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Wise S, Lorenc A. Anatomical and Clinical Characteristics of Scalp Acupuncture Systems: a Scoping Review and Synthesis. J Acupunct Meridian Stud 2023; 16:159-175. [PMID: 37885251 DOI: 10.51507/j.jams.2023.16.5.159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Revised: 07/11/2023] [Accepted: 10/10/2023] [Indexed: 10/28/2023] Open
Abstract
Scalp acupuncture is a therapeutic procedure that involves inserting needles into the scalp to treat various medical conditions, including pain and neurological and psychological disorders. The inter-system variability of scalp acupuncture limits secondary analysis and evidence synthesis, delaying its inclusion into evidence-based healthcare policies and establishment as a treatment intervention recognized by Western medicine. This scoping review aimed to identify the range of scalp acupuncture systems, systematically collect and summarize information on their general, anatomical, and clinical characteristics, and build a framework for understanding scalp acupuncture systems. This review included all English-language publications on scalp acupuncture applied to treat any health condition in humans. Extensive searches were conducted across bibliographic databases, journals, trial registries, and supplementary sources. The detailed general, anatomical, and clinical application characteristics of 19 scalp acupuncture systems were extracted. Data were collected and analyzed using charting and image manipulation software. Framework synthesis was performed using the Standard International Acupuncture Nomenclature Scalp Acupuncture as an a priori framework. The review revealed that the heterogeneity related to scalp acupuncture methods can be attributed to the high variability among the theoretical bases of different systems, intersystem mismatch in anatomical locations of treatment points and areas on the scalp, and inconsistencies in the methods used for locating them. These discrepancies in anatomical and clinical features have limited the synthesis and development of a framework for scalp acupuncture. Discussion and agreement on the anatomical locations of scalp stimulation areas, identification of methods for precise positioning of acupuncture areas on the scalp, and further exploration of theoretical bases will aid in the standardization of scalp acupuncture and improve the quality of research in this area.
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Affiliation(s)
- Svetlana Wise
- Department of Advanced Oriental Medicine, Northern College of Acupuncture, York, UK
| | - Ava Lorenc
- Northern College of Acupuncture, York, UK
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Alraddadi KS, Al-Adwani FH, Al-Raddadi RM, Alamri SH, Ramadan IK, Mirza AA. Systematic review and pooled analysis of randomized controlled trials in countries of the Gulf Cooperation Council (GCC): Methods and quality assessment. Saudi Med J 2023; 44:345-354. [PMID: 37062556 PMCID: PMC10153608 DOI: 10.15537/smj.2023.44.4.20220664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Accepted: 02/18/2023] [Indexed: 04/18/2023] Open
Abstract
OBJECTIVES To describe variations in characteristics of randomized controlled trials conducted in the Gulf Cooperation Council (GCC) countries, and critically appraising the quality of design, conduct and analysis of the trials. METHODS We carried out a systematically comprehensive electronic search of articles published between 1990 and 2018 and indexed in several databases: i) MEDLINE/PubMed, ii) EMBASE, iii) Cochrane Central Register of Controlled Trials (CENTRAL), iv) ClinicalTrials.gov, and v) World Health Organization International Clinical Trials Registry Platform. We summarized the overall risk of bias present in all analyzed studies using the Cochrane Collaboration risk of bias tool (CCRBT). RESULTS A remarkable shift in numbers of publications from 2006 onwards was found. The largest number of publications were from Saudi Arabia and consisted of hospitals/clinics based studies. Lack of randomization was found in the majority of reports, and nearly three-fourth of the studies involved the use of intention-to-treat (ITT) principle. However, the proportion of adequately generated random sequence methods has increased yearly, and this increase accounted for a relatively large proportion over the latter half of the studied period (p<0.001), in contrast to the proportion of allocation concealment and blinding. Journal impact factor was significantly correlated with the quality of random sequence generation (r=0.145; p=0.014). CONCLUSION The randomization methods have gained more attention over the last 3 decades. Secondly, Journal impact factor can serve as an indicator of randomization quality. To mitigate the large rate of overall high risk of bias in GCC studies, high-quality trials must be considered by ensuring adequate allocation concealment and blinding methods. PROSPERO No. ID: CRD42022310331.
