Evidence map›Paper›PMID 30642381›Full record

ArticleTrials2019

Traditional Chinese medicine (TCM) collaborative care for patients with axial spondyloarthritis (AcuSpA): protocol for a pragmatic randomized controlled trial.

Yu Heng Kwan, Warren Fong, Xiang Ling Ang, Chuen Seng Tan, Bee Choo Tai, Youyi Huang, Marcel Bilger, Jie Kie Phang, Hui Chin Tan, Jia Ven Lee and 11 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 48% 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.

NCT03420404 naactive not recruitingnot on this map

A Pragmatic Randomized Controlled Trial of a Novel TCM Physician-involved Collaborative Care Model in the Management of Patients With Axial Spondyloarthritis in Singapore (AcuSpA)

TypeinterventionalSponsorSingapore General HospitalRan2018 to 2025Enrolled140ConditionsAxial SpondyloarthritisArmsTCM physician involved collaborative care model (TCMCMC)
NCT04519866 naunknown statusnot on this mapstarted 2021, after this paper: background citation

A Randomized Controlled Trial of Electroacupuncture in the Management of Patients With Axial Spondyloarthritis in Singapore (E-AcuSpA)

TypeinterventionalSponsorSingapore General HospitalRan2021 to 2025Enrolled100ConditionsSpondylarthritis, Axial SpondyloarthritisArmsElectroacupuncture, Manual acupuncture
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

21 authors at 5 institutions in 2 countries.

Yu Heng KwanProgram in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.ORCID http://orcid.org/0000-0001-7802-9696
Warren FongDepartment of Rheumatology and Immunology, Singapore General Hospital, Academia Building, Level 4, 20 College Road, Singapore, 169856, Singapore.
Xiang Ling AngSingapore Thong Chai Medical Institution, Singapore, Singapore.
Chuen Seng TanSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Bee Choo TaiSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Youyi HuangInternal Medicine Residency, SingHealth, Singapore, Singapore.
Marcel BilgerProgram in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.
Jie Kie PhangDepartment of Rheumatology and Immunology, Singapore General Hospital, Academia Building, Level 4, 20 College Road, Singapore, 169856, Singapore.
Hui Chin TanSingapore Thong Chai Medical Institution, Singapore, Singapore.
Jia Ven LeeSingapore Thong Chai Medical Institution, Singapore, Singapore.
Limin SunSingapore Thong Chai Medical Institution, Singapore, Singapore.
Choy Tip TanSingapore Thong Chai Medical Institution, Singapore, Singapore.
Bao Qiang DongLiaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, People's Republic of China.
Hwee Ling KohDepartment of Pharmacy, National University of Singapore, Singapore, Singapore.
Ying Ying LeungDepartment of Rheumatology and Immunology, Singapore General Hospital, Academia Building, Level 4, 20 College Road, Singapore, 169856, Singapore.
Nai Lee LuiDepartment of Rheumatology and Immunology, Singapore General Hospital, Academia Building, Level 4, 20 College Road, Singapore, 169856, Singapore.
Siaw Ing YeoDepartment of Rheumatology and Immunology, Singapore General Hospital, Academia Building, Level 4, 20 College Road, Singapore, 169856, Singapore.
Swee Cheng NgDepartment of Rheumatology and Immunology, Singapore General Hospital, Academia Building, Level 4, 20 College Road, Singapore, 169856, Singapore.
Kok Yong FongDepartment of Rheumatology and Immunology, Singapore General Hospital, Academia Building, Level 4, 20 College Road, Singapore, 169856, Singapore.
Julian ThumbooProgram in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore. julian.thumboo@singhealth.com.sg.
Truls ØstbyeProgram in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.
Singapore General Hospital · SGNational University of Singapore · SGDuke-NUS Medical School · SGSingHealth · SGLiaoning University of Traditional Chinese Medicine · CN

Funding

Ministry of Health -Singapore TCMRG/SGH310301
6 · The paper itself

Abstract

backgroundAxial spondyloarthritis (AxSpA) is a chronic disease which results in fatigue, pain, and reduced quality of life (QoL). Traditional Chinese medicine (TCM), especially acupuncture, has shown promise in managing pain. Although a TCM collaborative model of care (TCMCMC) has been studied in cancer, there are no randomized controlled trials investigating TCM in AxSpA. Therefore, we will conduct a pragmatic trial to determine the clinical effectiveness, safety, and cost-effectiveness of TCMCMC for patients with AxSpA. We define TCMCMC as standard TCM history taking and physical examination, acupuncture, and TCM non-pharmacological advice and communications with rheumatologists in addition to usual rheumatologic care. The purpose of this paper is to describe the rationale for and methodology of this trial. METHODS/

designThis pragmatic randomized controlled trial will recruit 160 patients who are diagnosed with AxSpA and have inadequate response to non-steroidal anti-inflammatory drugs (NSAIDs). Simple randomization to usual rheumatologic care or the intervention (TCMCMC) with a 1:1 allocation ratio will be used. Ten 30-min acupuncture sessions will be provided to patients assigned to the TCMCMC arm. All participants will continue to receive usual rheumatologic care. The primary endpoint - spinal pain - will be evaluated at week 6. Secondary endpoints include clinical, quality of life, and economic outcome measures. Patients will be followed up for up to 52 weeks, and adverse events will be documented. DISCUSSION: This trial may provide evidence regarding the clinical effectiveness, safety, and cost-effectiveness of a TCMCMC for patients with AxSpA.

trial registrationClinicalTrials.gov, NCT03420404 . Registered on 14 February 2018.

Indexed as

Interdisciplinary CommunicationRheumatologistsAcupuncture TherapyBack PainCost-Benefit AnalysisFemaleHealth Care CostsHumansMaleMedical History TakingMedicine, Chinese TraditionalPatient Care TeamPhysical ExaminationPragmatic Clinical Trials as TopicSingaporeSpondylarthropathies

Identifiers

PMID30642381
PMCPMC6332567
OpenAlexW2910522919

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.