Oriental Medicine · KRJaseng Medical Foundation · KRKyung Hee University · KRPusan National University Hospital · KRPusan National University Yangsan Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this pilot study was to estimate the sample size for a large pragmatic study of the comparative effectiveness of electroacupuncture (EA) for low back pain (LBP) after back surgery.

designA randomised, active-controlled, assessor-blinded trial.

participantsPatients with recurrent or persistent LBP, defined as a Visual Analogue Scale (VAS) score of ≥50 mm, with or without leg pain after back surgery.

interventionsPatients were randomised to an EA plus usual care (UC) group or to a UC alone group at a 1:1 ratio. Patients assigned to each group received UC, including drug therapy, physical therapy and back pain education, twice a week for 4 weeks; those assigned to the EA plus UC group additionally received EA. OUTCOME MEASURES: The primary outcome was severity of LBP as measured by VAS. Secondary outcomes included back pain-related disability, assessed using the Oswestry Disability Index (ODI) and quality of life, assessed using the EuroQol Five Dimensions (EQ-5D) questionnaire. Statistical analysis was performed using paired and independent t-tests. A p value of <0.05 was considered statistically significant.

resultsThirty-nine patients were allocated to receive EA plus UC (n=18) or UC alone (n=21). There was no statistically significant difference in VAS or EQ-5D scores between the two groups, but there was a significant decrease in ODI scores (p=0.0081). Using G*Power, it was calculated that 40 participants per group would be needed for a future trial according to VAS scores. Considering for a 25% dropout rate, 108 participants (54 per group) would be needed.

conclusionsA future trial addressing the risk of bias and including the estimated sample size would allow for better clinical assessment of the benefits of EA plus UC in treatment of patients with non-acute pain after back surgery. TRIAL REGISTRATION NUMBER: NCT01966250; Results.

Indexed as

AdultAgedBackCost-Benefit AnalysisDisability EvaluationElectroacupunctureFemaleHumansLow Back PainMaleMiddle AgedPain MeasurementPhysical Therapy ModalitiesPilot ProjectsPostoperative ComplicationsPostoperative Painback surgeryelectroacupunctureintegrative medicinelow back painpilot trialpostoperative pain

Identifiers

PMID29773696
PMCPMC5961607
OpenAlexW2804314638

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.