SynthesisFrontiers in neurology
Beyond nighttime symptoms: acupuncture for daytime dysfunction improvement in insomnia-a meta-analysis.
Synthesis in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Insomnia features include persistent difficulties in sleep initiation and sleep maintenance, leading to significant daytime dysfunction and diminished quality of life. While acupuncture is increasingly utilized in the management of insomnia, its specific efficacy in alleviating daytime dysfunction remains inadequately substantiated. This systematic review aims to address this evidence gap. A total of 5,037 articles from 6 electronic databases were searched and screened. Data analysis was performed using Review Manager 5.4 software and Stata 13. The Cochrane tool for assessing the risk of bias in randomized trials (RoB2) and GRADE were used to evaluate the quality of the RCTs and the evidence. Eighteen randomized controlled trials (RCTs) encompassing a total of 1,767 patients were analyzed. Data of the Montreal Cognitive Assessment (MoCA), Auditory Verbal Memory Test (AVMT), and Fatigue Scale-14 (FS-14) scores were extracted and aggregated, along with the scores of the Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index (ISI). Moderate-quality evidence showed that acupuncture therapies could not only significantly reduce insomnia severity but also enhance memory ability and relieve cognitive impairment. Low-quality evidence presented that acupuncture could improve sleep quality and reduce fatigue in patients with chronic primary insomnia. Although heterogeneity was observed across several synthesized outcomes, the results were robust. Systematic review registration: The research protocol was registered in PROSPERO (ID: CRD42023442722).
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Registered trials
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.