Evidence map›Paper›PMID 40419885›Full record

SynthesisMedicine2025

Efficacy and safety of acupuncture combined with Western medicine in the treatment of ankylosing spondylitis: A systematic review and meta-analysis.

Xindan Cao, Yadan Zhang, Zhihui Xiao, Jianhong Peng

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

4 authors.

Xindan CaoInstitute of Graduate Studies, Guangzhou University of Chinese Medicine, Guangzhou, China.ORCID 0009-0009-6313-5168
Yadan ZhangInstitute of Graduate Studies, Guangzhou University of Chinese Medicine, Guangzhou, China.
Zhihui XiaoInstitute of Graduate Studies, Guangzhou University of Chinese Medicine, Guangzhou, China.
Jianhong PengDepartment of Rheumatology, Dongguan Hospital of Traditional Chinese Medicine, Dongguan, China.ORCID 0000-0002-1903-0889

Funding

the State Key Laboratory of Dampness Syndrome of Chinese Medicine SZGZZ20240032
6 · The paper itself

Abstract

backgroundAn autoimmune disease called ankylosing spondylitis (AS) is known to cause stiffness and pain in the joints. Acupuncture is a traditional Chinese medicine that has been used extensively to treat AS. It has several advantages, including safety, affordability, and few adverse effects. However, there is limited data to support its therapeutic effects. As a result, the goal of the current study is to assess acupuncture's reliability in treating AS in its entirety.

methodsSeven databases were searched from January 1, 2000, to July 31, 2024, for randomized controlled trials (RCTs) on acupuncture in conjunction with Western medicine to treat AS. The retrieved data was meta-analyzed using Review Manager 5.4 and Stata 17.0. The updated Cochrane risk of bias tool was used to evaluate the bias risk in RCTs.

resultsThe results revealed that combining Acupuncture and Western medicine led to better outcomes as far as effective rate (RR = 1.25, 95% confidence intervals (CI): 1.16-1.34); thoracic mobility (MD = 0.58, 95% CI: 0.43-0.73); Schober test (SMD = 0.83, 95% CI: 0.57-1.09); bath ankylosing spondylitis disease activity index (MD = -1.11, 95% CI: -1.46 to -0.76); visual analog scale for pain (MD = -1.02, 95% CI: -1.44 to -0.60); CRP (MD = -2.79, 95% CI: -4.14 to -1.43); ESR: (MD = -5.33, 95% CI: -6.63 to -4.02); and adverse reactions (RR = 0.58, 95% CI: 0.35-0.95) in contrast to treating AS with just Western treatment.

conclusionWhen paired with Western therapy, acupuncture improves the effective rate, functional scores, and symptoms of people with AS while lowering adverse reactions.

Indexed as

Acupuncture TherapySpondylitis, AnkylosingCombined Modality TherapyHumansRandomized Controlled Trials as TopicTreatment Outcomeacupunctureankylosing spondylitismeta-analysisrandomized controlled trial

Identifiers

PMID40419885
PMCPMC12113976

What Socratic holds

Textmetadata
LicenceCC BY
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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.