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Affiliation(s)
- Khalid S. Alraddadi
- From the Department of Primary Health Care (Alraddadi, Al-Adwani), National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences; from the Department of Community Medicine (Al-Raddadi, Ramadan), and from the Department of Family Medicine (Alamri), Faculty of Medicine, King Abdulaziz University; from the Department of Otolaryngology–Head and Neck Surgery (Mirza), Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; from the Department of Community Medicine (Ramadan), Faculty of Medicine, Al-Azhar University, Cairo, Egypt; and from the Department of Otolaryngology–Head and Neck Surgery (Mirza), Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
| | - Fayzah H. Al-Adwani
- From the Department of Primary Health Care (Alraddadi, Al-Adwani), National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences; from the Department of Community Medicine (Al-Raddadi, Ramadan), and from the Department of Family Medicine (Alamri), Faculty of Medicine, King Abdulaziz University; from the Department of Otolaryngology–Head and Neck Surgery (Mirza), Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; from the Department of Community Medicine (Ramadan), Faculty of Medicine, Al-Azhar University, Cairo, Egypt; and from the Department of Otolaryngology–Head and Neck Surgery (Mirza), Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
| | - Rajaa M. Al-Raddadi
- From the Department of Primary Health Care (Alraddadi, Al-Adwani), National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences; from the Department of Community Medicine (Al-Raddadi, Ramadan), and from the Department of Family Medicine (Alamri), Faculty of Medicine, King Abdulaziz University; from the Department of Otolaryngology–Head and Neck Surgery (Mirza), Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; from the Department of Community Medicine (Ramadan), Faculty of Medicine, Al-Azhar University, Cairo, Egypt; and from the Department of Otolaryngology–Head and Neck Surgery (Mirza), Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
| | - Sultan H. Alamri
- From the Department of Primary Health Care (Alraddadi, Al-Adwani), National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences; from the Department of Community Medicine (Al-Raddadi, Ramadan), and from the Department of Family Medicine (Alamri), Faculty of Medicine, King Abdulaziz University; from the Department of Otolaryngology–Head and Neck Surgery (Mirza), Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; from the Department of Community Medicine (Ramadan), Faculty of Medicine, Al-Azhar University, Cairo, Egypt; and from the Department of Otolaryngology–Head and Neck Surgery (Mirza), Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
| | - Iman K. Ramadan
- From the Department of Primary Health Care (Alraddadi, Al-Adwani), National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences; from the Department of Community Medicine (Al-Raddadi, Ramadan), and from the Department of Family Medicine (Alamri), Faculty of Medicine, King Abdulaziz University; from the Department of Otolaryngology–Head and Neck Surgery (Mirza), Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; from the Department of Community Medicine (Ramadan), Faculty of Medicine, Al-Azhar University, Cairo, Egypt; and from the Department of Otolaryngology–Head and Neck Surgery (Mirza), Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
| | - Ahmad A. Mirza
- From the Department of Primary Health Care (Alraddadi, Al-Adwani), National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences; from the Department of Community Medicine (Al-Raddadi, Ramadan), and from the Department of Family Medicine (Alamri), Faculty of Medicine, King Abdulaziz University; from the Department of Otolaryngology–Head and Neck Surgery (Mirza), Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; from the Department of Community Medicine (Ramadan), Faculty of Medicine, Al-Azhar University, Cairo, Egypt; and from the Department of Otolaryngology–Head and Neck Surgery (Mirza), Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
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Park SY, Kim HT, Heo I, Hwang MS, Hwang EH, Shin BC. Scalp acupuncture for stroke: A protocol for an overview of systematic reviews and meta-analysis. Medicine (Baltimore) 2022; 101:e31472. [PMID: 36343045 PMCID: PMC9646568 DOI: 10.1097/md.0000000000031472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND Scalp acupuncture (SA) is a new acupuncture method that connects head acupoints and aculines, and many systematic reviews (SRs) have been published on its use against neuropsychiatric diseases. However, no overview of SRs on the effectiveness of SA in stroke recovery has been conducted. Therefore, our overview aims to evaluate the methodological bias and reliability of the conclusions of SRs regarding SA for stroke recovery and help clinical decision-makers translate this research into clinical policy and practice. METHODS We will consider SRs and meta-analyses of randomized controlled trials to evaluate the effects of SA on stroke recovery. Two reviewers will identify relevant studies, extract data information, and assess the methodological quality using the Assessment of Multiple Systematic Reviews-2 tool. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses report checklist will also be included in the study to assess the quality of the reports. We will use evaluations of the Grading of Recommendations Assessment, Development and Evaluation of the authors of the included SRs. The Risk of Bias in Systematic Review tool will be used to assess the risk of bias of SRs. The screening of SRs, eligibility evaluation, data extraction, methodological quality, and quality of evidence will be conducted by independent reviewers in pairs. The outcomes of interest include the Modified Edinburgh-Scandinavian Stroke Scale, Ability of Daily Living, Functional Independence Measure, Barthel index, Fugl-Meyer assessment, clinical effective rate, and adverse events. Data will be extracted using predefined forms designed to summarize the important characteristics of each review. The evidence will be a descriptive synthesis of the type and content of the intervention and the results reported. RESULTS The results will be published in a peer-reviewed journal. CONCLUSIONS We expect to organize evidence from multiple SRs on the effectiveness of SA for stroke recovery and synthesize the findings in an accessible and useful documentation.
