Role of Acupuncture in the Treatment of COPD: An Overview of Systematic Reviews.
Role of Acupuncture in the Treatment of COPD: An Overview of Systematic Reviews.
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DOI：
10.2147/ijgm.s300270
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发表时间：
2021
影响因子：
2.3
通讯作者：
Li J
中科院分区：
文献类型：
--
作者：
Chun L;Li X;Feng Z;Xie Y;Li J
由于针灸治疗慢性阻塞性肺疾病（COPD）的有效性尚无一致证据，本概述旨在总结并严格评估该主题的系统评价（SR）的方法学和证据质量。检索了8个电子数据库，找出从成立到2021年1月针灸治疗COPD的相关SR。两名研究人员独立筛选文献、提取数据并交叉核对数据。评估系统评价的方法学质量 2 (AMSTAR 2) 列表用于评估 SR 的方法学质量。建议、评估、制定和评估等级 (GRADE) 系统用于评估感兴趣结果的证据质量。本概述中包含了九个进行定量合成的 SR。 SR 的方法学质量和主要结果指标的证据质量普遍不令人满意。只有 2 个 SR 被 AMSTAR 2 评为方法学质量低，其余 SR 被评为质量极低。 SR 的主要局限性是缺乏方案和注册或排除研究列表。我们没有找到高质量的证据来证实针灸治疗慢性阻塞性肺病的有效性，主要原因是定性数据合成依赖于样本量小且质量极低的试验。针灸似乎是治疗慢性阻塞性肺病的有效方法，但由于纳入的 SR 的方法学质量和证据质量普遍较低，结果的可信度有限。需要进一步严格和全面的研究来提供强有力的证据并得出明确的结论。
Since consistent evidence on the effectiveness of acupuncture in the treatment of chronic obstructive pulmonary disease (COPD) is not available, this overview aims to summarize and critically evaluate the methodological and evidence quality of systematic reviews (SRs) on this topic. Eight electronic databases were searched to identify relevant SRs of the use of acupuncture in the treatment of COPD from inception to January 2021. Two researchers independently screened the literature, extracted the data, and cross-checked the data. The Assessing the Methodological Quality of Systematic Reviews 2 (AMSTAR 2) list was used to assess the methodological quality of SRs. The Grades of Recommendations, Assessment, Development and Evaluation (GRADE) system was used to assess the quality of evidence for the outcomes of interest. Nine SRs that conducted quantitative syntheses were included in this overview. The methodological quality of the SRs and the quality of evidence for the main outcome measures were generally unsatisfactory. Only 2 SRs were rated as low methodological quality by AMSTAR 2, and the remaining SRs were rated as critically low quality. The key limitations of the SRs were lack of a protocol and registration or a list of excluded studies. We did not find high-quality evidence to confirm the effectiveness of acupuncture for COPD, and the main reason was that the qualitative data synthesis relied on trials with small sample sizes and critically low quality. Acupuncture appears to be an effective therapeutic method for COPD, but the credibility of the results is limited owing to the generally low methodological quality and evidence quality of the included SRs. Further rigorous and comprehensive studies are required to provide robust evidence and draw definitive conclusions.