Evidence map›Paper›PMID 41143548›Full record

Trial reportJournal of the National Cancer Institute2026

Electro-acupuncture for quality of life during adjuvant chemotherapy in gastric cancer: a randomized trial.

Yan-Juan Zhu, Xue-Song Chang, Xiao-Yu Wu, Wei Wang, De-Chang Diao, Yong Li, Hong-Yu Zhang, Jian Xiao, Xiao-Hui Zhai, Jin-Long Yu and 15 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of the National Cancer Institute, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04360577 (Effect of Acupuncture for Quality of Life and Symptom Control in Patients With Gastric Cancer Undergoing Adjuvant Chemotherapy), which is not on this map. Not yet cited in PubMed.

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

NCT04360577 nacompletednot on this map

Effect of Acupuncture for Quality of Life and Symptom Control in Patients With Gastric Cancer Undergoing Adjuvant Chemotherapy

TypeinterventionalSponsorGuangzhou University of Traditional Chinese MedicineRan2020 to 2023Enrolled240ConditionsStomach NeoplasmsArmsacupuncture
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

25 authors.

Yan-Juan ZhuDepartment of Oncology, Guangdong Provincial Hospital of Traditional Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.ORCID 0000-0002-1956-7774
Xue-Song ChangDepartment of Oncology, Guangdong Provincial Hospital of Traditional Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Xiao-Yu WuGastrointestinal Surgery, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, China.
Wei WangGastrointestinal Surgery, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
De-Chang DiaoGastrointestinal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Yong LiGastrointestinal Surgery, Guangdong Provincial People's Hospital, Southern Medical University, Guangzhou, China.ORCID 0000-0003-1799-4841
Hong-Yu ZhangDepartment of Oncology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Jian XiaoMedical Oncology, Guangdong Provincial People's Hospital, Southern Medical University, Guangzhou, China.
Xiao-Hui ZhaiMedical Oncology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Jin-Long YuGastrointestinal Surgery, Zhujiang Hospital of Southern Medical University, Guangzhou, China.
Wei WangDepartment of Oncology, Foshan First People's Hospital, Foshan, China.
Jing-Xu ZhouDepartment of Oncology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Zhi-Liang HuangGastrointestinal Surgery, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Guangzhou, China.
Tao ZhangGastrointestinal Surgery, Yuebei People's Hospital, Shaoguan, China.
Wenwei OuyangKey Unit of Methodology in Clinical Research, Guangdong Provincial Hospital of Traditional Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Yelena Y JanjigianDepartment of Gastrointestinal Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Samuel L CytrynDepartment of Gastrointestinal Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Zhen-Zhen XiaoDepartment of Oncology, Guangdong Provincial Hospital of Traditional Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Yi-Hong LiuDepartment of Oncology, Guangdong Provincial Hospital of Traditional Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Rui ZhouDepartment of Oncology, Guangdong Provincial Hospital of Traditional Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Hao-Chuan MaDepartment of Oncology, Guangdong Provincial Hospital of Traditional Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.ORCID 0000-0002-7663-120X
Ya-Dong ChenDepartment of Oncology, Guangdong Provincial Hospital of Traditional Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.ORCID 0000-0002-7799-9356
Jian-Jun PengGastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Jun J MaoDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, United States.ORCID 0000-0001-9229-0380
Hai-Bo ZhangDepartment of Oncology, Guangdong Provincial Hospital of Traditional Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.ORCID 0000-0001-8104-4280

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
National Key Research and Development Program of China 2017YFC1700603NCI NIH HHS P30 CA008748NIH HHSNoncommunicable Chronic Diseases-National Science and Technology Major Project 2024ZD0521302Translational and Integrative Medicine Research Fund at Memorial Sloan Kettering Cancer Center
6 · The paper itself

Abstract

backgroundPatients with locally advanced gastric cancer who undergo curative intent gastrectomy experience a decline in health-related quality of life (HRQOL) during adjuvant chemotherapy. The Electro-Acupuncture in Gastric Cancer (EAGER) trial sought to evaluate the ability of electro-acupuncture to preserve HRQOL in these patients.

methodsIn this open-label, multicenter, parallel controlled trial, patients with stage II-III gastric cancer across 11 hospitals in China who were undergoing chemotherapy following gastrectomy were randomly assigned to receive high-frequency electro-acupuncture, low-frequency electro-acupuncture, or no electro-acupuncture during the first 3 cycles of chemotherapy. The Functional Assessment of Cancer Therapy-Gastric was reported by patients at baseline and once weekly during the therapy. The primary outcome was the difference among groups in the Functional Assessment of Cancer Therapy-Gastric Trial Outcome Index trajectory during the study duration by the standardized area under the curve.

resultsOf 222 patients randomly assigned and analyzed, electro-acupuncture was associated with higher HRQOL measured by Trial Outcome Index-area under the curve (mean ± SD = 5678 ± 1229 [high-frequency electro-acupuncture], 5558 ± 1226 [low-frequency electro-acupuncture], and 4735 ± 1233 [usual care]; P < .001). No difference was seen based on acupuncture dosing (P = .557). Participants in the electro-acupuncture groups also showed a statistically significant improvement in disease-free survival (high-frequency electro-acupuncture vs usual care: hazard ratio [HR] = 0.47, 95% confidence interval [CI] =0.24 to 0.93; P = .026; low-frequency electro-acupuncture vs usual care: HR = 0.51, 95% CI = 0.28 to 0.95; P = .030), fewer grade 3-4 adverse events (20.7% vs 39.0%, P = .004), and decreased peripheral myeloid-derived suppressor cells (P = .038) compared with the usual care group.

conclusionsUse of electro-acupuncture resulted in higher HRQOL in gastric cancer patients undergoing adjuvant chemotherapy, irrespective of dosing. Electro-acupuncture was also associated with prolonged disease-free survival and lower treatment-associated toxicities, which warrants further confirmative research.

trial registrationClinicalTrials.gov NCT04360577.

Indexed as

ElectroacupunctureQuality of LifeStomach NeoplasmsAdultAgedAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantChinaFemaleGastrectomyHumansMaleMiddle AgedTreatment Outcome

Identifiers

PMID41143548
PMCPMC13064529

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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.