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Affiliation(s)
- Sun-Young Park
- The 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
| | - Hyun-Tae Kim
- The 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
- Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
| | - In Heo
- The 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
- Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
| | - Man-Suk Hwang
- The 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
- Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
| | - Eui-Hyoung Hwang
- The 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
- Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
| | - Byung-Cheul Shin
- The 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
- Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
- * Correspondence: Byung-Cheul Shin, Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, 20, Geumo-ro, Mulgeum-eup, Yangsan-si, Gyeongnam 50612, Republic of Korea (e-mail: ; )
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Ruan H, Zhang H, Feng Z, Li X, Han W, Si Y, Li J. Assessment of Completeness of Reporting in Randomized Controlled Trials of Acupuncture Therapy for Chronic Obstructive Pulmonary Disease. Int J Gen Med 2022; 15:5335-5348. [PMID: 35669592 PMCID: PMC9166958 DOI: 10.2147/ijgm.s356666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Accepted: 03/22/2022] [Indexed: 11/25/2022] Open
Abstract
Objective To assess the completeness of reporting in randomized controlled trials (RCTs) of acupuncture therapy (AT) for chronic obstructive pulmonary disease (COPD). Methods We systematically searched PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Chongqing VIP (CQVIP), WANFANG Data, and China Biology Medicine (CBM) for studies published from their inception to May 8, 2021. The completeness of reporting was evaluated by CONSORT statement and STRICTA guidelines. Univariate and multivariate regression analyses were performed to preliminarily explore the factors related to completeness of reporting. Results A total of 44 RCTs were included. The overall quality score (OQS) based on the CONSORT statement and STRICTA guidelines ranged from 3 to 26 and 7 to 14, with a median of 10 and 11, respectively. Among the 35 items of the CONSORT statement, 10 items were fully reported with reporting rate > 70%, and 11 items were poorly reported at a rate < 5%. Among the 17 items of the STRICTA guidelines, 10 items were adequately reported with > 70%, and only 3 items were incompletely reported at a rate < 20%. The agreement of most items was determined as “good”, “substantial”, or “moderate”. By regression analysis, publication language (β coefficient: 6.432, 95% CI: 3.202 to 9.663, P <0.001) and funding source (β coefficient: 3.159, 95% CI: 1.045 to 5.273, P =0.004) acted as independent predictors of completeness of reporting according to the CONSORT statement. However, no variables associated with the STRICTA guidelines were identified. Conclusion The completeness of reporting of AT for COPD was inadequate. The condition relatively improved for trials with publication in the English language and funding source. By recommendation, reports should be strictly standardized in accordance with the CONSORT statement and STRICTA guidelines to improve the clinical research evidence of AT for COPD.
