Evidence map›Paper›PMID 30621676›Full record

SynthesisBMC complementary and alternative medicine2019

Cognitive improvement effects of electro-acupuncture for the treatment of MCI compared with Western medications: a systematic review and Meta-analysis.

Hwan Kim, Hong Kyoung Kim, Si Yeon Kim, Young Il Kim, Ho Ryong Yoo, In Chul Jung

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC complementary and alternative medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 9 pooled it
6.1field-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

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

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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

6 authors at 1 institution in 1 country.

Hwan KimDepartment of Oriental Neuropsychiatry, College of Korean Medicine, College of Oriental Medicine, Daejeon University, Yongun-dong, Dong-gu, Daejeon, South Korea.
Hong Kyoung KimClinical Trial Center, Dunsan Korean Medicine Hospital of Daejeon University, Daejeon, South Korea.
Si Yeon KimClinical Trial Center, Dunsan Korean Medicine Hospital of Daejeon University, Daejeon, South Korea.
Young Il KimDepartment of Acupuncture and Moxibustion, College of Oriental Medicine, DaeJeon University, Daejeon, South Korea.
Ho Ryong YooDepartment of Circulatory Internal Medicine, College of Oriental Medicine, DaeJeon University, Daejeon, South Korea.
In Chul JungDepartment of Oriental Neuropsychiatry, College of Korean Medicine, College of Oriental Medicine, Daejeon University, Yongun-dong, Dong-gu, Daejeon, South Korea. npjeong@dju.kr.ORCID http://orcid.org/0000-0001-7245-4990
Daejeon University · KR

Funding

Traditional Korean Medicine R&D Project, Ministry of Health & Welfare, Republic of Korea HB16C0044&HI15C0006
6 · The paper itself

Abstract

backgroundAlmost half of mild cognitive impairment (MCI) patients progress to dementia, which is associated with decreased quality of life and obstacles to independent living. Relevant management is expected to prevent MCI patients from progressing to dementia. In recent years, electroacupuncture (EA) has been used to treat various kinds of neurological disorders including MCI. This study evaluates the use of EA for MCI patients to increase cognitive function through a comparison with Western medications.

methodsRandomized controlled trials (RCT) or systematical reviews (SR) of EA versus Western medications for MCI were searched using the following 10 databases: Pubmed, Cochrane Library, CINAHL, EMBASE, China National Knowledge Infrastructure (CNKI), National Digital Science Library (NDSL), Journal of Oriental Neuropsychiatry (JON), Korean Medical Database (KMBASE), KoreaMed, and OASIS, from October 2007 to August 2017, without language restriction. A methodological quality assessment of RCTs or SRs that met inclusion criteria was conducted using Cochrane Risk of bias (RoB) tool and a meta-analysis by RevMan (Review Manager) 5.3.5 version of Cochrane collaboration.

resultsFive RCTs with 257 patients met inclusion criteria and those were randomly divided into two groups: the EA group (n = 103) and Western medications group (n = 154). The methodological quality of the included studies showed high risk or/and unclear of risk of bias. The meta-analysis of five studies reported that the EA group was better than the Western medications group, improving the Mini Mental State Examination (MMSE) score by 0.65 [95% CI 0.28~1.01] higher mean difference, Montreal Cognitive Assessment (MoCA) score by 0.66 [95% CI 0.00~1.32] higher mean difference. Adverse effects were not reported in the selected studies.

conclusionElectroacupuncture was an effective treatment for MCI patients by improving cognitive function. However, the included studies presented a low methodological quality and no adverse effects were reported. Thus, further comprehensive studies with a design in depth are needed to derive significant results.

Indexed as

ElectroacupunctureCognitive DysfunctionHumansNootropic AgentsRandomized Controlled Trials as TopicTreatment OutcomeNootropic AgentsElectroacupuncture (EA)Mild cognitive impairment (MCI)Mini mentalMontreal cognitive assessment (MoCA)Randomised controlled trials (RCT)State examination (MMSE)Systematical reviews (SR)

Identifiers

PMID30621676
PMCPMC6325879
OpenAlexW2918193607

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.