Objective:The body of research on acupuncture as a treatment strategy for fibromyalgia(FM)is steadily growing.This evidence map identifies,describes,and summarizes the current status of studies conducted to evaluate the efficacy of acupuncture for FM,identify research gaps,and provide information that could guide the design of future studies.Methods:Seven electronic databases-Cochrane Library,PubMed,Embase,China Biomedical Literature Database,VIP,Wanfang Database,and Chinese National Knowledge Infrastructure-were searched for rel-evant articles on acupuncture for FM.The search period was from the dates of inception of the databases to December 19,2022.Original clinical studies and systematic reviews on the use of acupuncture-related modalities for the treatment of FM were included.The basic information,quality assessments,and ev-idence maps of the included studies are presented as charts and bubble plots.The quality assessment tools used for evaluating the different types of studies included in the present study were Cochrane Col-laboration's tool,Canadian Institute of Health Economics quality appraisal tool,and A MeaSurement Tool to Assess systematic Reviews 2.Results:Fifty studies were included in this study.Of these,39(78.00％)were randomized controlled trials(RCTs),6(12.0％)were case series,and 5(10.0％)were systematic reviews.The included studies focused on manual acupuncture and conventional treatment in the treatment and control groups,respectively.The outcomes analyzed in the RCTs included pain(94.9％),sleep quality(46.2％),depression(46.2％),physical function(46.2％),stiffness(35.9％),well-being(35.9％),work status(35.9％),anxiety(33.3％),fatigue(33.3％),quality of life(17.9％),and overall effective rate(10.3％).The methodological quality of most of the stud-ies was low or critically low regardless of the study design.In most studies,the therapeutic effect of acupuncture was significantly superior to that of the comparator.Conclusion:This evidence map suggests that acupuncture-related modalities may be promising options for FM management.However,various studies on this topic have a high risk of bias or are of low quality.Further evidence-based research should be conducted to rigorously examine the efficacy of acupuncture for FM and promote generalizability of the findings.
AcupunctureFibromyalgiaEvidence map
施兰君、胡晓艺、田紫煜、修文萃、焦睿珉、胡翔昱、岗卫娟、景向红
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中国中医科学院针灸研究所,北京 100700,中国
Acupuncture Fibromyalgia Evidence map
China Academy of Chinese Medical Sciences(CACMS)Innovation FundNational Natural Science Foundation of ChinaChina Center for Evidence Based Traditional Chinese Medicine,CCEBTCM"The Belt and Road"TCM Cooperation Project of China Academy of Chinese Medical SciencesFundamental Research Funds for the Central Public Welfare Research Institutes
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