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Affiliation(s)
- Huanrong Ruan
- Co-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan & Education Ministry of P.R. China, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People's Republic of China.,Henan Key Laboratory of Chinese Medicine for Respiratory Disease, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People's Republic of China
| | - Hailong Zhang
- Co-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan & Education Ministry of P.R. China, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People's Republic of China.,Henan Key Laboratory of Chinese Medicine for Respiratory Disease, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People's Republic of China.,Department of Respiratory Diseases, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan, 450003, People's Republic of China
| | - Zhenzhen Feng
- Co-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan & Education Ministry of P.R. China, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People's Republic of China.,Henan Key Laboratory of Chinese Medicine for Respiratory Disease, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People's Republic of China.,Department of Respiratory Diseases, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan, 450003, People's Republic of China
| | - Xuanlin Li
- Co-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan & Education Ministry of P.R. China, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People's Republic of China.,Henan Key Laboratory of Chinese Medicine for Respiratory Disease, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People's Republic of China
| | - Weihong Han
- Co-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan & Education Ministry of P.R. China, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People's Republic of China.,Henan Key Laboratory of Chinese Medicine for Respiratory Disease, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People's Republic of China
| | - Yimei Si
- Co-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan & Education Ministry of P.R. China, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People's Republic of China.,Henan Key Laboratory of Chinese Medicine for Respiratory Disease, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People's Republic of China
| | - Jiansheng Li
- Co-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan & Education Ministry of P.R. China, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People's Republic of China.,Henan Key Laboratory of Chinese Medicine for Respiratory Disease, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People's Republic of China.,Department of Respiratory Diseases, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan, 450003, People's Republic of China
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Tang ECH, Hung C, Lo SHS, Chau JPC, Mok VCT, Lau AYL. Acupuncture on vascular cognitive impairment associated with cerebral small vessel disease: A systematic review and meta-analysis of randomized and non-randomized controlled trials. Eur J Integr Med 2022. [DOI: 10.1016/j.eujim.2021.101403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Su XT, Sun N, Zhang N, Wang LQ, Zou X, Li JL, Yang JW, Shi GX, Liu CZ. Effectiveness and Safety of Acupuncture for Vascular Cognitive Impairment: A Systematic Review and Meta-Analysis. Front Aging Neurosci 2021; 13:692508. [PMID: 34421571 PMCID: PMC8377366 DOI: 10.3389/fnagi.2021.692508] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Accepted: 06/28/2021] [Indexed: 01/03/2023] Open
Abstract
Background: Acupuncture may be a promising complementary therapy for vascular cognitive impairment (VCI) and has been extensively applied in China. However, its potential effects remain uncertain, and the clinical findings are inconsistent. This review aimed to systematically appraise the overall effectiveness and safety of acupuncture in treating VCI. Methods: To investigate the effects of acupuncture on VCI from inception to February 28, 2021 using randomized clinical trials (RCTs), seven electro-databases [Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM), VIP, and Wanfang] were searched. Two independent investigators identified the eligible RCTs and extracted data into predesigned forms. The risk of bias (ROB) within each individual trial was evaluated using the Cochrane Collaboration's tool. Meta-analyses were conducted for calculating comparative effects in the RevMan software (version 5.3). The strength of attained evidence was rated using the online GRADEpro approach. Results: A total of 48 RCTs involving 3,778 patients with VCI were included. The pooled data demonstrated that acupuncture was more beneficial for a global cognitive function [mean difference (MD) 1.86, 95% CI 1.19-2.54, p < 0.01] and activities of daily living (MD -3.08, 95% CI -4.81 to -1.35, p < 0.01) compared with western medicine (WM). The favorable results were also observed when acupuncture was combined with WM (MD 2.37, 95% CI 1.6-3.14, p < 0.01) or usual care (UC, MD 4.4, 95% CI 1.61-7.19, p = 0.002) in comparison with the corresponding control conditions. Meanwhile, the subgroup analysis did not indicate a statistical effect difference between manual acupuncture (MA) and electroacupuncture (EA) (inter-group I 2 < 50% and p > 0.1) when comparing acupuncture with WM. There were no significant differences in the occurrence of adverse events (AEs) between the acupuncture group and the control group (p > 0.05). Owing to the poor methodological quality and considerable heterogeneity among studies, the certainty of the evidence was low or very low. Conclusions: This review suggests that acupuncture as a monotherapy or an adjuvant therapy may play a positive role in improving the cognition and daily performance of VCI patients associated with few side effects. The difference in styles may not significantly influence its effectiveness. More rigorously designed and preregistered RCTs are highly desirable to verify the therapeutic benefits and determine an optimal acupuncture paradigm. The methodological and reporting quality of future researches should be enhanced by adhering to authoritative standardized statements. Systematic Review Registration: [PROSPERO], identifier [No. CRD42017071820].
