Non-traditional acupuncture therapies for smoking cessation: a systematic review of randomized controlled trials

Zhang, Yingying; Yu, Zeyu; Lan, Hui-Di; Liang, Shi-Bing; Fang, Min; Robinson, Nicola; Liu, Jianping

doi:10.1016/j.eujim.2021.101390

Cited by 6 publications

(16 citation statements)

References 31 publications

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“…A more recent systematic review and metaanalysis reported that there was no evidence that transcutaneous electrical stimulation has short-term (5 trials [n=485] odd ratio [OR]=1.27; 95% confidence interval [CI] 0.96-1.67; I2=64%) or long-term benefits in smoking cessation (1 trial [n=76] OR=0.50; 95% CI 0.05-5.28). 66 In conclusion, the current best available evidence does not support the use of electrical stimulation, including SSP therapy, in smoking cessation. Healthcare providers should advise tobacco users to opt for evidence-based options to quit tobacco use.…”

Section: Silver Spike Point Therapymentioning

confidence: 90%

Silver Spike Point Therapy in smoking cessation

Al‐Zalabani

2023

SMJ

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Section: Silver Spike Point Therapymentioning

confidence: 90%

Silver Spike Point Therapy in smoking cessation

Al‐Zalabani

2023

SMJ

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“…Since acupuncture was first used for smoking cessation in 1977, [33] it has been recognized for its simple operation and low cost. [34] Recent studies have shown that AA is an alternative option.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety evaluation of adjuvant auricular acupuncture for smoking cessation: A study protocol of randomized, assessor-blinded, pragmatic pilot trial

et al. 2022

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Background: Smoking negatively impacts public health. There are several treatments to quit smoking, and nicotine replacement treatment (NRT) reportedly doubles the smoking cessation rate, with some limitations. Acupuncture is an alternative option with proven effects on smoking cessation. However, there has been no definite report that indicates the efficacy and safety of auricular acupuncture (AA) combined with NRT on smoking cessation.Methods: This is a randomized, assessor-blind, and pragmatic pilot study. We will recruit 40 participants who want to stop smoking and randomly allocate them into an NRT group and an NRT + AA group with a 1:1 ratio. Participants will receive NRT for 4 weeks and the NRT + AA group will receive additional AA treatment with 5 AA points (Shenmen (TF4), lung (CO14), throat (TF3), inner nose (TG4), and endocrine (CO18)) twice a week for 4 weeks. Follow-up will be conducted 1 and 3 months after intervention completion. The primary outcome will be tobacco consumption and abstinence rate determined by calculating the rate of change in cigarette use and a urine test. Secondary outcomes will be the quality of life (EuroQol-5D and visual analogue scale), nicotine dependence (Fagerstrom test for nicotine dependence), nicotine withdrawal (Minnesota nicotine withdrawal scale), physical effects, satisfaction, and safety measurement (adverse events).Results: We will investigate the efficacy and safety of AA combined with NRT treatment for smoking cessation.Conclusion: Our study will provide additional clinical evidence for AA as an adjuvant treatment for smoking cessation.

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“…Some SRs 10 , 17 have suggested that there was insufficient evidence to confirm the efficacy of acupuncture therapies for smoking cessation. However, the latest SRs 18 , 19 suggest that filiform needle acupuncture and acupressure may have significant benefits in achieving smoking cessation. In addition to the contradictory findings between these SRs, acupuncture interventions evaluated in these SRs were different and incomplete.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture and related acupoint therapies for smoking cessation: An umbrella review and updated meta-analysis

Zhang,

Su,

Tian

et al. 2024

Tob. Induc. Dis.

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INTRODUCTION Acupuncture and related acupoint therapies have been widely used for smoking cessation. Some relevant systematic reviews (SRs) have been published. There is a need to summarize and update the evidence to inform practice and decision-making. METHODS Eight databases were searched from their inception to December 2023. SRs, any randomized controlled trials (RCTs) comparing acupuncture therapies with sham acupuncture, pharmacotherapy, behavioral therapy, or no treatment, were included. The primary outcome was the abstinence rate. AMSTAR-2 was employed to assess the quality of SRs. An updated meta-analysis was conducted based on SRs and RCTs. Data were synthesized using risk ratios (RR) with 95% confidence intervals (CIs). The GRADE approach was employed to assess the certainty of the updated evidence. RESULTS Thirteen SRs and 20 RCTs outside of the SRs were identified. The SRs were of low or very low quality by AMSTAR-2. Sixteen (80%) RCTs were at high risk of performance bias. Eight acupuncture and related acupoint therapies were involved. The short-term (≤6 months) abstinence rate outcome was summarized as follows. Most SRs suggested that filiform needle acupuncture or acupressure had a better effect than sham acupuncture, but the findings were inconsistent. The updated meta-analysis also suggested that filiform needle acupuncture was more effective than sham acupuncture (RR=1.44; 95% CI: 1.02–2.02; I 2 = 66%; low certainty; 9 RCTs, n=1358). Filiform needle acupuncture combined with acupressure was comparable to nicotine patches (RR=0.99; 95% CI: 0.74–1.32; low certainty; 6 RCTs, n= 524). Acupressure was superior to counseling (RR=1.46; 95% CI: 1.14–1.87; I 2 =5%; low certainty; 8 RCTs, n=595). No serious adverse events were reported in these SRs or RCTs. CONCLUSIONS Low certainty evidence suggests that filiform needle acupuncture and auricular acupressure appear to be safe and effective in achieving short-term smoking cessation. However, long-term follow-up data are needed.

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Non-traditional acupuncture therapies for smoking cessation: a systematic review of randomized controlled trials

Cited by 6 publications

References 31 publications

Silver Spike Point Therapy in smoking cessation

Silver Spike Point Therapy in smoking cessation

Efficacy and safety evaluation of adjuvant auricular acupuncture for smoking cessation: A study protocol of randomized, assessor-blinded, pragmatic pilot trial

Acupuncture and related acupoint therapies for smoking cessation: An umbrella review and updated meta-analysis

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