Evidence map›Paper›PMID 32176032›Full record

Trial reportMedicine2020

Acupuncture attenuates postoperative inflammation in patients after craniotomy: A prospective, open-label, controlled trial.

Seung-Bo Yang, Seung-Yeon Cho, Seungwon Kwon, Woo-Sang Jung, Sang-Kwan Moon, Jung-Mi Park, Chang-Nam Ko, Hee Sup Shin, Seung Hwan Lee, Jun Seok Koh and 2 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Crosstalk between Acupuncture and NF-Evidence-based complementary and alternative medicine : eCAM · 2020
    Review
  8. 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

12 authors at 3 institutions in 2 countries.

Seung-Bo YangStroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong.
Seung-Yeon ChoStroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong.
Seungwon KwonDepartment of Cardiology and Neurology, College of Korean Medicine.
Woo-Sang JungDepartment of Cardiology and Neurology, College of Korean Medicine.
Sang-Kwan MoonDepartment of Cardiology and Neurology, College of Korean Medicine.
Jung-Mi ParkStroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong.
Chang-Nam KoStroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong.
Hee Sup ShinStroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong.
Seung Hwan LeeStroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong.
Jun Seok KohStroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong.
Ho KimDepartment of Epidemiology and Biostatistics, Graduate School of Public Health & Institute of Health and Environment, Seoul National University.
Seong-Uk ParkStroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong.
National Cancer Registration Service · GBDunsan Korean Medicine Hospital · KRKyung Hee University Hospital at Gangdong · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is important to manage inflammation after craniotomy. It may be prudent to reduce the excessive usage of antibiotics and to add supplementary treatments like acupuncture, which would be effective and safe. However, there are only a few studies available to date on the effects of acupuncture on anti-inflammatory response after craniotomy. The aim of this study was to explore the anti-inflammatory effects of acupuncture in patients after a craniotomy.

methodsThis study was a single-center, prospective, open-label, controlled trial. Forty-four subjects who underwent craniotomy for an unruptured aneurysm, facial spasm, or brain tumor were allocated to either an acupuncture group or a control group. Both groups received postoperative routine care in the Department of Neurosurgery. The subjects in the acupuncture group also received a total of 6 acupuncture treatments sessions within 8 days after craniotomy. Acupuncture treatments included acupuncture, electroacupuncture, and intradermal acupuncture. The serum interleukin (IL)-1β and IL-6, tumor necrosis factor-α (TNF-α), C-reactive protein (CRP), and erythrocyte sedimentation rate levels were assessed four times within 7 days after surgery. The presence of fever, use of additional antibiotics, presence of infection including pneumonia or urinary tract infection, and safety were also reviewed.

resultsThe IL-1β levels of subjects who underwent aneurysmal clipping were significantly lower in the acupuncture group (P = .02). TNF-α levels of subjects who underwent aneurysmal clipping at the seventh postoperative day were also significantly lower in the acupuncture group (P = .03). Six cases of fever of unknown origin were observed in the control group, while none were seen in the acupuncture group, revealing that the incidence of fever was significantly lower in the acupuncture group (P = .02). No adverse events occurred during the trial.

conclusionAcupuncture showed a possibility of alleviating inflammation by attenuating the levels of proinflammatory cytokines and significantly reduced the incidence of fever of unknown origin in patients after craniotomy. Acupuncture would be suitable as an adjunctive therapy to alleviate inflammation after craniotomy.

Indexed as

Acupuncture TherapyCraniotomyC-Reactive ProteinFemaleHumansInflammationInterleukin-1betaInterleukin-6MaleMiddle AgedPostoperative ComplicationsProspective StudiesTumor Necrosis Factor-alphaC-Reactive ProteinInterleukin-1betaInterleukin-6Tumor Necrosis Factor-alpha

Identifiers

PMID32176032
PMCPMC7440145
OpenAlexW3012317780

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.