Table 5. Subgroup analysis of possible sources of heterogeneity explained by the design of sham acupuncture for individual conditions.
| Covariate and classification (condition) | No. of studies or subsets | SMD (95% CI)* | P for SMD | P for heterogeneity† | I2 (%) | P for interaction‡ | Adjusted R2$ |
|---|---|---|---|---|---|---|---|
| Sham location (SP) | |||||||
| Same | 3 | −0.84 (−1.14 to −0.54) | <0.001 | 0.633 | 0 | 0.46 | 100 |
| Lateral | 1 | −0.47 (−1.46 to 0.53) | 0.359 | n.a. | n.a. | ||
| Irrelevant | 1 | −0.39 (−0.63 to −0.16) | 0.001 | n.a. | n.a. | ||
| Sham depth (LBP) | |||||||
| Non-penetration | 5 | −1.23 (−1.98 to −0.48) | 0.001 | 0.001 | 78.7 | 0.30 | 62.69 |
| Superficial | 4 | −0.20 (−0.31 to −0.08) | 0.001 | 0.404 | 0 | ||
| Normal | 1 | −0.50 (−0.85 to −0.14) | 0.006 | n.a. | n.a. | ||
| Sham location (MP) | |||||||
| Same | 8 | −1.37 (−1.88 to −0.86) | <0.001 | 0.001 | 70.4 | 0.46 | 46.46 |
| Lateral | 4 | −0.19 (−0.57 to −0.19) | 0.318 | 0.464 | 0 | ||
| Irrelevant | 1 | −0.74 (−1.47 to −0.01) | 0.047 | n.a. | n.a. | ||
| Sham depth (MP) | |||||||
| Non-penetration | 7 | −1.48 (−2.11 to −0.84) | <0.001 | 0.001 | 74.9 | 0.11 | 47.20 |
| Superficial | 6 | −0.47 (−0.79 to −0.15) | 0.004 | 0.320 | 14.7 | ||
| Normal | 0 | ||||||
| Sham depth (FM) | |||||||
| Non-penetration | 3 | −0.10 (−0.83 to 0.64) | 0.790 | 0.124 | 52.1 | 0.51 | 100 |
| Superficial | 0 | ||||||
| Normal | 2 | 0.15 (−0.17 to 0.47) | 0.365 | 0.601 | 0 | ||
FM, fibromyalgia; LBP, low back pain; MP, myofascial pain; SP, shoulder pain.
*Standardized mean difference (SMD) obtained using conventional random-effects model.
$Percentage of heterogeneity explained by covariate (%).
†P values for heterogeneity across studies computed using Cochrane’s Q test.
‡P values for comparisons between subgroups computed using χ2 test.