Evidence map›Paper›PMID 40490676›Full record

ArticleJournal of evidence-based medicine2025

IDEAL-Acu: A Methodological Framework for Evaluating the Effects of Acupuncture.

Jiali Liu, Xiaochao Luo, Yemeng Chen, Ling Zhao, Minghong Yao, Jiajie Yu, Jiahui Yang, Ling Li, Xin Sun

Abstract read
In one paragraph

Article in Journal of evidence-based medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Article
  3. 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

9 authors.

Jiali LiuInstitute of Integrated Traditional Chinese and Western Medicine and Chinese Evidence-Based Medicine Center, Cochrane China Center and IDEAL China Center, West China Hospital, Sichuan University, Chengdu, China.
Xiaochao LuoInstitute of Integrated Traditional Chinese and Western Medicine and Chinese Evidence-Based Medicine Center, Cochrane China Center and IDEAL China Center, West China Hospital, Sichuan University, Chengdu, China.
Yemeng ChenNew York College of Traditional Chinese Medicine, Mineola, New York, NewYork.
Ling ZhaoAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Minghong YaoInstitute of Integrated Traditional Chinese and Western Medicine and Chinese Evidence-Based Medicine Center, Cochrane China Center and IDEAL China Center, West China Hospital, Sichuan University, Chengdu, China.
Jiajie YuInstitute of Integrated Traditional Chinese and Western Medicine and Chinese Evidence-Based Medicine Center, Cochrane China Center and IDEAL China Center, West China Hospital, Sichuan University, Chengdu, China.
Jiahui YangInstitute of Integrated Traditional Chinese and Western Medicine and Chinese Evidence-Based Medicine Center, Cochrane China Center and IDEAL China Center, West China Hospital, Sichuan University, Chengdu, China.
Ling LiInstitute of Integrated Traditional Chinese and Western Medicine and Chinese Evidence-Based Medicine Center, Cochrane China Center and IDEAL China Center, West China Hospital, Sichuan University, Chengdu, China.
Xin SunInstitute of Integrated Traditional Chinese and Western Medicine and Chinese Evidence-Based Medicine Center, Cochrane China Center and IDEAL China Center, West China Hospital, Sichuan University, Chengdu, China.ORCID https://orcid.org/0000-0003-4918-9935

Funding

National Natural Science Foundation of China 2023M732494National Natural Science Foundation of China 82305045National Natural Science Foundation of China China Postdoctoral Science FoundationNational Natural Science Fund for Distinguished Young Scholars 82225049Post-Doctor Research Project, West China Hospital, Sichuan University 2023HXBH060
6 · The paper itself

Abstract

objectivesThe demand for high-quality clinical evidence supporting acupuncture remains urgent, necessitating the establishment of a suitable methodological framework to promote its generation.

methodsFollowing internal deliberations and extensive online discussions with experts in the IDEAL Collaboration, we proposed the IDEAL-Acu framework specifically for acupuncture, based on the surgery-focused IDEAL model with necessary modifications to accommodate the characteristics of acupuncture. To ensure consensus on recommendations, a panel of external experts and internal research team members was convened, and any disagreements were iteratively resolved through expert review.

resultsThis article introduces an IDEAL-Acu framework with five stages for evaluating acupuncture outcome and improving practice to optimize treatment. The framework includes Idea (proposal of an acupuncture regime), Development (optimization or standardization of the acupuncture regime), Exploration (feasibility assessment for conducting a definitive RCT), Assessment (evaluation of effects through comparison with standard therapy or sham acupuncture), and Long-term monitoring (examination of long-term efficacy and safety) stages. We provide clear recommendations for each stage along with specific examples.

conclusionThe framework highlights the importance of conducting studies at each stage in acupuncture evaluation process and can serve as a helpful guide for assessing its effects and promoting evidence-based practice in acupuncture.

Indexed as

Acupuncture TherapyEvidence-Based MedicineHumansRandomized Controlled Trials as TopicResearch DesignTreatment Outcomeacupunctureevaluationmethodological frameworkrecommendations

Identifiers

PMID40490676
PMCPMC12149023

What OpenQuestion holds

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LicenceCC BY
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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.