Zhuang Lixing, He Jun, Zhuang Xun, Lu Liming
Department of Acupuncture, First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510405, China.
BMC Complement Altern Med. 2014 May 7;14:151. doi: 10.1186/1472-6882-14-151.
Results from clinical studies on acupuncture for stroke rehabilitation are contradictory. The reason for the inconsistent findings especially lie in the transparency and accuracy of randomized controlled trials (RCTs) reports. This study aims to analyze the quality of reporting and its correlates in RCTs on acupuncture for stroke rehabilitation.
Quality of reporting for included papers was assessed against a subset of criteria adapted from the CONSORT 2010 statement and STRICTA. An overall quality score (OQS) and a combined key methodological index score (MIS) was calculated for each trial. Then, factors associated with OQS and MIS were identified.
A total of 15 RCTs were included in full text. The median OQS based on the CONSORT statement and STRICTA was 8 and 12, respectively. The significant predictors for CONSORT OQS was funding source, for STRICTA was year of publication. With regard to the MIS, no variable was associated with improved methodological quality.
Our study found that the overall quality of reporting on RCTs of acupuncture for stroke rehabilitation was general or good. But some items' reporting was found where information was insufficient or inadequate in most studies which needed substantial improvement.
关于针灸用于中风康复的临床研究结果相互矛盾。研究结果不一致的原因尤其在于随机对照试验(RCT)报告的透明度和准确性。本研究旨在分析针灸治疗中风康复的RCT报告的质量及其相关因素。
根据从CONSORT 2010声明和STRICTA改编的部分标准评估纳入论文的报告质量。为每个试验计算总体质量评分(OQS)和综合关键方法学指标评分(MIS)。然后,确定与OQS和MIS相关的因素。
全文共纳入15项RCT。基于CONSORT声明和STRICTA的OQS中位数分别为8和12。CONSORT OQS的显著预测因素是资金来源,STRICTA的显著预测因素是发表年份。关于MIS,没有变量与方法学质量的提高相关。
我们的研究发现,针灸治疗中风康复的RCT报告的总体质量一般或良好。但在大多数研究中发现一些项目的报告信息不足或不充分,需要大幅改进。