{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T15:06:12Z","timestamp":1785942372941,"version":"3.56.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100019391","name":"HEAD foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100019391","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Integrative and Complementary Medicine"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Battlefield acupuncture (BFA) has gained widespread clinical use for patients presenting to emergency departments (EDs). This systematic review of randomized controlled trials (RCTs) aims to assess the efficacy and safety of BFA in ED settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">A<\/jats:italic>\n                      literature search was conducted in OVID and Scopus databases for RCTs involving BFA applied in ED settings. The risk of bias was evaluated using the Cochrane Collaboration risk of bias tool, while the methodological quality of RCTs was assessed using the Jadad score. Due to the heterogeneity of the included studies, a qualitative analysis was performed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Seven studies involving 758 patients met the eligibility criteria. Among these, five studies evaluated traditional BFA in conjunction with standard analgesia care, while two studies assessed modified BFA alongside standard care. Most of the included studies were found to have a high risk of bias, leading to an overall classification of low quality according to the Jadad criteria. A descriptive analysis was performed due to heterogeneity in the interventions, observational timepoints, and outcomes reported in the included studies. Positive results were demonstrated in 71% of the studies. The most common conditions documented as the primary ED presentation included back pain, acute abdominal pain, lower extremity pain, neck pain, and acute sore throat. Notably, no severe adverse events were reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>BFA may offer a safe adjunct to standard care for pain management in ED settings. However, the limited methodological rigor and small number of existing RCTs reduce confidence in the current evidence. Well-designed, robust studies are needed to clarify their effectiveness and support stronger clinical recommendations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/27683605261435756","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T08:14:40Z","timestamp":1774512880000},"page":"718-726","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Role of Battlefield Acupuncture in Emergency Department Settings: A Systematic Review of Randomized Controlled Trials"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0850-679X","authenticated-orcid":false,"given":"Juan","family":"Yang","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuan","family":"Zhou","sequence":"additional","affiliation":[{"name":"Formula-Pattern Research Center, School of Traditional Chinese Medicine, Jinan University, Guangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kia Hui","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, National University Hospital, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hudson J.","family":"Barnett","sequence":"additional","affiliation":[{"name":"Mayo Clinic Alix School of Medicine, Mayo Clinic, Phoenix, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aliza F.","family":"Weinman","sequence":"additional","affiliation":[{"name":"Division of Emergency Department, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey T.","family":"Woods","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arya B.","family":"Mohabbat","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dietlind L.","family":"Wahner-Roedler","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tony Y.","family":"Chon","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brent A.","family":"Bauer","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2018.12.025"},{"key":"e_1_3_5_3_1","article-title":"Acute pain assessment and management in the emergency department perceived by nurses and patients","author":"H\u00e4m\u00e4l\u00e4inen J","year":"2022","unstructured":"2.H\u00e4m\u00e4l\u00e4inen J. Acute pain assessment and management in the emergency department perceived by nurses and patients. It\u00e4-Suomen Yliopisto 2022.","journal-title":"It\u00e4-Suomen Yliopisto"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2003.11.019"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/diseases11010045"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2018.01.020"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1142\/S0192415X21500026"},{"key":"e_1_3_5_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/acu.2007.0603"},{"key":"e_1_3_5_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/acu.2018.1289"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.2217\/pmt-2018-0007"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/acu.2018.1296"},{"key":"e_1_3_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2021.12.016"},{"key":"e_1_3_5_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/TME.0000000000000487"},{"key":"e_1_3_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2024.03.014"},{"issue":"4","key":"e_1_3_5_15_1","first-page":"110","article-title":"Battlefield acupuncture vs ketorolac for treating pain in the emergency department","volume":"40","author":"Galka E","year":"2023","unstructured":"14.Galka E, , Elfessi Z, , Singh T, et al. Battlefield acupuncture vs ketorolac for treating pain in the emergency department. 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