Cochrane · systematic review · CD009676
Acupuncture for symptomatic gastroparesis
Kim, KH, Lee, MS, Choi, TY, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
NeuromuscularAMSTAR 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
42
current version
GRADE rated
15
No studies
27
Included studies
NR
No studies 27 · 64.3%Ungraded 0 · 0%Very low 13 · 31%Low 2 · 4.8%Moderate 0 · 0%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 compared to sham acupuncture for symptomatic gastroparesis
Population: symptomatic gastroparesis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Improvement in symptoms of gastroparesis (short term: 4 to 12 weeks) Acupuncture vs sham acupuncture | no estimate extracted | 1 study · 60 participants | Low Downgraded: risk of bias, imprecision |
Improvement in symptoms of gastroparesis (long term: more than 12 weeks) ‐ not measured Acupuncture vs sham acupuncture | no estimate extracted | NR | No studies |
Proportion of people whose symptoms 'improved' (short term: 4 to 12 weeks) ‐ not reported Acupuncture vs sham acupuncture | no estimate extracted | NR | No studies |
Proportion of people whose symptoms 'improved' (long term: more than 12 weeks) ‐ not measured Acupuncture vs sham acupuncture | no estimate extracted | NR | No studies |
Changes of medication for gastroparesis (either short or long term) ‐ not measured Acupuncture vs sham acupuncture | no estimate extracted | NR | No studies |
Quality of life (either short or long term) ‐ not measured Acupuncture vs sham acupuncture | no estimate extracted | NR | No studies |
Adverse events Acupuncture vs sham acupuncture | no estimate extracted | 1 study · 60 participants | Low Downgraded: risk of bias, imprecision |
Acupuncture compared to gastrokinetic agents for symptomatic gastroparesis
Population: people with symptomatic gastroparesis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Improvement in symptoms of gastroparesis (short term: 4 to 12 weeks) Acupuncture vs gastrokinetic agents | no estimate extracted | 5 studies · 360 participants | Very low Downgraded: risk of bias, inconsistency |
Improvement in symptoms of gastroparesis (long term: more than 12 weeks) ‐ not measured Acupuncture vs gastrokinetic agents | no estimate extracted | NR | No studies |
Proportion of people whose symptoms 'improved' (short term: 4 to 12 weeks) Acupuncture vs gastrokinetic agents | RR 1.25 [1.17, 1.33] | 12 studies · 963 participants | Very low Downgraded: risk of bias, indirectness |
Proportion of people whose symptoms 'improved' (long term: more than 12 weeks) Acupuncture vs gastrokinetic agents | RR 0.79 [0.36, 1.73] | 1 study · 85 participants | Very low Downgraded: risk of bias, indirectness |
Changes of medication for gastroparesis (either short or long term) ‐ not measured Acupuncture vs gastrokinetic agents | no estimate extracted | NR | No studies |
Quality of life (either short or long term) ‐ not measured Acupuncture vs gastrokinetic agents | no estimate extracted | NR | No studies |
Adverse events Acupuncture vs gastrokinetic agents | no estimate extracted | 2 studies · 180 participants | Very low Downgraded: risk of bias, imprecision |
Acupuncture compared to non‐gastrokinetic agents for symptomatic gastroparesis
Population: symptomatic gastroparesis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Improvement in symptoms of gastroparesis (short term: 4 to 12 weeks) Acupuncture vs non‐gastrokinetic agents | no estimate extracted | 1 study · 68 participants | Very low Downgraded: risk of bias, imprecision |
Improvement in symptoms of gastroparesis (long term: more than 12 weeks) ‐ not measured Acupuncture vs non‐gastrokinetic agents | no estimate extracted | NR | No studies |
Proportion of people whose symptoms 'improved' (short term: 4 to 12 weeks) Acupuncture vs non‐gastrokinetic agents | RR 1.38 [1.02, 1.86] | 1 study · 68 participants | Very low Downgraded: risk of bias, imprecision |
Proportion of people whose symptoms 'improved' (long term: more than 12 weeks) ‐ not measured Acupuncture vs non‐gastrokinetic agents | no estimate extracted | NR | No studies |
Changes of medication for gastroparesis (either short or long term) ‐ not measured Acupuncture vs non‐gastrokinetic agents | no estimate extracted | NR | No studies |
Quality of life (either short or long term) ‐ not measured Acupuncture vs non‐gastrokinetic agents | no estimate extracted | NR | No studies |
Adverse events ‐ not reported Acupuncture vs non‐gastrokinetic agents | no estimate extracted | NR | No studies |
Acupuncture plus gastrokinetic agents compared to gastrokinetic agents alone for symptomatic gastroparesis
Population: symptomatic gastroparesis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Improvement in symptoms of gastroparesis (short term: 4 to 12 weeks) Acupuncture plus gastrokinetic agents vs gastrokinetic agents alone | no estimate extracted | 2 studies · 132 participants | Very low Downgraded: risk of bias, indirectness |
