Research Status and Prospects of Acupuncture in Perioperative Medicine Over the Past Decade: A Bibliometric Analysis

Figures & data

Figure 1 The annual and cumulative number of publications from 2013 to 2023.

Figure 2 (A) The countries/regions with more than 20 publications. (B) The annual publication number growth of the countries/regions with more than 20 publications. (C) The distribution map of countries/regions.

Figure 3 The distribution map of institutions.

Table 1 The Top 10 Institutions with the Most Publications

Affiliations	Publications	Citations	Mean Citations/Publication
Shanghai University of Traditional Chinese Medicine	35	171	4.89
Guangzhou University of Chinese Medicine	30	141	4.7
Beijing University of Chinese Medicine	25	209	8.36
Capital Medical University	21	205	9.76
Kyung Hee University	21	111	5.29
Nanjing University of Chinese Medicine	19	74	3.89
Zhejiang Chinese Medical University	19	110	5.79
Chengdu University of Traditional Chinese Medicine	18	29	1.61
China Medical University Taiwan	18	264	14.67
University of California System	18	389	21.61

Figure 4 (A) The distribution map of authors. (B) The co-citation map of cited authors.

Table 2 The Top 15 Authors with the Most Publications

Author	Publications	Citations	Mean Citations/Publication	H-Index
Ha, In-Hyuk	12	128	10.67	6
Chen, Jian-De	9	103	11.44	6
Shin, Byung-Cheul	8	113	14.13	5
Kim, Me-Rong	8	63	7.88	4
Lee, Jun-Hwan	8	58	7.25	4
Zheng, Zhen	8	47	5.88	4
Yeh, Mei-Ling	7	189	27	5
An, Li-Xin	7	118	16.86	6
Yang, Jing-Wen	7	66	9.43	3
Liu, Cun-Zhi	7	66	9.43	3
Lee, Yoon-Jae	7	51	7.29	3
Wang, Jun-Lu	7	49	7	4
Cho, Jae-Heung	7	38	5.43	4
Zheng, Man	7	37	5.29	3
An, Jian-Xiong	7	30	4.29	4

Table 3 The Top 10 Journals with the Most Publications

Journal	Publications	Citations	Mean Citations/Publication	IF (2022)
Medicine	63	165	2.62	1.817
Evidence-Based Complementary and Alternative Medicine	60	495	8.25	2.65
Trials	34	151	4.44	2.728
Acupuncture in Medicine	31	475	15.32	1.976
BMJ Open	15	65	4.64	3.006
International Journal of Clinical and Experimental Medicine	14	47	3.36	N/A
PLoS One	13	331	25.46	3.752
Chinese Journal of Integrative Medicine	13	112	8.62	2.626
Journal of Pain Research	13	58	4.46	2.832
Journal of Traditional Chinese Medicine	13	52	4	2.547

Figure 5 (A) The clusters of cited references in this study. (B) Timeline view of the cited references in this study. (C) Top 20 references with the strongest citation burst.

