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Acupuncture for the Treatment of Alzheimer's Disease: An Overview of Systematic Reviews.

作者信息

Huang Jinke, Shen Min, Qin Xiaohui, Wu Manli, Liang Simin, Huang Yong

机构信息

The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.

Department of Neurology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.

出版信息

Front Aging Neurosci. 2020 Nov 27;12:574023. doi: 10.3389/fnagi.2020.574023. eCollection 2020.


DOI:10.3389/fnagi.2020.574023
PMID:33328956
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7729156/
Abstract

Acupuncture may be an effective complementary treatment for Alzheimer's disease (AD). The aim of this study was to summarize the evidence provided by systematic reviews (SRs)/meta-analyses (MAs) on the effect of acupuncture on AD. Eight electronic databases were searched from their inception until October 19, 2020. The methodological quality, reporting quality, and risk of bias of the included SRs were assessed by the Assessing the Methodological Quality of Systematic Reviews 2 (AMSTAR-2), the Risk of Bias in Systematic Reviews (ROBIS) tool, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Moreover, the evidence quality of the outcome measures was assessed by the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Eleven SRs/MAs met all inclusion criteria. According to the results of the AMSTAR-2, all included reviews were rated critically as being of low quality. With PRISMA, the reporting checklist was relatively complete, but some reporting weaknesses remained in the topics of the protocol and registration, search strategy, risk of bias, additional analyses, and funding. Based on the ROBIS tool, only two SRs/MAs had a low risk of bias. With the GRADE system, no high-quality evidence was found, and only seven outcomes provided moderate-quality evidence. Among the downgraded factors, the risk of bias within the original trials was ranked first, followed by inconsistency, imprecision, and publication bias. Acupuncture is a promising complementary treatment for AD. However, due to the low quality of the SRs/MAs supporting these results, high-quality studies with rigorous study designs and larger samples are needed before widespread recommendations can be made.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a622/7729156/b43d6d616f74/fnagi-12-574023-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a622/7729156/b43d6d616f74/fnagi-12-574023-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a622/7729156/b43d6d616f74/fnagi-12-574023-g0001.jpg

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本文引用的文献

[1]
Effectiveness and Safety of Acupuncture for the Treatment of Alzheimer's Disease: A Systematic Review and Meta-Analysis.

Front Aging Neurosci. 2020-5-6

[2]
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BMC Complement Altern Med. 2019-8-12

[3]
Effectiveness of Acupuncture for Alzheimer's Disease: An Updated Systematic Review and Meta-analysis.

Curr Med Sci. 2019-6-17

[4]
An introduction to overviews of reviews: planning a relevant research question and objective for an overview.

Syst Rev. 2018-3-1

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BMJ. 2017-9-21

[6]
Acupuncture plus Herbal Medicine for Alzheimer's Disease: A Systematic Review and Meta-Analysis.

Am J Chin Med. 2017

[7]
The economic burden of dementia in China, 1990-2030: implications for health policy.

Bull World Health Organ. 2016-10-18

[8]
ROBIS: A new tool to assess risk of bias in systematic reviews was developed.

J Clin Epidemiol. 2016-1

[9]
The effectiveness and safety of acupuncture for patients with Alzheimer disease: a systematic review and meta-analysis of randomized controlled trials.

Medicine (Baltimore). 2015-6

[10]
Alzheimer disease: epidemiology, diagnostic criteria, risk factors and biomarkers.

Biochem Pharmacol. 2014-1-4

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