Evidence map›Paper›PMID 33328773›Full record

ArticleNature and science of sleep2020

Efficacy and Safety of Electroacupuncture for Insomnia Disorder: A Multicenter, Randomized, Assessor-Blinded, Controlled Trial.

Boram Lee, Bo-Kyung Kim, Hyeong-Jun Kim, In Chul Jung, Ae-Ran Kim, Hyo-Ju Park, O-Jin Kwon, Jun-Hwan Lee, Joo-Hee Kim

Open access · goldAbstract read
In one paragraph

Article in Nature and science of sleep, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 11 pooled it
1.8field-weighted citation impact, top 14% 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

29 citing papers in PubMed, 11 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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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

9 authors at 5 institutions in 1 country.

Boram LeeClinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.
Bo-Kyung KimDepartment of Neuropsychiatry, School of Korean Medicine, Pusan National University, Yangsan-si, Gyeongsangnam-do, Republic of Korea.
Hyeong-Jun KimDepartment of Oriental Gynecology, Jecheon Oriental Hospital of Semyung University, Jecheon, Republic of Korea.
In Chul JungDepartment of Neuropsychiatry, College of Korean Medicine, Daejeon University, Daejeon, Republic of Korea.ORCID 0000-0001-7245-4990
Ae-Ran KimClinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.ORCID 0000-0003-3600-0806
Hyo-Ju ParkClinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.
O-Jin KwonClinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.ORCID 0000-0002-7349-4596
Jun-Hwan LeeClinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.ORCID 0000-0001-5730-6869
Joo-Hee KimDepartment of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Sangji University, Wonju-si, Gangwon-do, Republic of Korea.
Korea Institute of Oriental Medicine · KRDaejeon University · KRPusan National University · KRSangji University · KRSemyung University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the efficacy and safety of electroacupuncture in treating insomnia. PATIENTS AND

methodsIn a multicenter, randomized, assessor-blinded, controlled trial, 150 patients with DSM-5-diagnosed insomnia with Insomnia Severity Index (ISI) scores ≥ 15 were randomly assigned to three different groups that underwent 10 sessions of electroacupuncture, sham-electroacupuncture, or usual care for 4 weeks from October 2015 to June 2016 at four Korean medicine hospitals, Republic of Korea. The primary outcome included the ISI score at Week 4; the secondary outcomes included evaluations of Pittsburgh Sleep Quality Index (PSQI), sleep diary, Hospital Anxiety and Depression Scale (HADS), EuroQoL five dimension (EQ-5D), Patient Global Impression of Change (PGIC), and salivary melatonin and cortisol levels. Assessments were performed at baseline (Week 0) and at Weeks 2, 4, 8, and 12.

resultsCompared with the usual care group, electroacupuncture group showed a greater improvement in ISI, PSQI, sleep diary-derived variables and HADS and EQ-5D scores at Week 4. The effects mostly persisted until Week 12. There were no significant differences between electroacupuncture and sham-electroacupuncture groups at Week 4 in all outcome measures, except sleep diary-derived sleep efficiency. However, the ISI score showed a significant difference between these groups at Weeks 8 and 12. Treatment success as per PGIC was significantly and borderline higher for electroacupuncture compared with usual care and sham-electroacupuncture, respectively. No significant changes in salivary melatonin and cortisol levels before and after treatment were observed in all groups. No serious adverse events were reported. Blinding was maintained in the sham-electroacupuncture group.

conclusionTen sessions of electroacupuncture can improve the sleep quality of patients with insomnia without serious adverse effects. Thus, it can be recommended as an effective, safe, and well-tolerated intervention.

Indexed as

electroacupunctureinsomniarandomized controlled trialsleep initiation and maintenance disorders

Identifiers

PMID33328773
PMCPMC7735782
OpenAlexW3110830610

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.