Cochrane · systematic review · CD007070
Acupuncture for treating fibromyalgia
Deare, JC, Zheng, Z, Xue, CCL, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library
MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
35
current version
GRADE rated
20
No studies
15
Included studies
NR
No studies 15 · 42.9%Ungraded 0 · 0%Very low 0 · 0%Low 8 · 22.9%Moderate 12 · 34.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Acupuncture versus non‐acupuncture for treating fibromyalgia
Population: patients with fibromyalgia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain up to 1 month after treatment VAS2 Acupuncture vs non‐acupuncture | no estimate extracted | 1 study · 13 participants | Low Downgraded: imprecision |
Physical function Acupuncture vs non‐acupuncture | no estimate extracted | NR | No studies |
Global well‐being up to 1 month after treatment FIQ3 Acupuncture vs non‐acupuncture | no estimate extracted | 1 study · 13 participants | Low Downgraded: imprecision |
Sleep up to 1 month after treatment Subset (rest) FIQ3 Acupuncture vs non‐acupuncture | no estimate extracted | 1 study · 13 participants | Low Downgraded: imprecision |
Fatigue up to 1 month after treatment Subset (fatigue) FIQ3 Acupuncture vs non‐acupuncture | no estimate extracted | 1 study · 13 participants | Low Downgraded: imprecision |
Stiffness up to 1 month after treatment Subset (stiffness) FIQ3 Acupuncture vs non‐acupuncture | no estimate extracted | 1 study · 13 participants | Low Downgraded: imprecision |
Adverse events Acupuncture vs non‐acupuncture | no estimate extracted | 1 study · 13 participants | Low Downgraded: imprecision |
Acupuncture versus placebo or sham acupuncture for treating fibromyalgia
Population: patients with fibromyalgia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain up to 1 month after treatment (VAS, NRS, SF‐MPQ, MPI) Acupuncture vs placebo or sham acupuncture | no estimate extracted | 6 studies · 286 participants | Moderate Downgraded: imprecision, indirectness |
Physical function up to 1 month after treatment (SF‐36) Acupuncture vs placebo or sham acupuncture | no estimate extracted | 1 study · 56 participants | Moderate Downgraded: imprecision, indirectness |
Global well‐being: rated by participants up to 1 month after treatment (VAS, FIQ) Acupuncture vs placebo or sham acupuncture | no estimate extracted | 3 studies · 200 participants | Moderate Downgraded: imprecision, indirectness |
Sleep up to 1 month after treatment (VAS, subset FIQ (rest)) Acupuncture vs placebo or sham acupuncture | no estimate extracted | 3 studies · 200 participants | Moderate Downgraded: imprecision, indirectness |
Fatigue up to 1 month after treatment (VAS, MFI, subset FIQ (fatigue)) Acupuncture vs placebo or sham acupuncture | no estimate extracted | 3 studies · 201 participants | Moderate Downgraded: imprecision, indirectness |
Stiffness up to 1 month after treatment (Minutes, subset FIQ (stiffness)) Acupuncture vs placebo or sham acupuncture | no estimate extracted | 2 studies · 104 participants | Moderate Downgraded: imprecision, indirectness |
Adverse events Adverse events includes withdrawal and drop‐outs that could be clearly identified as due to an adverse event Acupuncture vs placebo or sham acupuncture | RR 0.44 [0.12, 1.63] | 5 studies · 289 participants | Moderate Downgraded: imprecision, indirectness |
Acupuncture versus medication for treating fibromyalgia
Population: patients with fibromyalgia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain up to 1 month after treatment VAS2 Acupuncture vs medication | no estimate extracted | 1 study · 38 participants | Low Downgraded: risk of bias |
Physical function Acupuncture vs medication | no estimate extracted | NR | No studies |
Global well‐being: rated by participants Acupuncture vs medication | no estimate extracted | NR | No studies |
Sleep Acupuncture vs medication | no estimate extracted | NR | No studies |
Fatigue Acupuncture vs medication | no estimate extracted | NR | No studies |
Stiffness Acupuncture vs medication | no estimate extracted | NR | No studies |
Adverse events Acupuncture vs medication | no estimate extracted | 1 study · 38 participants | Low Downgraded: risk of bias |
Acupuncture as an adjunct therapy for treating fibromyalgia
Population: patients with fibromyalgia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain up to 1 month after treatment VAS2 | no estimate extracted | 1 study · 58 participants | Moderate Downgraded: imprecision |
Physical function MOS SF‐363 | no estimate extracted | NR | No studies |
Global well‐being: rated by participants | no estimate extracted | NR | No studies |
Sleep | no estimate extracted | NR | No studies |
Fatigue | no estimate extracted | NR | No studies |
Stiffness | no estimate extracted | NR | No studies |
Adverse events | RR 3.57 [0.18, 71.21] | 1 study · 58 participants | Moderate Downgraded: imprecision |
Deep invasive acupuncture stimulation versus non‐stimulated acupuncture for treating fibromyalgia
Population: patients with fibromyalgia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain up to 1 month after treatment NRS2 Deep invasive acupuncture stimulation vs non‐stimulated acupuncture | no estimate extracted | 1 study · 41 participants | Moderate Downgraded: imprecision |
Physical function up to 1 month after treatment SF‐363 Deep invasive acupuncture stimulation vs non‐stimulated acupuncture | no estimate extracted | 1 study · 41 participants | Moderate Downgraded: imprecision |
Global well‐being: rated by participants Deep invasive acupuncture stimulation vs non‐stimulated acupuncture | no estimate extracted | NR | No studies |
Sleep Deep invasive acupuncture stimulation vs non‐stimulated acupuncture | no estimate extracted | NR | No studies |
Fatigue up to 1 month after treatment MFI4 Deep invasive acupuncture stimulation vs non‐stimulated acupuncture | no estimate extracted | 1 study · 41 participants | Moderate Downgraded: imprecision |
Stiffness Deep invasive acupuncture stimulation vs non‐stimulated acupuncture | no estimate extracted | NR | No studies |
Adverse events Deep invasive acupuncture stimulation vs non‐stimulated acupuncture | no estimate extracted | NR | No studies |