Evidence map›Paper›PMID 39704927›Full record

SynthesisFrontiers of medicine2025

Does the outcome of acupuncture differ according to the location of sham needling points in acupuncture trials for migraine? A systematic review and network meta-analysis.

Boram Lee, Chan-Young Kwon, Hye Won Lee, Arya Nielsen, L Susan Wieland, Tae-Hun Kim, Stephen Birch, Terje Alraek, Myeong Soo Lee

Abstract readSystematic ReviewNetwork Meta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Frontiers of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. 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

9 authors.

Boram LeeKM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, 34054, Republic of Korea.
Chan-Young KwonDepartment of Oriental Neuropsychiatry, Dong-Eui University College of Korean Medicine, Busan, 47227, Republic of Korea.
Hye Won LeeKM Convergence Research Division, Korea Institute of Oriental Medicine, Daejeon, 34054, Republic of Korea.
Arya NielsenDepartment of Family Medicine & Community Health, Icahn School of Medicine at Mount Sinai, New York, 10029, USA.
L Susan WielandCenter for Integrative Medicine, University of Maryland School of Medicine, Baltimore, Maryland, 21201, USA.
Tae-Hun KimKorean Medicine Clinical Trial Center, Korean Medicine Hospital, Kyung Hee University, Seoul, 02447, Republic of Korea.
Stephen BirchSchool of Health Sciences, Kristiania University College, Oslo, 0107, Norway.
Terje AlraekSchool of Health Sciences, Kristiania University College, Oslo, 0107, Norway.
Myeong Soo LeeKM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, 34054, Republic of Korea. drmslee@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Various acupuncture clinical trials have been conducted on migraine; however, the conclusions remain controversial especially when acupuncture was compared with sham acupuncture. Sham acupuncture is sometimes performed at the same acupuncture points used for verum acupuncture despite the evidence on acupuncture point specificity. Four databases were searched for sham acupuncture or waiting list-controlled acupuncture trials for migraine on December 25, 2023. Sham acupuncture was classified according to the needling points: sham acupuncture therapy at verum points (SATV) or at sham points (SATS). Network meta-analysis was performed based on the frequentist framework for headache pain intensity and response rate. A total of 18 studies involving 1936 participants were analyzed. Headache pain intensity and response rate were significantly improved in verum acupuncture compared with SATS. However, there was no significant difference between SATV and verum acupuncture. When comparing SATS and SATV, there was no significant difference in headache pain intensity and response rate; however, the results were in favor of SATV. The effect of the risk of bias on the certainty of evidence between verum and sham acupunctures was judged to be generally low. SATV should not be misused as a placebo control to evaluate the efficacy of acupuncture.

Indexed as

Acupuncture PointsAcupuncture TherapyMigraine DisordersHumansRandomized Controlled Trials as TopicTreatment Outcomeacupuncture therapymigrainemigraine disordersplacebosham acupuncture

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.