Evidence map›Paper›PMID 32493452›Full record

SynthesisBMC complementary medicine and therapies2020

The effects of acupuncture on occipital neuralgia: a systematic review and meta-analysis.

Jung-Min Yun, Sook-Hyun Lee, Jae-Heung Cho, Koh-Woon Kim, In-Hyuk Ha

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC complementary medicine and therapies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Occipital Neuralgia.Current pain and headache reports · 2021
    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

5 authors.

Jung-Min YunCollege of Korean Medicine, Woosuk University, Wanju, Republic of Korea.
Sook-Hyun LeeJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea.
Jae-Heung ChoDepartment of Korean Rehabilitation Medicine, Kyung Hee University, Seoul, Republic of Korea.
Koh-Woon KimDepartment of Korean Rehabilitation Medicine, Kyung Hee University, Seoul, Republic of Korea.
In-Hyuk HaJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea. hanihata@gmail.com.ORCID http://orcid.org/0000-0002-5020-6723

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOccipital neuralgia is one of the main causes of occipital pain. This systematic review aims to assess the level of evidence in randomized controlled trials (RCTs) on the effects of acupuncture on occipital neuralgia.

methodsWe searched 11 databases and a journal archive from their inception up to December 2019 for relevant RCTs. We did not place any specific restrictions on patients diagnosed with occipital neuralgia, such as age or gender. We included studies that used an acupuncture intervention group, with or without the control group treatment, and that set a control group receiving active, interventional treatment such as medication. For outcomes, we used visual analogue scale (VAS) and effective rate.

resultsWe included a total of 11 RCTs. All VAS scores (mean difference [MD] -2.35, 95% confidence interval [CI] -2.84, - 1.86) and effective rate values (odds ratio [OR] 4.96, 95% CI 2.24, 10.96) showed significant differences in effect between acupuncture treatment alone and the control group treatment. Similarly, combined acupuncture treatment with control group treatment also showed significant effects in effective rate (OR 6.68, 95% CI 1.11, 40.37). We performed a subgroup analysis on studies that used acupuncture only as the intervention and reported the effective rate, and found that all acupuncture subgroups showed significant effects compared to the control group treatments. None of the studies reported severe adverse effects.

conclusionsAlthough acupuncture only and combined acupuncture treatments showed significant effects compared to medication, the results of this study are inconclusive. Studies with rigorous study design and larger sample sizes are needed to confirm the role of acupuncture in this field.

trial registrationInternational prospective register for systematic review (PROSPERO) number CRD42019128050.

Indexed as

Acupuncture TherapyHeadacheHumansNeck PainNeuralgiaRandomized Controlled Trials as TopicAcupunctureMeta-analysisOccipital neuralgiaSystematic reviewThe level of evidence

Identifiers

PMID32493452
PMCPMC7268636

What OpenQuestion holds

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Registered trials

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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.