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74, 95% CI 0.60, 0.91; low quality). Stratifying by the timing of acupuncture, acupuncture was effective in reducing the first 4 hours (RR=0.34, 95% CI 0.18, 0.64; moderate quality), and 0-24 hours postoperative vomiting (RR=0.81, 95% CI 0.70, 0.93; moderate quality) when performed before and during anesthesia, respectively. Further, the RR value was more robust when acupuncture was performed before anesthesia. Acupuncture was also effective in treating 0-24 hours postoperative nausea (RR=0.73, 95% CI 0.60, 0.88; moderate quality) and i