Evidence map›Paper›PMID 40641922›Full record

SynthesisFrontiers in oncology2025

Effects of acupuncture on improving sleep quality and the risk of emotional maladjustment of breast cancer patients: a systematic review and meta-analysis.

Yi Yang, Hong Wang, Zai Zhao Chen, Qi Rui Teng

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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

4 authors.

Yi YangJiang Xi University of Traditional Chinese Medicine, Nanchang, China.
Hong WangJiang Xi University of Traditional Chinese Medicine, Nanchang, China.
Zai Zhao ChenJiang Xi University of Traditional Chinese Medicine, Nanchang, China.
Qi Rui TengJiang Xi University of Traditional Chinese Medicine, Nanchang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acupuncture is highly controversial in enhancing the quality of sleep and the risk of emotional maladjustment in breast cancer patients. Through a comprehensive meta-analytic approach, this study intends to investigate the effects of acupuncture on enhancing sleep quality and the risk of emotional maladjustment in patients diagnosed with breast carcinoma. Methods: Search tactics aligned with Cochrane Collaboration recommendations. Systematic electronic searches were conducted in April 2025 across several data storage, including PubMed, Embase, Web of Science, the Cochrane Library, and Scopus. The reference lists of review essay were manually searched to refine potentially eligible studies. A pair of researchers independently performed a comprehensive literature review, conducted data extraction, and assessed the risk of bias. Outcome analysis included the quality of sleep and the risk of emotional maladjustment. For continuous measures, the pooled weighted mean difference (MD) and 95% confidence interval will be estimated. The meta-analysis was conducted using the Review Manager 5.3 and Stata 16.0 statistical software platforms. Result: A total of 11 studies involving 1116 participants were included. Statistically significant differences were found between acupuncture and control group in Pittsburgh Sleep Quality Index (PSQI) (MD = -1.38, 95%CI = -2.45 to -0.31), Insomnia Severity Index (ISI) (MD = -1.11, 95%CI = -3.68 to 1.45), Brief Fatigue Scale (BFI) score (MD = -2.30, 95%CI = -5.62 to -1.03). Acupuncture has been shown to Boost sleep quality and reducing the risk of emotional maladjustment. Specifically, it is manifested in: Hospital Anxiety and Depression Scale (HADS-A) (MD = -1.24, 95%CI = -2.41 to -0.35) and Hospital Anxiety and Depression Scale (HADS-D) (MD = -1.18, 95%CI = -2.15 to -0.20). Conclusion: In comparison to other standard treatment modalities, acupuncture exhibits a notable distinction in boosting the sleep quality and the risk of emotional maladjustment of breast cancer patients. However, Clinicians should exercise caution when applying these results, as the available evidence suffers from methodological biases and quality limitations.

Indexed as

acupuncturebreast cancermeta-analysisrisk of emotional maladjustmentsleep quality

Identifiers

PMID40641922
PMCPMC12241161

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.