Evidence map›Paper›PMID 33879221›Full record

ArticleTrials2021

Effect of acupotomy in knee osteoarthritis patients: study protocol for a randomized controlled trial.

Danghan Xu, Minghui Lee, Cihui Huang, Jia Wei, Mengxue Zhou, Taotao Yao, Jingjing Lu, Wenjing Zhao, Nuo Xu, Ruina Huang and 2 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Effect of ultrasound-guided acupotomy combined with acupuncture on limb dysfunction in patients with cerebral stroke.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 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

12 authors at 6 institutions in 3 countries.

Danghan XuThe First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Minghui LeeThe First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Cihui HuangThe First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Jia WeiThe First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Mengxue ZhouKyoto Prefectural University of Medicine, Kyoto, Japan.
Taotao YaoThe First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Jingjing LuThe First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Wenjing ZhaoShenzhen Pingle Orthopaedic Hospital, Shenzhen, China.
Nuo XuThe University of Alabama at Birmingham, Birmingham, USA.
Ruina HuangThe Eighth Affiliated Hospital of Sun Yat Sen University, Shenzhen, China.
Jun HeThe First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. hejuntcm@hotmail.com.
Liang ZhengThe First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. gztcmzhengliang@163.com.ORCID http://orcid.org/0000-0002-8397-4171
First Affiliated Hospital of Guangzhou University of Chinese Medicine · CNGuangzhou University of Chinese Medicine · CNKyoto Prefectural University of Medicine · JPShenzhen Pingle Orthopedic Hospital · CNSun Yat-sen University · CNUniversity of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSymptomatic knee osteoarthritis (KOA) is common in China. Pharmacological therapy is not the first recommendation because of its safety issues. Nonpharmacological therapy, such as lifestyle adjustments, weight loss, muscle strengthening, and aerobic exercise programs, is strongly recommended for KOA. However, these approaches may fail due to poor patient compliance. There is a lack of high-quality randomized controlled trials of acupotomy, an effective treatment for KOA. This study was designed to investigate the efficacy of acupotomy in patients with KOA.

methodsA total of 136 patients will be enrolled at the First Affiliated Hospital of Guangzhou University of Chinese Medicine and assigned to the acupotomy group or sham acupotomy group according to the block randomization scheme. Patients in the acupotomy group will receive 2 sessions of acupotomy for 2 weeks (once a week). Patients in the sham group will receive 2 sessions of sham stimulation for 2 weeks (once a week). All patients will use indomethacin cream externally. The primary outcome will be the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the secondary outcomes will be the visual analog scale (VAS) score, plantar pressure distribution test result, X-ray examination findings, musculoskeletal ultrasound findings, maximum knee circumference, joint mobility, and quality of life. Measurements will be taken at baseline, 1 week after the end of treatment, and at the 3- and 6-month follow-ups. DISCUSSION: To the best of our knowledge, this will be the first single-blind, sham-controlled study of acupotomy. The outcome assessors will also be blinded. The aim of this work is to demonstrate the efficacy of acupotomy in treating KOA.

trial registrationChinese Clinical Trial Registry ChiCTR2000033047 . Registered on 18 May 2020.

Indexed as

Acupuncture TherapyOsteoarthritis, KneeChinaHumansQuality of LifeRandomized Controlled Trials as TopicSingle-Blind MethodTreatment OutcomeAcupotomyKnee osteoarthritisNeedle-knifeRandomized controlled trialStudy protocol

Identifiers

PMID33879221
PMCPMC8056725
OpenAlexW3153911322

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.