Acupuncture for insomnia in people with cancer

作者：Qin Ma, Chunyu Liu, Guozhen Zhao, Shiqi Guo, Hancong Li, Bo Zhang, Bo Li, Zhaolun Cai · 发表于：Cochrane Database of Systematic Reviews · 年份：2025 · DOI：10.1002/14651858.cd015177.pub2 · 被引用次数：2 · 研究领域：Acupuncture Treatment Research Studies、Sleep and related disorders、Cancer survivorship and care

RATIONALE: Insomnia is a common issue affecting people with cancer. Although acupuncture is widely used as a treatment option for insomnia, its effects on cancer patients require a rigorous and up-to-date evaluation. OBJECTIVES: To evaluate the benefits and harms of acupuncture for insomnia in people with cancer. SEARCH METHODS: We searched CENTRAL, MEDLINE, Embase, PsycINFO, and five other databases or trial registries in January 2024. ELIGIBILITY CRITERIA: We included randomised controlled trials (RCTs) with a minimum duration of four weeks that evaluated acupuncture (defined as needle insertion at specific acupoints) for treating insomnia in patients with cancer. OUTCOMES: Our outcomes were insomnia severity measured by the Insomnia Severity Index (ISI), sleep quality measured by the Pittsburgh Sleep Quality Index (PSQI), adverse events, and sleep diary outcomes including sleep onset latency (SOL), wake after sleep onset (WASO), total sleep time (TST), and sleep efficiency (SE). RISK OF BIAS: We assessed the risk of bias using the RoB 2 tool. SYNTHESIS METHODS: We performed random-effects meta-analysis to calculate risk ratios (RR) for dichotomous outcomes and mean differences (MD) for continuous outcomes, with 95% confidence intervals (CIs). We assessed the certainty of evidence with GRADE and interpreted findings for continuous outcomes against minimally important differences (MIDs). INCLUDED STUDIES: We included five studies with 402 participants. The participants were ...