Acupuncture Research Center, School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China.
School of Acupuncture, Moxibustion and Tuina, Shandong University of Traditional Chinese Medicine, Jinan, China.
Acupunct Med. 2020 Oct;38(5):327-334. doi: 10.1177/0964528419900789. Epub 2020 Apr 20.
Acupuncture has been advocated for as a potentially effective therapy for patients with knee osteoarthritis (KOA) in systematic reviews and guidelines. However, there is still a lack of agreement on the optimal therapeutic protocol for acupuncture. This aim of this study was to develop an expert consensus regarding the therapeutic protocol of acupuncture to guide doctors in clinical practice.
An initial list of items was based on an overview of research evidence from four databases and clinical problem investigation with a multidisciplinary panel. A two-step process was used to optimize the list, including semi-structured interviews with three acupuncture clinical experts and a three-round Delphi consensus survey with the voting panel. A nine-point Likert-type scale (1 = strongly disagree, 9 = strongly agree) was used to measure agreement.
In total, 52 professionals (response rate: 52%) confirmed their participation in the voting panel. The initial list including 28 items was evaluated. Following a three-round Delphi survey, a consensus was achieved including 37 items that can be broadly categorized into six domains: (1) main treatment principles, (2) acupuncture treatment, (3) dose of acupuncture intervention, (4) primary outcomes, (5) adverse events and (6) others.
This expert consensus could be used to guide doctors in clinical practice and help patients with KOA gain access to appropriate and coordinated acupuncture treatment.
在系统评价和指南中，针灸被提倡作为膝骨关节炎（KOA）患者的一种潜在有效治疗方法。然而，对于针灸的最佳治疗方案仍存在分歧。本研究旨在制定针灸治疗方案的专家共识，以指导临床医生的临床实践。
根据四个数据库的研究证据综述和多学科小组的临床问题调查，初步列出了一份条目清单。使用两步法优化清单，包括对三位针灸临床专家进行半结构式访谈和三轮德尔菲共识调查。采用九点 Likert 量表（1=强烈不同意，9=强烈同意）来衡量意见的一致性。
共有 52 名专业人员（应答率：52%）确认参与投票小组。评估了最初包含 28 个条目的清单。经过三轮德尔菲调查，达成了包括 37 个条目在内的共识，这些条目可大致分为六个领域：（1）主要治疗原则，（2）针灸治疗，（3）针灸干预剂量，（4）主要结局，（5）不良事件和（6）其他。
该专家共识可用于指导临床医生的临床实践，帮助 KOA 患者获得适当和协调的针灸治疗。
