Effects of acupuncture therapy in diabetic neuropathic pain: A systematic review and meta-analysis
Objective: To evaluate the effectiveness of acupuncture in relieving diabetic neuropathic pain and to establish a more reliable and efficient foundation for acupuncture practice in diabetes care. Methods: The Chinese National Knowledge Infrastructure, Wanfang database, Chongqing Weipu, Chinese Biome...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-11-01
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| Series: | Complementary Therapies in Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0965229923000791 |
| _version_ | 1797657898558423040 |
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| author | Xintong Li Yang Liu Zheng Jing Baozhu Fan Weimin Pan Shigang Mao Yabing Han |
| author_facet | Xintong Li Yang Liu Zheng Jing Baozhu Fan Weimin Pan Shigang Mao Yabing Han |
| author_sort | Xintong Li |
| collection | DOAJ |
| description | Objective: To evaluate the effectiveness of acupuncture in relieving diabetic neuropathic pain and to establish a more reliable and efficient foundation for acupuncture practice in diabetes care. Methods: The Chinese National Knowledge Infrastructure, Wanfang database, Chongqing Weipu, Chinese Biomedical Literature Database, PubMed, Embase, and Cochrane Library were all searched for a randomized controlled trial research of acupuncture for DNP. Two researchers independently performed literature screening, quality evaluation, and data extraction. After selecting studies and extracting data, we conducted the data analysis using RevMan 5.4 and Stata 14.0. The quality was assessed using the Cochrane Risk of Bias Assessment Tool. Results: An extensive review of 19 studies involving 1276 patients up to April 29, 2023, found that acupuncture was successful in improving pain intensity [MD= −1.09; 95% CI (−1.28, −0.89), P < 0.00001], clinical efficacy indicating pain changes [RR= 1.22; 95% CI (1.15, 1.29), P < 0.00001], and clinical neuropathy [MD= −1.55; 95% CI ( −3.00, −0.09), P = 0.04] in DNP patients. Quality of life was also improved, with few side effects reported. Conclusion: According to this meta-analysis, acupuncture therapy significantly improved the clinical efficacy of pain intensity, pain changes, and clinical neuropathy in patients with DNP, improved the quality of life of patients to a certain extent, and had lower side effects. This discovery provides evidence-based and practical recommendations for the treatment of DNP patients. |
| first_indexed | 2024-03-11T17:51:12Z |
| format | Article |
| id | doaj.art-a26cd76bfbf14a67a5f3561714d8f60b |
| institution | Directory Open Access Journal |
| issn | 0965-2299 |
| language | English |
| last_indexed | 2024-03-11T17:51:12Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Complementary Therapies in Medicine |
| spelling | doaj.art-a26cd76bfbf14a67a5f3561714d8f60b2023-10-18T04:30:27ZengElsevierComplementary Therapies in Medicine0965-22992023-11-0178102992Effects of acupuncture therapy in diabetic neuropathic pain: A systematic review and meta-analysisXintong Li0Yang Liu1Zheng Jing2Baozhu Fan3Weimin Pan4Shigang Mao5Yabing Han6Department of Rehabilitation Medicine, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, ChinaMedical College, Sias University, Zhengzhou, ChinaMedical College, Sias University, Zhengzhou, ChinaDepartment of Medical Laboratory, Qingdao West Coast New Area Central Hospital, Qingdao, ChinaCollege of Sports and Health Sciences, Xi’an Physical Education University, Xi’an, ChinaDepartment of Rehabilitation Medicine, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, China; Corresponding authors.Medical College, Ankang University, Ankang, China; Corresponding authors.Objective: To evaluate the effectiveness of acupuncture in relieving diabetic neuropathic pain and to establish a more reliable and efficient foundation for acupuncture practice in diabetes care. Methods: The Chinese National Knowledge Infrastructure, Wanfang database, Chongqing Weipu, Chinese Biomedical Literature Database, PubMed, Embase, and Cochrane Library were all searched for a randomized controlled trial research of acupuncture for DNP. Two researchers independently performed literature screening, quality evaluation, and data extraction. After selecting studies and extracting data, we conducted the data analysis using RevMan 5.4 and Stata 14.0. The quality was assessed using the Cochrane Risk of Bias Assessment Tool. Results: An extensive review of 19 studies involving 1276 patients up to April 29, 2023, found that acupuncture was successful in improving pain intensity [MD= −1.09; 95% CI (−1.28, −0.89), P < 0.00001], clinical efficacy indicating pain changes [RR= 1.22; 95% CI (1.15, 1.29), P < 0.00001], and clinical neuropathy [MD= −1.55; 95% CI ( −3.00, −0.09), P = 0.04] in DNP patients. Quality of life was also improved, with few side effects reported. Conclusion: According to this meta-analysis, acupuncture therapy significantly improved the clinical efficacy of pain intensity, pain changes, and clinical neuropathy in patients with DNP, improved the quality of life of patients to a certain extent, and had lower side effects. This discovery provides evidence-based and practical recommendations for the treatment of DNP patients.http://www.sciencedirect.com/science/article/pii/S0965229923000791Acupuncture therapyDiabetic neuropathic painDiabetesSystematic reviewMeta-analysis |
| spellingShingle | Xintong Li Yang Liu Zheng Jing Baozhu Fan Weimin Pan Shigang Mao Yabing Han Effects of acupuncture therapy in diabetic neuropathic pain: A systematic review and meta-analysis Complementary Therapies in Medicine Acupuncture therapy Diabetic neuropathic pain Diabetes Systematic review Meta-analysis |
| title | Effects of acupuncture therapy in diabetic neuropathic pain: A systematic review and meta-analysis |
| title_full | Effects of acupuncture therapy in diabetic neuropathic pain: A systematic review and meta-analysis |
| title_fullStr | Effects of acupuncture therapy in diabetic neuropathic pain: A systematic review and meta-analysis |
| title_full_unstemmed | Effects of acupuncture therapy in diabetic neuropathic pain: A systematic review and meta-analysis |
| title_short | Effects of acupuncture therapy in diabetic neuropathic pain: A systematic review and meta-analysis |
| title_sort | effects of acupuncture therapy in diabetic neuropathic pain a systematic review and meta analysis |
| topic | Acupuncture therapy Diabetic neuropathic pain Diabetes Systematic review Meta-analysis |
| url | http://www.sciencedirect.com/science/article/pii/S0965229923000791 |
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