Evidence map›Paper›PMID 40371085›Full record

SynthesisFrontiers in neurology2025

Acupuncture for chronic insomnia disorder: a systematic review with meta-analysis and trial sequential analysis.

Yi Yu, Xinju Li, Zheng Zhu, Yingdong Wang, Qiang Xi, Jiwen Qiu, Yidan Xu, Ruonan Liang, Yi Guo, Mingxing Zhang

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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

10 authors.

Yi Yu *School of Acupuncture & Moxibustion and Tuina, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Xinju Li *School of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Zheng ZhuSchool of Acupuncture & Moxibustion and Tuina, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Yingdong WangSchool of Acupuncture & Moxibustion and Tuina, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Qiang XiSchool of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Jiwen QiuSchool of Medical Technology, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Yidan XuSchool of Intergrative Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Ruonan LiangSchool of Intergrative Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Yi GuoResearch Center of Experimental Acupuncture Science, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Mingxing ZhangSchool of Intergrative Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the effect of placebo response to acupuncture on subjective and objective sleep indices in patients with chronic insomnia disorder and to understand the effectiveness of acupuncture in the treatment of chronic insomnia disorder (CID). Methods: A comprehensive search was conducted from the inception of the databases to March 17, 2025, encompassing eight databases. A randomized controlled pilot study of collecting acupuncture versus sham acupuncture for the treatment of CID. Systematic collection of acupuncture therapies for CID was performed based on randomized controlled trials (RCTs). Independent researchers critically reviewed the literature, recorded relevant data, and assessed the quality of research. Data were analyzed using RevMan 5.3, Stata 17.0, and TSA 0.9.5.10. Results: The study included a total of 757 patients across 10 trials. Acupuncture demonstrated significant improvement in PSQI scores [MD = -2.60, 95% CI = (-3.24, -1.97), Conclusion: Compared with sham acupuncture, acupuncture is effective in improving subjective sleep quality in patients with CID. However, whether acupuncture improves patients' objective sleep indices compared to sham acupuncture is uncertain and more high-quality clinical trial evidence is needed to validate this. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/, Identifier CRD42024541760.

Indexed as

acupuncturechronic insomnia disordermeta-analysissystematic reviewtrial sequential analysis

Identifiers

PMID40371085
PMCPMC12074954

What OpenQuestion holds

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Registered trials

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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.