{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T05:00:11Z","timestamp":1781154011542,"version":"3.54.1"},"reference-count":50,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Sichuan Province Tianfu Qingcheng Program"},{"DOI":"10.13039\/501100004543","name":"China Scholarship Council","doi-asserted-by":"publisher","award":["202408730003"],"award-info":[{"award-number":["202408730003"]}],"id":[{"id":"10.13039\/501100004543","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Sichuan Provincial Natural Science Foundation Youth Fund Project","award":["2024NSFSC11860"],"award-info":[{"award-number":["2024NSFSC11860"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82205285"],"award-info":[{"award-number":["82205285"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014717","name":"National Outstanding Youth Science Fund Project of National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82225050"],"award-info":[{"award-number":["82225050"]}],"id":[{"id":"10.13039\/100014717","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Acupuncture has shown significant therapeutic effects for functional dyspepsia (FD) in clinical trials. However, clinical observations reveal substantial variations in patient responses to acupuncture. In addition to patient-related factors, such variability may also be associated with differences in acupuncturists\u2019 clinical experience. This study compared the treatment outcomes for FD between junior and senior acupuncturists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>This exploratory secondary analysis used data from a previous randomized controlled trial. Patients were divided into two groups based on acupuncturists\u2019 years of practice as defined by the professional title evaluation rules, using 5\u202fyears as the cut-off (Group A treated by junior acupuncturists and Group B treated by senior acupuncturists). Outcome measures included the Symptom Index for Dyspepsia (SID), the four cardinal symptoms of FD, and the Nepean Dyspepsia Life Quality Index (NDLQI). Assessments were conducted at baseline, treatment weeks 2 and 4, and follow-up weeks 4 and 12. Data were analyzed using generalized estimating equations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Adjusted analyses were performed after including items with between-group differences as covariates. The study revealed that Group B had lower SID scores than Group A at both follow-up time points\u2014at 4\u202fweeks (mean difference: 0.6,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.007) and at 12\u202fweeks (mean difference: 0.8,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.001). In addition, Group B showed greater improvements in postprandial fullness and early satiety at both follow-ups (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.010). However, no significant between-group differences were observed for epigastric pain or epigastric burning. Regarding quality of life, Group B also had higher NDLQI scores at the 12-week follow-up (mean difference: \u22122.9;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.041).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Based on the 5-year administrative cutoff criterion, this exploratory secondary analysis found a potential association between acupuncturists\u2019 years of practice and acupuncture efficacy for FD, but prospective studies are needed for confirmation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1834168","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T04:35:54Z","timestamp":1781152554000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The impact of acupuncturists\u2019 experience level on the efficacy of acupuncture for functional dyspepsia: an exploratory secondary analysis of a randomized clinical trial"],"prefix":"10.3389","volume":"13","author":[{"given":"Jianzhen","family":"Jiang","sequence":"first","affiliation":[{"name":"Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]},{"name":"Acupuncture and Brain Science Research Center, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chongkai","family":"Luo","sequence":"additional","affiliation":[{"name":"Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]},{"name":"Acupuncture and Brain Science Research Center, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yangke","family":"Mao","sequence":"additional","affiliation":[{"name":"Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]},{"name":"Acupuncture and Brain Science Research Center, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Yin","sequence":"additional","affiliation":[{"name":"Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]},{"name":"Acupuncture and Brain Science Research Center, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]},{"name":"Key Laboratory of Acupuncture for Senile Disease (Chengdu University of TCM), Ministry of Education","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zilei","family":"Tian","sequence":"additional","affiliation":[{"name":"Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]},{"name":"Acupuncture and Brain Science Research Center, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingya","family":"Cao","sequence":"additional","affiliation":[{"name":"Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]},{"name":"Acupuncture and Brain Science Research Center, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueping","family":"Yu","sequence":"additional","affiliation":[{"name":"Sichuan College of Traditional Chinese Medicine","place":["Mianyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Ma","sequence":"additional","affiliation":[{"name":"Hospital of Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Zheng","sequence":"additional","affiliation":[{"name":"Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoping","family":"Tian","sequence":"additional","affiliation":[{"name":"Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Lan","sequence":"additional","affiliation":[{"name":"Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]},{"name":"Acupuncture and Brain Science Research Center, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]},{"name":"Key Laboratory of Acupuncture for Senile Disease (Chengdu University of TCM), Ministry of Education","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaohui","family":"Dong","sequence":"additional","affiliation":[{"name":"School of Nursing, Chengdu University of Traditional Chinese Medicine","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanrong","family":"Liang","sequence":"additional","affiliation":[{"name":"Acupuncture and Tuina School, The 3rd 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