Improvement in symptoms of gastroparesis (long term: more than 12 weeks) ‐ not reported Acupuncture plus gastrokinetic agents vs gastrokinetic agents alone | no estimate extracted | NR | No studies |
Proportion of people whose symptoms 'improved' (short term: 4 to 12 weeks) Acupuncture plus gastrokinetic agents vs gastrokinetic agents alone | RR 1.21 [1.15, 1.27] | 13 studies · 1107 participants | Very low Downgraded: risk of bias, indirectness |
Proportion of people whose symptoms 'improved' (long term: more than 12 weeks) Acupuncture plus gastrokinetic agents vs gastrokinetic agents alone | RR 1.41 [1.19, 1.66] | 3 studies · 237 participants | Very low Downgraded: risk of bias, indirectness |
Changes of medication for gastroparesis (either short or long term) ‐ not measured Acupuncture plus gastrokinetic agents vs gastrokinetic agents alone | no estimate extracted | NR | No studies |
Quality of life (either short or long term) ‐ not measured Acupuncture plus gastrokinetic agents vs gastrokinetic agents alone | no estimate extracted | NR | No studies |
Adverse events Acupuncture plus gastrokinetic agents vs gastrokinetic agents alone | no estimate extracted | 4 studies · 408 participants | Very low Downgraded: risk of bias, imprecision |
Acupuncture plus non‐gastrokinetic agents compared to non‐gastrokinetic agents alone for symptomatic gastroparesis
Population: symptomatic gastroparesis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Improvement in symptoms of gastroparesis (short term: 4 to 12 weeks) Acupuncture plus non‐gastrokinetic agents vs non‐gastrokinetic agents alone | no estimate extracted | 1 study · 80 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Improvement in symptoms of gastroparesis (long term: more than 12 weeks) ‐ not reported Acupuncture plus non‐gastrokinetic agents vs non‐gastrokinetic agents alone | no estimate extracted | NR | No studies |
Proportion of people whose symptoms 'improved' (short term: 4 to 12 weeks) Acupuncture plus non‐gastrokinetic agents vs non‐gastrokinetic agents alone | RR 1.3 [1.01, 1.66] | 1 study · 80 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Proportion of people whose symptoms 'improved' (long term: more than 12 weeks) Acupuncture plus non‐gastrokinetic agents vs non‐gastrokinetic agents alone | no estimate extracted | NR | No studies |
Changes of medication for gastroparesis (either short or long term) ‐ not measured Acupuncture plus non‐gastrokinetic agents vs non‐gastrokinetic agents alone | no estimate extracted | NR | No studies |
Quality of life (either short or long term) ‐ not measured Acupuncture plus non‐gastrokinetic agents vs non‐gastrokinetic agents alone | no estimate extracted | NR | No studies |
Adverse events ‐ not reported Acupuncture plus non‐gastrokinetic agents vs non‐gastrokinetic agents alone | no estimate extracted | NR | No studies |
Acupuncture plus routine care/diabetes control compared to the same treatment alone (routine care/diabetes control) for symptomatic gastroparesis
Population: symptomatic gastroparesis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Improvement in symptoms of gastroparesis (short term: 4 to 12 weeks) Acupuncture plus routine care/diabetes control vs the same treatment alone (routine care/diabetes control) | no estimate extracted | NR | No studies |
Improvement in symptoms of gastroparesis (long term: more than 12 weeks) ‐ not measured Acupuncture plus routine care/diabetes control vs the same treatment alone (routine care/diabetes control) | no estimate extracted | NR | No studies |
Proportion of people whose symptoms 'improved' (short term: 4 to 12 weeks) Acupuncture plus routine care/diabetes control vs the same treatment alone (routine care/diabetes control) | RR 1.47 [1.06, 2.04] | 3 studies · 217 participants | Very low Downgraded: risk of bias, indirectness |
Proportion of people whose symptoms 'improved' (long term: more than 12 weeks) ‐ not measured Acupuncture plus routine care/diabetes control vs the same treatment alone (routine care/diabetes control) | no estimate extracted | NR | No studies |
Changes of medication for gastroparesis (either short or long term) ‐ not measured Acupuncture plus routine care/diabetes control vs the same treatment alone (routine care/diabetes control) | no estimate extracted | NR | No studies |
Quality of life (either short or long term) ‐ not measured Acupuncture plus routine care/diabetes control vs the same treatment alone (routine care/diabetes control) | no estimate extracted | NR | No studies |
Adverse events ‐ not reported Acupuncture plus routine care/diabetes control vs the same treatment alone (routine care/diabetes control) | no estimate extracted | NR | No studies |