West China School of Medicine, Sichuan University, Chengdu, P.R. China.
Medical Device Regulatory Research and Evaluation Center, West China Hospital, Sichuan University, Chengdu, P.R. China.
Acupunct Med. 2023 Jun;41(3):142-150. doi: 10.1177/09645284221108215. Epub 2022 Aug 19.
To identify a comprehensive list of outcomes and explore the reporting rate of core outcome sets (COS) and related factors in systematic reviews (SRs) of acupuncture for osteoarthritis (OA).
Databases were searched for the relative SRs. Descriptive statistics were calculated as frequencies and percentages. Binary logistic regression was used to explore the factors affecting the reporting rate of COS.
We included 59 SRs. Outcome measures reported in the SRs were classified into 11 domains and 67 unique outcomes. No SR completely reported COS. In COS released in 2016, 75% of outcomes (6/8) were only reported by ⩽5% SRs. In COS released in 2019, the reporting rate was very low (from 0% to 17%) for 73.3% of outcomes (11/15). SRs published in the most recent 5 years had a significantly greater possibility of reporting COS (odds ratio (OR) = 4.74, 95% confidence interval (CI) = 1.33 to 16.88, = 0.016).
Core outcomes were rarely reported in systematic reviews of acupuncture for OA, with considerable heterogeneity in the use of outcomes. The publication of COS in the COMET (Core Outcome Measures in Effectiveness Trials) database may help promote the reporting of COS. We encourage systematic reviewers to use relevant COS.
确定一个全面的结局清单，并探讨针对骨关节炎（OA）的针灸系统评价（SR）中核心结局集（COS）的报告率及其相关因素。
检索相关的 SR 数据库。使用描述性统计计算频率和百分比。使用二元逻辑回归探讨影响 COS 报告率的因素。
我们纳入了 59 项 SR。SR 中报告的结局衡量标准分为 11 个领域和 67 个独特结局。没有 SR 完全报告 COS。在 2016 年发布的 COS 中，75%的结局（6/8）仅被 ⩽5%的 SR 报告。在 2019 年发布的 COS 中，73.3%的结局（11/15）的报告率非常低（0%至 17%）。最近 5 年发表的 SR 报告 COS 的可能性显著更高（优势比（OR）=4.74，95%置信区间（CI）=1.33 至 16.88，=0.016）。
针对 OA 的针灸系统评价中很少报告核心结局，结局的使用存在相当大的异质性。在 COMET（疗效试验核心结局测量）数据库中发布 COS 可能有助于促进 COS 的报告。我们鼓励系统评价者使用相关的 COS。
