Departments ofOrthopedics.
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China.
Int J Surg. 2024 Apr 1;110(4):2389-2395. doi: 10.1097/JS9.0000000000001116.
An umbrella review was conducted to compare the effectiveness of extracorporeal shock wave therapy (ESWT) versus non-ESWT in the treatment of knee osteoarthritis (KOA).
Three databases including PubMed, Embase and Web of science were searched up to September 2023. Literature screening, quality evaluation, and data extraction were performed according to inclusion and exclusion criteria. Meta-analysis of outcome indicators was performed using Revman 5.4 software.
A total of eight meta-analysis were included in this umbrella review. All meta-analysis were graded against a Measurement Tool to Assess Systematic Reviews 2 (AMSTAR 2) and scored between 8 and 11. Compared to the sham group, the ESWT group showed better results in WOMAC (Western Ontario and McMaster Universities Arthritis Index) [mean difference (MD)=-2.94, 95% CI: -5.52, -0.37, P=0.03, I²=60%], Visual Analog Scale (VAS) (MD=-2.0, 95% CI: -2.5, -1.5, P<0.01, I²=0%), range of motion (ROM) (MD=17.55, 95% CI: 13.49, 21.61, P<0.00001, I²=0%), and Lequesne index (MD=-2.85, 95% CI: -3.64, -2.07, P<0.00001, I²=48%).
Based on the results of our analysis, ESWT is now an effective therapy for improving pain and function in patients with KOA.
本研究采用伞式综述的方法比较了体外冲击波疗法（ESWT）与非 ESWT 治疗膝骨关节炎（KOA）的疗效。
检索了 PubMed、Embase 和 Web of Science 三个数据库，检索时间截至 2023 年 9 月。根据纳入和排除标准进行文献筛选、质量评价和数据提取。使用 Revman 5.4 软件对结局指标进行荟萃分析。
本伞式综述共纳入 8 项荟萃分析。所有的荟萃分析均按照评估系统评价的工具（Measurement Tool to Assess Systematic Reviews 2，AMSTAR 2）进行分级，评分在 8 到 11 分之间。与假对照相比，ESWT 组在 WOMAC（西部安大略省和麦克马斯特大学关节炎指数）[均数差（mean difference，MD）=-2.94，95%置信区间（confidence interval，CI）：-5.52，-0.37，P=0.03，I²=60%]、视觉模拟量表（Visual Analog Scale，VAS）（MD=-2.0，95%CI：-2.5，-1.5，P<0.01，I²=0%）、关节活动度（range of motion，ROM）（MD=17.55，95%CI：13.49，21.61，P<0.00001，I²=0%）和 Lequesne 指数（MD=-2.85，95%CI：-3.64，-2.07，P<0.00001，I²=48%）方面均显示出更好的效果。
基于我们的分析结果，ESWT 现在是一种有效治疗 KOA 患者疼痛和功能的方法。
