Evidence map›Paper›PMID 34009391›Full record

SynthesisPain medicine (Malden, Mass.)2022

A Systematic Review of Practiced-Based Research of Complementary and Integrative Health Therapies as Provided for Pain Management in Clinical Settings: Recommendations for the Future and a Call to Action.

Natalie L Dyer, Jessica Surdam, Jeffery A Dusek

Abstract readSystematic Review
In one paragraph

Synthesis in Pain medicine (Malden, Mass.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
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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

3 authors.

Natalie L DyerConnor Integrative Health Network, University Hospitals, Cleveland, Ohio.
Jessica SurdamConnor Integrative Health Network, University Hospitals, Cleveland, Ohio.
Jeffery A DusekConnor Integrative Health Network, University Hospitals, Cleveland, Ohio.ORCID 0000-0001-9581-0564

Funding

Acupuncture in the Emergency Department for Pain Management: A BraveNet Multi-Center Feasibility StudyR01AT010598 · NCCIH · CASE WESTERN RESERVE UNIVERSITY · PI DUSEK, JEFFERY A, FARYAR, KIRAN ANN · 2021 to 2022
$1.3M
Acupuncture in the Emergency Department for Pain Management: A BraveNet Multi-Center Feasibility StudyU01AT010598 · NCCIH · CASE WESTERN RESERVE UNIVERSITY · PI DUSEK, JEFFERY A, MCKEE, MELISSA DIANE · 2020 to 2020
$720k
NCCIH NIH HHS R01 AT010598NCCIH NIH HHS U01 AT010598
6 · The paper itself

Abstract

objectiveThe goal of this systematic review was to evaluate practice-based, real-world research of individualized complementary and integrative health (CIH) therapies for pain as provided in CIH outpatient clinics.

methodsA systematic review was conducted on articles in PubMed, Ovid, Cochrane, Web of Science, Scopus, and Embase published through December 2020. The study was listed in the PROSPERO database (CRD42020159193). Major categories of variables extracted included study details and demographics, interventions, and outcomes.

resultsThe literature search yielded 3,316 records, with 264 assessed for full-text review. Of those, 23 studies (including ∼8,464 patients) were specific to pain conditions as a main outcome. Studies included chiropractic, acupuncture, multimodal individualized intervention/programs, physiotherapy, and anthroposophic medicine therapy. Retention rates ranged from 53% to 91%, with studies offering monetary incentives showing the highest retention. The 0-10 numerical rating scale was the most common pain questionnaire (n = 10; 43% of studies), with an average percent improvement across all studies and time points of 32% (range: 18-60%).

conclusionsFindings from this systematic review of practice-based, real-word research indicate that CIH therapies exert positive effects on various pain outcomes. Although all studies reported beneficial impacts on one or more pain outcomes, the heterogeneous nature of the studies limits our overall understanding of CIH as provided in clinical settings. Accordingly, we present numerous recommendations to improve publication reporting and guide future research. Our call to action is that future practice-based CIH research is needed, but it should be more expansive and conducted in association with a CIH scientific society with academic and health care members.

Indexed as

Complementary TherapiesPain ManagementDelivery of Health CareHumansAcupunctureChiropracticComplementary and Integrative HealthIntegrative MedicinePractice-Based ResearchSystematic Review

Identifiers

PMID34009391
PMCPMC8932298

What OpenQuestion holds

Textmetadata
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.