Evidence map›Paper›PMID 39096470›Full record

SynthesisCurrent pain and headache reports2024

Pharmacoacupuncture for the Treatment of Frozen Shoulder: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Ji-Ho Lee, Hyeon-Sun Park, Sang-Hyeon Park, Yun-Kyung Song, Dong-Ho Keum, Seo-Hyun Park

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Current pain and headache reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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.

Ji-Ho LeeCollege of Korean Medicine, Dongguk University Graduate School, Seoul, Republic of Korea.
Hyeon-Sun ParkDepartment of Rehabilitation Medicine of Korean Medicine, Dongguk University Bundang Oriental Hospital Seongnam-si, Gyeonggi-do, 13601, Republic of Korea.
Sang-Hyeon ParkDepartment of Rehabilitation Medicine of Korean Medicine, Dongguk University Bundang Oriental Hospital Seongnam-si, Gyeonggi-do, 13601, Republic of Korea.
Yun-Kyung SongDepartment of Korean Rehabilitation Medicine, Gachon University College of Korean Medicine, 21 Keunumul-ro, Jung-gu, Incheon, 22318, Republic of Korea.
Dong-Ho KeumDepartment of Rehabilitation Medicine of Korean Medicine, Dongguk University Bundang Oriental Hospital Seongnam-si, Gyeonggi-do, 13601, Republic of Korea.
Seo-Hyun ParkCollege of Korean Medicine, Dongguk University Graduate School, Gyeongju, Republic of Korea. barksh84@naver.com.

Funding

Korea Health Industry Development Institute HF22C0127
6 · The paper itself

Abstract

backgroundPharmacoacupuncture (PA) is an alternative injection therapy for a broad range of conditions. This meta-analysis evaluates the effectiveness and safety of PA in treating frozen shoulder (FS) and aims to standardise PA characteristics in clinical practice.

methodsRandomized controlled trials (RCTs) assessing PA for FS were systematically reviewed from seven electronic databases up to August 31, 2023. Outcomes measured included the visual analogue scale (VAS) or numerical rating scale (NRS), effective rate, Constant-Murley Score (CMS), Shoulder Pain and Disability Index (SPADI), ROM, quality of life (QoL), and adverse events. Data analysis was conducted using RevMan 5.3, with the risk of bias in each trial evaluated using Cochrane's risk of bias tool. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) tool assessed the quality of evidence.

resultsThirteen RCTs involving 1034 patients met the inclusion criteria, with eleven RCTs and 872 patients included in the meta-analysis. PA showed low-quality evidence of improvement in VAS, effective rate, CMS Total, and CMS Pain. Moderate-quality evidence indicated improvement in CMS ADL and CMS Mobility. PA was effective in four SF-36 subscales: physical function, social role function, mental health, and emotional role function. No significant difference in CMS strength was observed. One trial reported mild anaphylaxis reaction to bee venom as an adverse event.

conclusionPA may offer potential benefits as an alternative injection therapy for FS patients. Further well-designed RCTs with rigorous methodology are required to substantiate its therapeutic efficacy and clinical utility. REGISTRATION: PROSPERO (CRD42023445708).

Indexed as

BursitisHumansRandomized Controlled Trials as TopicTreatment OutcomeAdhesive capsulitisFrozen shoulderMeta-analysisPeriarthritis of shoulderPharmacoacupunctureSystematic review

Identifiers

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.