Evidence map›Paper›PMID 32076985›Full record

Trial reportJournal of general internal medicine2020

Individual vs. Group Delivery of Acupuncture Therapy for Chronic Musculoskeletal Pain in Urban Primary Care-a Randomized Trial.

M Diane McKee, Arya Nielsen, Belinda Anderson, Elizabeth Chuang, Mariel Connolly, Qi Gao, Eric N Gil, Claudia Lechuga, Mimi Kim, Huma Naqvi and 1 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02456727 (Acupuncture Approaches to Decrease Disparities in Outcomes of Pain Treatment - A Two Arm Comparative Effectiveness Trial), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 5% 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.

NCT02456727 nacompletednot on this map

Acupuncture Approaches to Decrease Disparities in Outcomes of Pain Treatment - A Two Arm Comparative Effectiveness Trial

TypeinterventionalSponsorAlbert Einstein College of MedicineRan2015 to 2018Enrolled779ConditionsChronic Pain, Osteoarthritis, Neck Pain, Back PainArmsGroup/Community Acupuncture, Individual Acupuncture
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Models of care for managing non-specific low back pain.The Cochrane database of systematic reviews · 2025
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  4. Evaluating the outcomes and patient experience of group and individual acupuncture in an NHS cancer care setting: a mixed-methods study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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

11 authors at 3 institutions in 1 country.

M Diane McKeeDepartment of Family and Social Medicine, Albert Einstein College of Medicine, New York, USA.
Arya NielsenDepartment of Family Medicine & Community Health, Icahn School of Medicine at Mount Sinai, New York, USA.
Belinda AndersonDepartment of Family and Social Medicine, Albert Einstein College of Medicine, New York, USA.
Elizabeth ChuangDepartment of Family and Social Medicine, Albert Einstein College of Medicine, New York, USA.
Mariel ConnollyDepartment of Family and Social Medicine, Albert Einstein College of Medicine, New York, USA.
Qi GaoDepartment of Family and Social Medicine, Albert Einstein College of Medicine, New York, USA.
Eric N GilDepartment of Family and Social Medicine, Albert Einstein College of Medicine, New York, USA.
Claudia LechugaDepartment of Family and Social Medicine, Albert Einstein College of Medicine, New York, USA.
Mimi KimDepartment of Family and Social Medicine, Albert Einstein College of Medicine, New York, USA.
Huma NaqviDepartment of Rehab Medicine, Albert Einstein College of Medicine, New York, USA.
Benjamin KliglerDepartment of Family and Social Medicine, Albert Einstein College of Medicine, New York, USA. benjamin.kligler@va.gov.
Albert Einstein College of Medicine · USIcahn School of Medicine at Mount Sinai · USPacific College of Oriental Medicine · US

Funding

Patient-Centered Outcomes Research Institute AD-1402-10857
6 · The paper itself

Abstract

backgroundAcupuncture has been shown to be effective for the treatment of chronic musculoskeletal back, neck, and osteoarthritis pain. However, access to acupuncture treatment has been limited in medically underserved and low-income populations.

objectiveAcupuncture therapy delivered in groups could reduce cost and expand access. We compared the effectiveness of group versus individual acupuncture for pain and function among ethnically diverse, low-income primary care patients with chronic musculoskeletal pain.

designThis was a randomized comparative effectiveness non-inferiority trial in 6 Bronx primary care community health centers. Participants with chronic (> 3 months) back, neck, or osteoarthritis pain were randomly assigned to individual or group acupuncture therapy for 12 weeks.

participantsSeven hundred seventy-nine participants were randomized. Mean age was 54.8 years. 35.3% of participants identified as black and 56.9% identified as Latino. Seventy-six percent were Medicaid insured, 60% reported poor/fair health, and 37% were unable to work due to disability.

interventionsParticipants received weekly acupuncture treatment in either group or individual setting for 12 weeks. MAIN MEASURES: Primary outcome was pain interference on the Brief Pain Inventory at 12 weeks; secondary outcomes were pain severity (BPI), physical and mental well-being (PROMIS-10), and opiate use. Outcome measures were collected at baseline, 12 and 24 weeks. KEY

results37.5% of individual arm and 30.3% in group had > 30% improvement in pain interference (d = 7.2%, 95% CI - 0.6%, 15.1%). Non-inferiority of group acupuncture was not demonstrated for the primary outcome assuming a margin of 10%. In the responder analysis of physical well-being, 63.1% of individual participants and 59.5% of group had clinically important improvement at 12 weeks (d = 3.6%, 95% CI - 4.2%, 11.4%).

conclusionsBoth individual and group acupuncture therapy delivered in primary care settings reduced chronic pain and improved physical function at 12 weeks; non-inferiority of group was not shown.

trial registrationClinicaltrials.gov # NCT02456727.

Indexed as

Acupuncture TherapyChronic PainMusculoskeletal PainAnalgesics, OpioidHumansMiddle AgedPrimary Health CareTreatment OutcomeAnalgesics, Opioidacupuncture therapyhealth disparitiesintegrative medicinepain

Identifiers

PMID32076985
PMCPMC7174252
OpenAlexW3006962164

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.