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不同针灸疗法治疗颈部疼痛的有效性:系统评价和/或网状Meta分析方案

The effectiveness of different acupuncture therapies for neck pain: A protocol for systematic review and/or network meta-analysis.

作者信息

Jo Hyo-Rim, Noh Eun-Ji, Oh Se-Hee, Choi Seong-Kyeong, Sung Won-Suk, Choi Su-Ji, Kim Dong-Il, Hong Seung-Ug, Kim Eun-Jung

机构信息

Department of Acupuncture & Moxibustion.

Department of Obstetrics & Gynecology, College of Korean Medicine, Dongguk University Graduate School.

出版信息

Medicine (Baltimore). 2021 Apr 23;100(16):e25379. doi: 10.1097/MD.0000000000025379.

Abstract

BACKGROUND

Neck pain is common musculoskeletal disorders in adult population. Acupuncture treatment has been widely used for treating neck pain. Nevertheless, previous systematic reviews (SRs) on acupuncture for neck pain remain controversial, and there is no SR for the comparative efficacy and safety of various types of acupuncture. Therefore, this study aims to evaluate and rank the effectiveness and safety of different types of acupuncture for neck pain by SR and network meta-analysis.

METHODS

Nine databases will be searched, including Ovid-MEDLINE, EMBASE, Cochrane library, China National Knowledge Infrastructure (CNKI), KoreaMed, Korean medical database (KMBASE), Korean Studies Information Service System (KISS), ScienceON, and Oriental Medicine Advanced Searching Integrated System (OASIS) from their inception to July 2021. The primary outcome is the change of pain intensity. A frequentist network meta-analysis will be performed to compare all relative outcomes of different acupuncture methods, using R software. The quality of included randomized controlled trials will be assessed by Cochrane Collaboration "risk of bias" tools and the evidence will be evaluated by the Grading of Recommendations Assessment, Development and Evaluation instrument.

RESULTS

The final findings of this network meta-analysis will be published in a recognized journal.

CONCLUSIONS

Our study will evaluate and compare the effectiveness of various types of acupuncture for neck pain and provide clinicians with best option for what types of acupuncture treatments are effective.

TRIAL REGISTRATION NUMBER

INPLASY202120041.

摘要

背景

颈部疼痛是成年人群中常见的肌肉骨骼疾病。针灸治疗已广泛用于治疗颈部疼痛。然而,先前关于针灸治疗颈部疼痛的系统评价(SRs)仍存在争议,且尚无针对各种类型针灸的比较疗效和安全性的系统评价。因此,本研究旨在通过系统评价和网状Meta分析评估并排序不同类型针灸治疗颈部疼痛的有效性和安全性。

方法

将检索九个数据库,包括Ovid-MEDLINE、EMBASE、Cochrane图书馆、中国知网(CNKI)、韩国医学数据库(KoreaMed)、韩医数据库(KMBASE)、韩国研究信息服务系统(KISS)、ScienceON以及东方医学高级检索集成系统(OASIS),检索时间从建库至2021年7月。主要结局是疼痛强度的变化。将使用R软件进行频率学派网状Meta分析,以比较不同针灸方法的所有相对结局。纳入的随机对照试验的质量将通过Cochrane协作网“偏倚风险”工具进行评估,证据将通过推荐分级的评估、制定与评价工具进行评价。

结果

本网状Meta分析的最终结果将发表在知名期刊上。

结论

我们的研究将评估和比较各种类型针灸治疗颈部疼痛的有效性,并为临床医生提供何种类型的针灸治疗有效的最佳选择。

试验注册号

INPLASY202120041。

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