Evidence map›Paper›PMID 40707152›Full record

ArticleBMJ open2025

Effect of acupoint stimulation after caesarean section: a protocol for systematic review with meta-analysis and trial sequential analysis.

Fan-Jie Xiong, Wei Zhao, Shi-Jian Jia, Kai Song, Xing-Hua Lei, Wei-Ning Jia, Li-Mei Chen, Hua-Mei Nie

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Fan-Jie XiongThe First Affiliated Hospital of Traditional Chinese Medicine of Chengdu Medical College/Xindu Hospital of Traditional Chinese Medicine, Chengdu, China.ORCID http://orcid.org/0000-0001-9484-2222
Wei ZhaoThe First Affiliated Hospital of Traditional Chinese Medicine of Chengdu Medical College/Xindu Hospital of Traditional Chinese Medicine, Chengdu, China.
Shi-Jian JiaThe First Affiliated Hospital of Traditional Chinese Medicine of Chengdu Medical College/Xindu Hospital of Traditional Chinese Medicine, Chengdu, China doctor_jiashijian@163.com.ORCID http://orcid.org/0000-0002-4752-3074
Kai SongSichuan Vocational College of Health and Rehabilitation, Zigong, China.
Xing-Hua LeiThe First Affiliated Hospital of Traditional Chinese Medicine of Chengdu Medical College/Xindu Hospital of Traditional Chinese Medicine, Chengdu, China.
Wei-Ning JiaLuzhou Hospital of Traditional Chinese Medicine, Luzhou, China.
Li-Mei ChenThe First Affiliated Hospital of Traditional Chinese Medicine of Chengdu Medical College/Xindu Hospital of Traditional Chinese Medicine, Chengdu, China.
Hua-Mei NieLuzhou Hospital of Traditional Chinese Medicine, Luzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough caesarean sections (CSs) are essential for the management of obstructed labour and other obstetric complications, postoperative pain, delayed recovery and complication risks continue to be significant challenges in perioperative management. Improvements in traditional medications and surgical techniques have helped, yet issues, including medication side effects and extended recovery times, persist. Therefore, it is particularly important to seek non-pharmacological interventions, such as acupoint stimulation, to optimise the perioperative management of CS. The aim of this systematic review protocol is to synthesise the available evidence and assess the effect of acupoint stimulation in the perioperative period of CS. METHODS AND ANALYSIS: We plan to search PubMed, Web of Science, EMBASE, Scopus, the Cochrane Library and China National Knowledge Infrastructure, from their inception to August 2025. Primary outcome indicators will include pain, time to first defecation, time to first bowel movement and time to return of bowel sounds. Secondary outcome indicators will include postoperative complications, such as nausea and vomiting, bloating, anxiety and depression, as well as length of hospital stay and morphine consumption. Subgroup analyses, meta-regression and sensitivity analyses will be used to investigate the potential sources of heterogeneity and to test the stability of the results. Trial sequential analysis will be introduced to enhance the reliability of the evidence. ETHICS AND DISSEMINATION: No ethical approval is required as this study synthesises the existing published data. Results will be disseminated through peer-reviewed publications and conference presentations. Any protocol amendments will be documented in PROSPERO and detailed in the final publication. PROSPERO REGISTRATION NUMBER: CRD42024558572.

Indexed as

Acupuncture PointsAcupuncture TherapyCesarean SectionPostoperative PainFemaleHumansMeta-Analysis as TopicPostoperative ComplicationsPregnancyResearch DesignSystematic Reviews as TopicCesarean SectionMeta-AnalysisProtocols & guidelinesSystematic Review

Identifiers

PMID40707152
PMCPMC12306242

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.