Evidence map›Paper›PMID 30782712›Full record

Trial reportBMJ open2019

Efficacy of a standardised acupuncture approach for women with bothersome menopausal symptoms: a pragmatic randomised study in primary care (the ACOM study).

Kamma Sundgaard Lund, Volkert Siersma, John Brodersen, Frans Boch Waldorff

Registry-linked trialOpen access · goldAbstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02746497 (The Efficacy of ACupuncture On Menopausal Symptoms), 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
2.6field-weighted citation impact, top 10% 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.

NCT02746497 nacompletednot on this map

The Efficacy of ACupuncture On Menopausal Symptoms (ACOM): A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of CopenhagenRan2016 to 2017Enrolled70ConditionsMenopauseArmsAcupuncture
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Acupuncture in cancer care: a narrative review.Revista da Associacao Medica Brasileira (1992) · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. 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

4 authors at 2 institutions in 1 country.

Kamma Sundgaard LundSection of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-2548-6583
Volkert SiersmaResearch Unit for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
John BrodersenSection of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Frans Boch WaldorffThe Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
University of Copenhagen · DKUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the efficacy of a standardised brief acupuncture approach for women with moderate-to-severe menopausal symptoms.

designRandomised and controlled, with 1:1 allocation to the intervention group or the control group. The assessor and the statistician were blinded.

settingNine Danish primary care practices.

participants70 women with moderate-to-severe menopausal symptoms and nine general practitioners with accredited education in acupuncture.

interventionThe acupuncture style was western medical with a standardised approach in the predefined acupuncture points CV-3, CV-4, LR-8, SP-6 and SP-9. The intervention group received one treatment for five consecutive weeks. The control group was offered treatment after 6 weeks.

main outcome measuresOutcomes were the differences between the randomisation groups in changes to mean scores using the scales in the MenoScores Questionnaire, measured from baseline to week 6. The primary outcome was the hot flushes scale; the secondary outcomes were the other scales in the questionnaire. All analyses were based on intention-to-treat analysis.

results36 participants received the intervention, and 34 participants were in the control group. Four participants dropped out before week 6. The acupuncture intervention significantly decreased hot flushes: Δ -1.6 (95% CI [-2.3 to -0.8]; p<0.0001), day-and-night sweats: Δ -1.2 (95% CI [-2.0 to -0.4]; p=0.0056), general sweating: Δ -0.9(95% CI [-1.6 to -0.2]; p=0.0086), menopausal-specific sleeping problems: Δ -1.8 (95% CI [-2.7 to -1.0]; p<0.0001), emotional symptoms: Δ -3.4 (95% CI [-5.3 to -1.4]; p=0.0008), physical symptoms: Δ -1.7 (95% CI [-3 to -0.4]; p=0.010) and skin and hair symptoms: Δ -1.5 (95% CI [-2.5 to -0.6]; p=0.0021) compared with the control group at the 6-week follow-up. The pattern of decrease in hot flushes, emotional symptoms, skin and hair symptoms was already apparent 3 weeks into the study. Mild potential adverse effects were reported by four participants, but no severe adverse effects were reported.

conclusionsThe standardised and brief acupuncture treatment produced a fast and clinically relevant reduction in moderate-to-severe menopausal symptoms during the six-week intervention. No severe adverse effects were reported. TRIAL REGISTRATION NUMBER: NCT02746497; Results.

Indexed as

MenopauseAcupuncture TherapyAgedFemaleHot FlashesHumansMiddle AgedPatient Reported Outcome MeasuresTreatment Outcomeacupuncture therapyhot flushesmenopausal symptomsmenopauseprimary carerandomised controlled trial

Identifiers

PMID30782712
PMCPMC6501989
OpenAlexW2916421158

What OpenQuestion holds

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LicenceCC BY-NC
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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.