Evidence map›Paper›PMID 36221368›Full record

SynthesisMedicine2022

Clinical efficacy of acupuncture in patients with adhesive intestinal obstruction: A meta-analysis.

Yujia Xie, Chengwen Zheng, Xiyue Tan, Zongyu Li, Yiyi Zhang, Yuan Liu

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

6 authors at 2 institutions in 3 countries.

Yujia XieBasic Medical School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Chengwen ZhengBasic Medical School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Xiyue TanBasic Medical School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Zongyu LiClinical Medical School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Yiyi ZhangBasic Medical School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Yuan LiuBasic Medical School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.ORCID 0000-0002-6408-8887
Institute for Literature · BGChengdu University of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdhesive intestinal obstruction (AIO) is a common surgical emergency. Surgical exploration has a considerable risk of intestinal injury, and surgical treatment may greatly reduce the quality of life after surgery and cause AIO after re-operation. The nonsurgical treatment is effective for approximately 70% to 90% of patients with adhesive small bowel obstruction (ASBO). However, the high recurrence (30%) and mortality (2%) rates of ASBO are concerning. Moreover, the ideal management method of ASBO remains debatable. Studies have shown that acupuncture can also promote postoperative gastrointestinal function recovery and prevent postoperative complications such as nausea, vomiting, and visceral pain.

aimWe aimed to evaluate the effectiveness of acupuncture in the treatment of AIO.

methodsRandomized controlled trials investigating the effectiveness of acupuncture for adhesive bowel obstruction published until November 2021 were identified by searching 8 comprehensive databases. Data analysis was performed using RevMan v. 5.4 and Stata software v. 16.0. The random-effects model and the fixed-effects model were used to perform the meta-analysis on the experimental group and control group.

resultsTwelve studies with a total of 892 participants were included. The results showed that the experimental group had a significantly higher effective rate (relative risk: 1.20; 95% confidence interval (CI): 1.11-1.28; P < .00001) and a markedly shorter time of the first defecation (mean difference: -11.49, 95% CI: -19.31 to -3.66; P = .004) than the control group. The experimental group also showed a reduction in the duration of abdominal pain, and the reduced length of hospital stay. However, no statistical differences were observed between the 2 groups in terms of the surgery conversion rate.

conclusionAcupuncture is effective in the treatment of AIO. It can remarkably alleviate some clinical symptoms in patients with AIO.

Indexed as

Acupuncture TherapyIntestinal ObstructionAdhesivesHumansQuality of LifeTissue AdhesionsTreatment OutcomeAdhesives

Identifiers

PMID36221368
PMCPMC9542758
OpenAlexW4304014261

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.