Table 4 The Top 10 Documents with the Most Citations

Rank	Document (First Author, Year)	Title	Journal	Citations
1	Garcia MK, 2013	Systematic Review of Acupuncture in Cancer Care: A Synthesis of the Evidence	Journal of Clinical Oncology	191
2	Tan M, 2015	Optimizing pain management to facilitate Enhanced Recovery After Surgery pathways	Canadian Journal of Anesthesia/Journal canadien d’anesthésie	167
3	Tick H, 2018	Evidence-Based Nonpharmacologic Strategies for Comprehensive Pain Care: The Consortium Pain Task Force White Paper	Explore-The Journal of Science and Healing	150
4	Lee A, 2015	Stimulation of the wrist acupuncture point PC6 for preventing postoperative nausea and vomiting	Cochrane Database of Systematic Reviews	129
5	Wu MS, 2016	The Efficacy of Acupuncture in Post-Operative Pain Management: A Systematic Review and Meta-Analysis	PLoS One	121
6	Tao WW, 2016	Effects of Acupuncture, Tuina, Tai Chi, Qigong, and Traditional Chinese Medicine Five-Element Music Therapy on Symptom Management and Quality of Life for Cancer Patients: A Meta-Analysis	Journal of Pain and Symptom Management	105
7	Manyande A, 2015	Non-pharmacological interventions for assisting the induction of anaesthesia in children	Cochrane Database of Systematic Reviews	102
8	Deng GE, 2013	Complementary Therapies and Integrative Medicine in Lung Cancer Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines	Chest	98
9	Ng SSM, 2013	Electroacupuncture Reduces Duration of Postoperative Ileus After Laparoscopic Surgery for Colorectal Cancer	Gastroenterology	97
10	Michaelides A, 2019	Depression, anxiety and acute pain: links and management challenges	Postgraduate Medicine	97

Table 5 The Top 10 Co-Cited References with the Most Citations

Rank	Document (First Author, Year)	Title	Citations
1	Sun Y, 2008	Acupuncture and related techniques for postoperative pain: a systematic review of randomized controlled trials	86
2	Wu MS, 2016	The Efficacy of Acupuncture in Post-Operative Pain Management: A Systematic Review and Meta-Analysis	64
3	Ng SSM, 2013	Electroacupuncture Reduces Duration of Postoperative Ileus After Laparoscopic Surgery for Colorectal Cancer	59
4	Lee A, 2015	Stimulation of the wrist acupuncture point PC6 for preventing postoperative nausea and vomiting	54
5	Zhang RX, 2014	Mechanisms of Acupuncture-Electroacupuncture on Persistent Pain	46
6	Wang H, 2014	Transcutaneous electric acupoint stimulation reduces intra-operative remifentanil consumption and alleviates postoperative side-effects in patients undergoing sinusotomy: a prospective, randomized, placebo-controlled trial	44
7	Kotani N, 2001	Preoperative intradermal acupuncture reduces postoperative pain, nausea and vomiting, analgesic requirement, and sympathoadrenal responses	40
8	Han JS, 2004	Acupuncture and endorphins	37
9	Zhao ZQ, 2008	Neural mechanism underlying acupuncture analgesia	37
10	Han JS, 2003	Acupuncture: neuropeptide release produced by electrical stimulation of different frequencies	36

Figure 6 Dual-map overlay visualization of documents related to acupuncture in the perioperative period.

Notes: The labels on the left-hand of the map represent the discipline of the journal in which the articles appear, the labels on the right-hand represent the discipline of the cited journal in which the references cited by articles, and the curves of trajectories originating from the citing map (left) and pointing to the cited map (right) represent the citation path connecting lines that illustrate the flow of knowledge and linkages across different research fields.²⁴

Figure 7 (A) Network of keywords about perioperative acupuncture. (B) The clusters of keywords in this study. (C) Timeline view of the keywords in this study. (D) The landscape view of the keywords clusters. (E) The top 20 keywords with the strongest citation bursts.

Table 6 The Top 20 Keywords with the Most Frequency

Rank	Keywords	Count	Centrality	Rank	Keywords	Count	Centrality
1	Acupuncture	237	0.01	11	Stimulation	48	0.08
2	Electroacupuncture	155	0.06	12	Postoperative nausea	47	0.06
3	Postoperative pain	129	0.09	13	Efficacy	46	0.04
4	Management	126	0.03	14	Double blind	46	0.10
5	Surgery	121	0.04	15	Therapy	44	0.05
6	Pain	108	0.06	16	Systematic review	45	0.03
7	Anesthesia	60	0.03	17	Acupressure	43	0.04
8	Randomized Controlled trial	59	0.1	18	Analgesia	43	0.05
9	Recovery	53	0.05	19	Meta-analysis	43	0.02
10	Mechanism	50	0.04	20	Auricular acupuncture	40	0.06

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