Evidence map›Paper›PMID 30719074›Full record

ArticleTherapeutic advances in gastroenterology2019

Acupuncture and related therapies for treating irritable bowel syndrome: overview of systematic reviews and network meta-analysis.

Irene X Y Wu, Charlene H L Wong, Robin S T Ho, William K W Cheung, Alexander C Ford, Justin C Y Wu, Arthur D P Mak, Holger Cramer, Vincent C H Chung

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Potential Benefit With Complementary and Alternative Medicine in Irritable Bowel Syndrome: A Systematic Review and Meta-analysis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2021
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. 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

9 authors at 4 institutions in 5 countries.

Irene X Y WuXiangya School of Public Health, Central South University, Changsha Hunan, China.
Charlene H L WongDepartment of Medicine and Therapeutics, Chung Chi College, The Chinese University of Hong Kong, Rm LG02, Li Wai Chun Building, Shatin, Hong Kong; Hong Kong Institute of Integrative Medicine, The Chinese University of Hong Kong, Hong Kong.ORCID https://orcid.org/0000-0003-2623-5855
Robin S T HoJockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong.
William K W CheungJockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong.ORCID https://orcid.org/0000-0001-5011-8080
Alexander C FordLeeds Gastroenterology Institute, St. James's University Hospital, Leeds, UK.ORCID https://orcid.org/0000-0001-6371-4359
Justin C Y WuDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong.
Arthur D P MakDepartment of Psychiatry, The Chinese University of Hong Kong, Hong Kong.
Holger CramerDepartment of Internal and Integrative Medicine, University of Duisburg-Essen, Duisburg, Germany.
Vincent C H ChungJockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong.
Chinese University of Hong Kong · HKCentral South University · CNUniversity of Leeds · GBUniversity of Technology Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn overview of systematic reviews (SRs) and a network meta-analysis (NMA) were conducted to evaluate the comparative effectiveness of acupuncture and related therapies used either alone, or as an add-on to other irritable bowel syndrome (IBS) treatments.

methodsA total of eight international and Chinese databases were searched for SRs of randomized controlled trials (RCTs). The methodological quality of SRs was appraised using the AMSTAR instrument. From the included SRs, data from RCTs were extracted for the random-effect pairwise meta-analyses. An NMA was used to evaluate the comparative effectiveness of different treatment options. The risk of bias among included RCTs was assessed using the Cochrane risk of bias tool.

resultsFrom 15 SRs of mediocre quality, 27 eligible RCTs (

conclusionThe risk of bias and NMA inconsistency among included trials limited the trustworthiness of the conclusion. Patients who did not respond well to first-line conventional therapies or antidepressants may consider acupuncture as an alternative. Future trials should investigate the potential of (1) acupuncture as an add-on to antidepressants and (2) the combined effect of Chinese herbs and acupuncture, which is the norm of routine Chinese medicine practice.

Indexed as

acupunctureacupuncture pointsacupuncture therapyirritable bowel syndromenetwork meta-analysissystematic review

Identifiers

PMID30719074
PMCPMC6348567
OpenAlexW2913348215

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.