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针刺治疗胃食管反流病决策依据证据的可靠性:系统评价概述方案

Reliability of the evidence to guide decision-making in the treatment of gastroesophageal reflux disease with acupuncture: protocol for an overview of systematic reviews.

作者信息

Huang Jinke, Liu Jiali, Wang Fengyun, Tang Xudong

机构信息

Institute of Digestive Diseases, Xiyuan Hospital of China Academy of Chinese Medical Sciences, Beijing, China.

Postdoctoral Research Station, China Academy of Chinese Medical Sciences, Beijing, China.

出版信息

Syst Rev. 2024 Jul 16;13(1):183. doi: 10.1186/s13643-024-02591-4.

DOI:10.1186/s13643-024-02591-4
PMID:39014437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11251248/
Abstract

BACKGROUND

Growing numbers of randomized clinical trials-based systematic reviews and meta-analyses (SRs/MAs) have been conducted to examine the effectiveness of acupuncture in treating gastroesophageal reflux disease (GERD). An overview of SRs/MAs will be conducted with the aim of systematically compiling, evaluating, and synthesizing the evidence regarding acupuncture for GERD.

METHODS

SRs/MAs of acupuncture on GERD will be searched in eight databases. Two independent reviewers will conduct the literature search, data extraction, and review quality assessment. Utilizing the AMSTAR-2 tool, PRISMA checklists, and GRADE system, respectively, the methodological quality, reporting quality, and evidence quality will be evaluated. In relation to the subject and the overview's objects, the results will be given. This study will aid in identifying gaps between evidence and its clinical application and serve as a roadmap for further high-quality research.

DISCUSSION

The results of the overview will aid in closing the gap between clinical evidence and its use in clinical practice. This study will identify significant faults in the use of evidence, point out areas where methodology needs to be improved, and provide guidance for future high-quality research.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42022371850.

ETHICS AND DISSEMINATION

Ethics approval is not necessary because no personal information about individuals is collected. A peer-reviewed journal or pertinent conferences will publish the results, whichever comes first.

摘要

背景

越来越多基于随机临床试验的系统评价和荟萃分析(SRs/MAs)被开展,以检验针刺治疗胃食管反流病(GERD)的有效性。将进行一项SRs/MAs的概述,目的是系统地汇编、评估和综合有关针刺治疗GERD的证据。

方法

将在八个数据库中检索关于针刺治疗GERD的SRs/MAs。两名独立的评审员将进行文献检索、数据提取和综述质量评估。分别使用AMSTAR-2工具、PRISMA清单和GRADE系统,对方法学质量、报告质量和证据质量进行评估。针对主题和综述目的给出结果。本研究将有助于识别证据与其临床应用之间的差距,并为进一步的高质量研究提供路线图。

讨论

概述的结果将有助于缩小临床证据与其在临床实践中的应用之间的差距。本研究将识别证据使用中的重大缺陷,指出方法学需要改进的领域,并为未来的高质量研究提供指导。

系统评价注册

PROSPERO CRD42022371850。

伦理与传播

由于未收集个人的个人信息,无需伦理批准。结果将在同行评审期刊或相关会议上发表,以先到者为准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a6e/11251248/84608a99d810/13643_2024_2591_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a6e/11251248/84608a99d810/13643_2024_2591_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a6e/11251248/84608a99d810/13643_2024_2591_Fig1_HTML.jpg

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本文引用的文献

1
Gastroesophageal Reflux Disease.胃食管反流病
N Engl J Med. 2022 Sep 29;387(13):1207-1216. doi: 10.1056/NEJMcp2114026.
2
Evidence-based clinical practice guidelines for gastroesophageal reflux disease 2021.2021 年胃食管反流病循证临床实践指南。
J Gastroenterol. 2022 Apr;57(4):267-285. doi: 10.1007/s00535-022-01861-z. Epub 2022 Feb 28.
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PRISMA-S: an extension to the PRISMA Statement for Reporting Literature Searches in Systematic Reviews.PRISMA-S:用于在系统评价中报告文献检索的 PRISMA 声明的扩展。
Syst Rev. 2021 Jan 26;10(1):39. doi: 10.1186/s13643-020-01542-z.
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Methods for depicting overlap in overviews of systematic reviews: An introduction to static tabular and graphical displays.概述系统评价中重叠的方法:静态表格和图形显示介绍。
J Clin Epidemiol. 2021 Apr;132:34-45. doi: 10.1016/j.jclinepi.2020.12.004. Epub 2020 Dec 9.
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A Critical Overview of Systematic Reviews and Meta-Analyses on Acupuncture for Poststroke Insomnia.关于针刺治疗中风后失眠的系统评价和荟萃分析的批判性综述
Evid Based Complement Alternat Med. 2020 Oct 9;2020:2032575. doi: 10.1155/2020/2032575. eCollection 2020.
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Gastroesophageal Reflux Disease: Pathophysiology, Diagnosis, and Treatment.胃食管反流病:病理生理学、诊断与治疗
Gastroenterol Nurs. 2019 Jan/Feb;42(1):20-28. doi: 10.1097/SGA.0000000000000359.
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An introduction to overviews of reviews: planning a relevant research question and objective for an overview.综述介绍:为综述规划一个相关的研究问题和目标。
Syst Rev. 2018 Mar 1;7(1):39. doi: 10.1186/s13643-018-0695-8.
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AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both.AMSTAR 2:一种用于系统评价的关键评估工具,该系统评价包括医疗保健干预措施的随机或非随机研究,或两者皆有。
BMJ. 2017 Sep 21;358:j4008. doi: 10.1136/bmj.j4008.
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An algorithm was developed to assign GRADE levels of evidence to comparisons within systematic reviews.开发了一种算法,用于在系统评价中为各比较项分配证据的GRADE等级。
J Clin Epidemiol. 2016 Feb;70:106-10. doi: 10.1016/j.jclinepi.2015.08.013. Epub 2015 Sep 1.
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Diagnosis and treatment of gastroesophageal reflux disease.胃食管反流病的诊断与治疗
World J Gastrointest Pharmacol Ther. 2014 Aug 6;5(3):105-12. doi: 10.4292/wjgpt.v5.i3.105.