Evidence mapPaperPMID 34559098Full record

SynthesisMedicine2021

The efficacy and safety of acupuncture in nonalcoholic fatty liver disease: A systematic review and meta-analysis of randomized controlled trials.

Peiwen Chen, Xin Zhong, Yunkai Dai, Meiao Tan, Gaochuan Zhang, Xuehong Ke, Keer Huang, Zunming Zhou

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
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

8 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. The Effects of Warm Acupuncture on the Expression ofCurrent issues in molecular biology · 2024
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. 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

8 authors at 3 institutions in 1 country.

Peiwen ChenThe First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Xin ZhongGuangzhou University of Chinese Medicine, Guangzhou, China.
Yunkai DaiInstitute of Gastroenterology, Guangzhou University of Chinese Medicine, Guangzhou, China.
Meiao TanThe First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Gaochuan ZhangInstitute of Advanced Studies, Jiangxi University of Traditional Chinese Medicine, Nanchang, China.
Xuehong KeGuangzhou University of Chinese Medicine, Guangzhou, China.
Keer HuangThe First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Zunming ZhouThe First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
First Affiliated Hospital of Guangzhou University of Chinese Medicine · CNGuangzhou University of Chinese Medicine · CNJiangxi University of Traditional Chinese Medicine · CN

Funding

National Natural Science Foundation of China 82074099The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine"Innovating and strengthening scientific research projects of the institute-hospital preparation development project" 211010010602This study was supported by Research Project of Top-ranking Discipline Construction in Guangzhou University of Chinese Medicine XK2019011
6 · The paper itself

Abstract

backgroundThe aim of this study was to determine the efficacy and safety of acupuncture treatment (AT) or acupuncture plus conventional medicine (CM) versus CM alone using a meta-analysis of all published randomized controlled trials (RCTs) for nonalcoholic fatty liver disease (NAFLD).

methodsEight databases were searched independently from inception to April 30, 2020. RCTs were included if they contained reports on the use acupuncture or the use of acupuncture combined with CM and compared with the use of CM. Summary odds ratio (OR) and 95% confidence intervals (CIs) were used to calculate the overall clinical efficacy. Secondary outcomes, namely aspartate aminotransferase, alanine aminotransferase, total cholesterol, triglyceride, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and body mass index, were calculated by mean difference with 95% CIs.

resultsAfter the final screening, 8 RCTs with 939 patients were included. This meta-analysis showed that AT was superior to CM in improving overall clinical efficacy (OR = 3.19, 95% CI: 2.06-4.92, P  < .00001). In addition, AT plus CM could significantly improve overall clinical efficacy compared to treatment with CM alone (OR = 5.11, 95% CI: 2.43-10.75, P  < .0001). Moreover, the benefits were also demonstrated in other outcomes, including alanine aminotransferase, aspartate aminotransferase, total cholesterol, triglyceride, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol indexes. However, AT plus CM could not decrease body mass index levels in comparison with CM. The safety profile of Acupuncture therapy was satisfactory. Taichong, Zusanli, Fenglong, and Sanyinjiao were major acupoints on NAFLD treatment.

conclusionAcupuncture may be effective and safe for treatment of NAFLD. However, due to insufficient methodological quality and sample size, further high-quality studies are needed.

Indexed as

Acupuncture TherapyHumansNon-alcoholic Fatty Liver DiseaseRandomized Controlled Trials as Topic

Identifiers

PMID34559098
PMCPMC8462626
OpenAlexW3199453481

What Socratic 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 Socratic graph.