Evidence map›Paper›PMID 40019501›Full record

SynthesisArchives of gynecology and obstetrics2025

Efficacy and safety of acupuncture-related therapies in symptomatic endometriosis: a systematic review and network meta-analysis.

Yang Su, Ran Ji, Xiaoyan Zheng, Yan Jia, Hao Zhu, Chaoliang Li, Zheng Yu, Manjia Zhu, Siyi Yu, Xiaoping Tian and 1 more

Abstract readNetwork Meta-AnalysisSystematic Review
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. 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

11 authors.

Yang SuSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan, People's Republic of China.ORCID 0009-0004-6784-1725
Ran JiSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan, People's Republic of China.
Xiaoyan ZhengSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan, People's Republic of China.
Yan JiaSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan, People's Republic of China.
Hao ZhuSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan, People's Republic of China.
Chaoliang LiSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan, People's Republic of China.
Zheng YuSchool of Intelligent Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan, People's Republic of China.
Manjia ZhuBasic Medical College, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan, People's Republic of China.
Siyi YuSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan, People's Republic of China.
Xiaoping TianSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan, People's Republic of China. 5114438@qq.com.
Jie YangSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan, People's Republic of China. jenny_yang_jie@126.com.ORCID 0000-0002-6787-0938

Funding

Jie Yang No. 325019048Jie Yang No. 325021028
6 · The paper itself

Abstract

objectiveTo compare the effectiveness and safety of different acupuncture-related therapies combined with pharmacotherapies for treating symptomatic endometriosis.

methodsA pre-defined search strategy was conducted across eight databases (Chinese Biomedical Literature Service System, China National Knowledge Infrastructure, Wanfang Data Knowledge Service Platform, China Science and Technology Journal Database, PubMed, Embase, Cochrane Library, and Web of Science) from inception to May 1, 2023. The included studies were evaluated for methodological quality using the Cochrane risk of bias assessment tool. The surface under the cumulative ranking (SUCRA) was applied to rank the acupuncture-related therapies for each outcome.

resultsTwenty-three randomized controlled trials (RCTs) involving one thousand five hundred forty-five patients were included in the network meta-analysis. Ear electroacupuncture (SUCRA = 83.0%), needle warming moxibustion with Modified Neiyi Zhitong Formula (SUCRA = 80.6%), and auricular needle-embedding (SUCRA = 79.6%) demonstrated a statistically significant reduction in comprehensive symptoms compared to the control group. Studies have shown that body electroacupuncture (OR = 4.33, 95% CI 1.20-15.61), acupoint catgut (OR = 4.32, 95% CI 1.08-17.25), and auricular needle-embedding (OR = 7.56, 95% CI 1.89-30.28) are statistically significantly more effective than conventional treatment.

conclusionThe results of this analysis suggest that acupuncture-related therapies are effective in managing symptomatic endometriosis. Further high-quality randomized controlled trials are warranted to explore their efficacy and safety in greater depth.

trial registrationOur study protocol was registered with the International Platform of Registered Systematic Review and Meta-analysis Protocols (INPLASY); registration number: INPLASY202380077.

Indexed as

Acupuncture TherapyEndometriosisElectroacupunctureFemaleHumansMoxibustionRandomized Controlled Trials as TopicTreatment OutcomeAcupuncture-related therapiesClinical efficiency rateEndometriosisNetwork meta-analysisVisual Analog Scale

Identifiers

PMID40019501
PMCPMC11920332

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.