Reporting and methodological quality of acupuncture network meta-analyses could be improved: an evidence mapping

Reporting and methodological quality of acupuncture network meta-analyses could be improved: an evidence mapping
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DOI:
10.1016/j.jclinepi.2022.11.004
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发表时间:
2022-11-29
影响因子:
7.2
通讯作者:
Yang,Kehu
Yang,Kehu
中科院分区:
医学2区
文献类型:
--
作者:
Wang,Yan;Chen,Nan;Yang,Kehu

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[背景与目的]评价针灸网络荟萃分析(NMA)的报道和方法学质量,并对其进行映射。采用网络荟萃分析的首选报告项目(PRISMA-NMA)声明和多系统综述评估2(AMSTAR-2)检查表对纳入研究的报告和方法学质量进行评估。大多数研究(99,87.61%)是在中国进行的。大多数研究集中在多种针灸技术(82.30%),研究的主要疾病是疼痛和中风后遗症(20.24%)。报告质量的中位数(四分位数范围)得分为26.5(25-28.5)。然而,在方案和注册(33.63%)和网络的几何结构(35.40%)方面的报告率很低,尤其是基于中国的研究。只有2项(1.77%)英语研究的方法学质量较高。中文报告第4、7、10、12项的报告率均在15%以下。结论NMA报告质量中等,但方法学质量较低。未来NMA的报告和方法质量,特别是中国研究的报告和方法质量,需要进一步改进。
Background and ObjectivesTo evaluate and map the reporting and methodological quality of network meta-analysis (NMA) on acupuncture.MethodsPublished acupuncture NMAs were searched through eight databases from inception to February 2022. The reporting and methodological quality of included studies was assessed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Network Meta-Analysis (PRISMA-NMA) statement and the Assessment of Multiple Systematic Reviews 2 (AMSTAR-2) checklist.ResultsA total of 113 NMAs were identified. Most (99, 87.61%) studies were performed in China. Most studies focused on multiple acupuncture techniques (82.30%), and the main studied ailments were pain and poststroke sequelae (20.24%). The median (interquartile range (IQR)) score of the reporting quality was 26.5 (25–28.5). However, poor reporting rates in the protocol and registration (33.63%) and geometry of the network (35.40%), especially for China-based studies, were identified. The methodological quality of only 2 (1.77%) English studies was high. The reporting rate of Chinese studies was below 15% on each of items 4, 7, 10, and 12.ConclusionThe reporting quality of the NMAs was moderate, but the methodological quality was very low. The reporting and methodological quality of future NMAs, especially for Chinese studies, need further improvement.