Evidence map›Paper›PMID 41114388›Full record

ReviewJournal of pain research2025

Long Term Effects of Acupuncture for Primary Dysmenorrhea: A Systematic Review and Meta-Analysis.

Xinyu Shen, Sixing Liu, He Chen, Wei Wang, Jiufei Fang, Zhishun Liu

Abstract readReview
In one paragraph

Review in Journal of pain research, 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. Article
  2. 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

6 authors.

Xinyu Shen *Graduate College, Beijing University of Chinese Medicine, Beijing, People's Republic of China.ORCID 0009-0003-3972-4989
Sixing Liu *School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, People's Republic of China.ORCID 0000-0002-6781-7600
He ChenDepartment of Acupuncture, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, People's Republic of China.ORCID 0000-0001-6681-2886
Wei WangGraduate College, Beijing University of Chinese Medicine, Beijing, People's Republic of China.ORCID 0009-0009-4445-1560
Jiufei FangDepartment of Acupuncture, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, People's Republic of China.ORCID 0000-0002-9577-4206
Zhishun LiuDepartment of Acupuncture, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, People's Republic of China.ORCID 0000-0001-7570-8917

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Primary dysmenorrhea (PD) is a recurrent disease. The current treatments for PD often fail to provide long-lasting effects, underscoring the necessity for new treatment options that can offer durable benefits. Previous studies have indicated that the durable effect of acupuncture for PD remains uncertain. In this review, we aimed to evaluate the durable effect after completion of treatment. Methods: Both English and Chinese literature were comprehensively retrieved from eight databases up to January 24, 2025. Two independent reviewers conducted screening and data extraction. The risk of bias was evaluated using the Cochrane Risk of Bias 2.0 tool. Meta-analysis was conducted where applicable. Pooled continuous data were expressed as mean differences (MD) and the safety outcomes were expressed through odds ratio (OR). Results: Fourteen randomized controlled trials enrolled 970 patients met the inclusion and exclusion criteria. Acupuncture outperformed no intervention in reducing pain intensity measured by visual analogue scale (VAS) (MD -47.80; 95% CI -48.63 to -46.97; p < 0.0001) and Short-Form McGill Pain Questionnaire (MD -8.55; 95% CI -11.46 to -5.64; p < 0.0001), Cox Menstrual Symptom Scale (CMSS) duration score (MD -18.24; 95% CI -22.39 to -14.09; p < 0.0001) and severity score (MD -12.96; 95% CI -16.41 to -9.51; p < 0.0001) at 3 menstrual cycles post-treatment. Compared to non-steroidal anti-inflammatory drugs (NSAIDs), acupuncture showed superior pain relief measured by VAS (MD -29.89; 95% CI -37.63 to -22.15; p < 0.0001), and symptom amelioration measured by CMSS (MD -3.00; 95% CI -5.92 to -0.08; p = 0.0043) at 3 cycles post-treatment. Acupuncture also enhanced NSAIDs' analgesic effect measured by VAS (MD -19.95; 95% CI -24.23 to -15.66; p < 0.0001). However, acupuncture presented no superiority over sham acupuncture at 3 menstrual cycles post-treatment. Conclusion: Acupuncture might provide durable post-treatment effects to primary dysmenorrhea patients up to three menstrual cycles, which was limited by high risk of bias and low certainty evidence.

Indexed as

acupuncturelong term effectsmeta-analysisprimary dysmenorrheasystematic review

Identifiers

PMID41114388
PMCPMC12527671

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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.