Evidence map›Paper›PMID 39350218›Full record

SynthesisJournal of orthopaedic surgery and research2024

Therapeutic effects of different acupuncture methods on chronic nonspecific low back pain: A network meta-analysis.

Kaixuan Zhang, Xingxing Lin, Ziwei Liu, Yu Fu, Leichao Wang, Danning Zhang, Qiang Zhang, Feng Zhang, Xinle Wang, Baoqiang Dong

Abstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Acupuncture for postoperative rehabilitation in degenerative lumbar spinal diseases: mechanisms and clinical evidence.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  3. Review
  4. Article
  5. 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

10 authors.

Kaixuan ZhangSchool of Acupuncture and Massage, Liaoning University of Traditional Chinese Medicine, No.79, Chong Shandong Road, Shenyang City, 110847, Liaoning Province, China.
Xingxing LinSchool of Acupuncture and Massage, Liaoning University of Traditional Chinese Medicine, No.79, Chong Shandong Road, Shenyang City, 110847, Liaoning Province, China.
Ziwei LiuSchool of Acupuncture and Massage, Liaoning University of Traditional Chinese Medicine, No.79, Chong Shandong Road, Shenyang City, 110847, Liaoning Province, China.
Yu FuSchool of Acupuncture and Massage, Liaoning University of Traditional Chinese Medicine, No.79, Chong Shandong Road, Shenyang City, 110847, Liaoning Province, China.
Leichao WangSchool of Acupuncture and Massage, Liaoning University of Traditional Chinese Medicine, No.79, Chong Shandong Road, Shenyang City, 110847, Liaoning Province, China.
Danning ZhangSchool of Acupuncture and Massage, Liaoning University of Traditional Chinese Medicine, No.79, Chong Shandong Road, Shenyang City, 110847, Liaoning Province, China.
Qiang ZhangSchool of Acupuncture and Massage, Liaoning University of Traditional Chinese Medicine, No.79, Chong Shandong Road, Shenyang City, 110847, Liaoning Province, China.
Feng ZhangSchool of Acupuncture and Massage, Liaoning University of Traditional Chinese Medicine, No.79, Chong Shandong Road, Shenyang City, 110847, Liaoning Province, China.
Xinle WangSchool of Acupuncture and Massage, Liaoning University of Traditional Chinese Medicine, No.79, Chong Shandong Road, Shenyang City, 110847, Liaoning Province, China.
Baoqiang DongSchool of Acupuncture and Massage, Liaoning University of Traditional Chinese Medicine, No.79, Chong Shandong Road, Shenyang City, 110847, Liaoning Province, China. 17614030236@163.com.

Funding

Joint Fund Project of Liaoning Provincial Department of Science and Technology 2022-NLTS-13-04Key project of Liaoning Provincial Department of Education LJKZ0902
6 · The paper itself

Abstract

backgroundLow back pain has become a globally challenging health problem, and about 90% of cases are nonspecific. Due to the risks associated with opioid use and the limited effectiveness of drug treatment, acupuncture and other non-drug methods have become the first-line treatment for this disease. However, the best acupuncture method has not yet been determined. In this study, the effects of different acupuncture methods on chronic nonspecific low back pain (CNLBP) were compared by network meta-analysis, aiming at identifying the best option and providing a basis for precise treatment of CNLBP.

methodsClinical randomized controlled trials (RCTs) on acupuncture in the treatment of NSLBP were searched in eight databases including PubMed, Embase, Cochrane Library, Web of Science, Sinomed, CNKI, Wanfang Data and VIP from the inception of databases to January 21, 2024. The Cochrane risk-of-bias tool 2.0 (RoB 2.0) and Stata 15.0 (Stata Corp, College Station, Texas, USA) were used to evaluate the literature quality and meta-analysis, and the evidence quality was assessed based on GRADE guidelines. This systematic review was registered at the International Prospective Register of Systematic Reviews.

resultsA total of 27 articles were included, involving 2579 patients. The results of the network meta-analysis showed that the top three treatment schemes were warm needle acupuncture, intensive silver needle therapy and meridian-sinew theory-based treatment. In terms of relieving pain, the top three treatments were electrical warm needling, intensive silver needle therapy and warm needle acupuncture. In improving mobility, the top three were meridian-sinew theory-based treatment, routine acupuncture and electroacupuncture.

conclusionFor CNLBP patients, warm needle acupuncture, electrical warm needling and meridian-sinew theory-based treatment are mainly recommended. If patients have significant pain, electroacupuncture is strongly suggested. On the contrary, for patients with decreased joint mobility, meridian-sinew theory-based treatment is advocated.

Indexed as

Acupuncture TherapyChronic PainLow Back PainRandomized Controlled Trials as TopicHumansTreatment OutcomeAcupunctureChronic nonspecific low back painMeridian-sinewNetwork meta-analysisWarm needle acupuncture

Identifiers

PMID39350218
PMCPMC11440812

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.