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耳针治疗乳腺癌相关性抑郁:系统评价与Meta分析方案

Auricular acupuncture for breast cancer-related depression: A protocol for systematic review and meta-analysis.

作者信息

Gao Junxiang, Wu Guangling, Mao Enxia, Zhao Honglian

机构信息

Department of Rehabilitation Medicine of Linyi Central Hospital.

Department of Obstetrics of Linyi Central Hospital, Linyi, Shandong, Province, P. R. China.

出版信息

Medicine (Baltimore). 2020 Nov 6;99(45):e22870. doi: 10.1097/MD.0000000000022870.

Abstract

BACKGROUND

Breast cancer is a common disease in galactophore department. Patients with breast cancer are prone to depression, with the incidence of depression ranging from 13% to 23% and as high as 70% in patients with advanced stage. On the one hand, it is related to the physiological characteristics, personality characteristics, and social factors of women themselves. On the other hand, it is related to the common tumors of women, such as breast cancer, examination, and antitumor treatment. Due to the serious side effects of chemotherapy drugs, patients can always feel the presence of cancer. In addition, the mark of radiotherapy and fatigue make the psychological burden continue to have excessive economic burden, and lack of understanding from both social and family, discrimination and patients' own psychological endurance are all causes of breast cancer factors contributing to depressive symptoms in patients. Auricular acupuncture as a form of acupuncture therapy which is proved to be effective in RCTs and very suitable for patients, has been used in patients who suffer from breast cancer-related depression for a long time, therefore, a systematic review is necessary to provide available evidence for further study.

METHODS

The following databases will be searched from their inception to August 2020: Electronic database includes PubMed, Embase, Cochrane Library, Web of Science, Nature, Science online, VIP medicine information, and China National Knowledge Infrastructure. Primary outcomes: Score of depression symptoms. Additional outcomes: The overall effective rate. Data will be extracted by 2 researchers independently, risk of bias of the meta-analysis will be evaluated based on the Cochrane Handbook for Systematic Reviews of Interventions. All data analysis will be conducted by data statistics software Review Manager V.5.3. and Stata V.12.0.

RESULTS

The results of this study will systematically evaluate the effectiveness and safety of auricular acupuncture intervention for people with breast cancer-related depression.

CONCLUSION

The systematic review of this study will summarize the current published evidence of auricular acupuncture for the treatment of breast cancer-related depression, which can further guide the promotion and application of it.

OPEN SCIENCE FRA NETWORK (OSF) REGISTRATION NUMBER: September 11, 2020 osf.io/5b7yw. (https://osf.io/5b7yw).

摘要

背景

乳腺癌是乳腺科的常见疾病。乳腺癌患者容易出现抑郁,抑郁发生率为13%至23%,晚期患者高达70%。一方面,它与女性自身的生理特征、性格特点及社会因素有关。另一方面,它与女性常见肿瘤如乳腺癌、检查及抗肿瘤治疗有关。由于化疗药物的严重副作用,患者总能感觉到癌症的存在。此外,放疗痕迹和疲劳使心理负担持续加重,经济负担过重,且缺乏社会和家庭的理解、歧视以及患者自身心理承受能力等都是导致乳腺癌患者出现抑郁症状的因素。耳针作为一种在随机对照试验中被证明有效的针灸疗法,非常适合患者,长期以来一直用于患有乳腺癌相关抑郁症的患者,因此,有必要进行系统评价以提供进一步研究的可用证据。

方法

检索以下数据库自建库至2020年8月的数据:电子数据库包括PubMed、Embase、Cochrane图书馆、Web of Science、Nature、Science online、维普医药信息和中国知网。主要结局:抑郁症状评分。附加结局:总有效率。数据将由2名研究人员独立提取,基于《Cochrane干预措施系统评价手册》评估荟萃分析的偏倚风险。所有数据分析将使用数据统计软件Review Manager V.5.3和Stata V.12.0进行。

结果

本研究结果将系统评价耳针干预对乳腺癌相关抑郁症患者的有效性和安全性。

结论

本研究的系统评价将总结目前已发表的耳针治疗乳腺癌相关抑郁症的证据,可进一步指导其推广应用。

开放科学框架(OSF)注册号:2020年9月11日osf.io/5b7yw。(https://osf.io/5b7yw)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b34/7647511/14814816b88d/medi-99-e22870-g001.jpg

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