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Affiliation(s)
- Xin-Tong Su
- International Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
- Traditional Chinese Medicine (TCM) in the Prevention and Rehabilitation of Stroke Task Force, World Stroke Organization, Geneva, Switzerland
| | - Ning Sun
- Acupuncture and Tuina School/The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Na Zhang
- School of Acupuncture-Moxibustion and Tuina, Shandong University of Chinese Medicine, Jinan, China
| | - Li-Qiong Wang
- International Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
| | - Xuan Zou
- International Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
| | - Jin-Ling Li
- International Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
| | - Jing-Wen Yang
- International Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
| | - Guang-Xia Shi
- International Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
| | - Cun-Zhi Liu
- International Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
- Traditional Chinese Medicine (TCM) in the Prevention and Rehabilitation of Stroke Task Force, World Stroke Organization, Geneva, Switzerland
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Ngah VD, Mazingisa AV, Zunza M, Wiysonge CS. A Review of Adherence and Predictors of Adherence to the CONSORT Statement in the Reporting of Tuberculosis Vaccine Trials. Vaccines (Basel) 2020; 8:E770. [PMID: 33339360 PMCID: PMC7766843 DOI: 10.3390/vaccines8040770] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Revised: 11/18/2020] [Accepted: 11/19/2020] [Indexed: 12/20/2022] Open
Abstract
The statement on Consolidated Standards of Reporting Trials (CONSORT) ensures transparency in the reporting of randomized trials. However, it is unclear if the statement has led to improvement in the quality of reporting of tuberculosis (TB) vaccine trials. We explored the quality of reporting of TB vaccine trials according to the latest version of the CONSORT statement, released in 2010. We searched PubMed and the Cochrane Central Register of Controlled Trials in August 2019. We conducted screening, study selection, and data extraction in duplicate; and resolved differences through discussion. We assessed reporting to be adequate if trials reported at least 75% of the CONSORT 2010 items. We conducted a trend analysis to assess if there was improvement in reporting over time. We also used logistic regression to assess factors associated with adequate reporting. We included 124 trials in the analyses. The mean proportion of adherence was 67.3% (95% confidence interval 64.4% to 70.1%), with only 46 (37%) trials having adequate reporting. There was a significant improvement in the quality of reporting over time (p < 0.0001). Trials published in journals with impact factors between 10 and 20 were more likely to have adequate reporting (odds ratio 9.4; 95% confidence interval 1.30 to 67.8), compared to lower-impact-factor journals. Despite advances over time, the reporting of TB vaccine trials is still inadequate and requires improvement.
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Affiliation(s)
- Veranyuy D. Ngah
- Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Francie van Zijl Drive, Tygerberg, 7505 Cape Town, South Africa; (M.Z.); (C.S.W.)
- Cochrane South Africa, South African Medical Research Council, Francie van Zijl Drive, Parow Valley, 7501 Cape Town, South Africa;
| | - Akhona V. Mazingisa
- Cochrane South Africa, South African Medical Research Council, Francie van Zijl Drive, Parow Valley, 7501 Cape Town, South Africa;
| | - Moleen Zunza
- Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Francie van Zijl Drive, Tygerberg, 7505 Cape Town, South Africa; (M.Z.); (C.S.W.)
| | - Charles S. Wiysonge
- Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Francie van Zijl Drive, Tygerberg, 7505 Cape Town, South Africa; (M.Z.); (C.S.W.)
- Cochrane South Africa, South African Medical Research Council, Francie van Zijl Drive, Parow Valley, 7501 Cape Town, South Africa;
- School of Public Health and Family Medicine, University of Cape Town, Anzio Road, Observatory, 7925 Cape Town, South Africa
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Li J, Man Q, Wang W, Pang R, Liu J, Zhang F, Zhang A. Scalp acupuncture for patients with vascular dementia: A protocol for systematic review and meta-analysis of randomized controlled trails. Medicine (Baltimore) 2020; 99:e22798. [PMID: 33120799 PMCID: PMC7581174 DOI: 10.1097/md.0000000000022798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Accepted: 09/18/2020] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Vascular dementia (VD) is a kind of acquired intelligence impairment syndrome caused by a series of cerebrovascular factors leading to brain tissue damage. Scalp acupuncture is widely used to treating VD. However, there is no a systematic review has been used to assess the efficacy and safety of scalp acupuncture therapy for VD. Therefore, the purpose of this paper is to systematically evaluate the effects of scalp acupuncture on VD. METHODS We will search the following databases from their inception to July 2020: PubMed, Chinese National Knowledge Infrastructure (CNKI), Wan Fang Database, Embase, Medline, Chinese Biomedical Literature Database (CBM), EBSCO, Web of Science, Technology Periodical Database (VIP), the Chongqing VIP Chinese Science and Cochrane Library. At the same time, we will retrieve other resources including conference articles, and gray literature. The randomized controlled trials (RCTs) in English or Chinese associated with scalp acupuncture for VD will be included. Our study data collection and analysis will be conducted independently by 2 reviewers, and Rev Man V.5.3.5 statistical software will be used to performing meta-analysis. RESULTS This review research will provide a high-quality synthesis to evaluate the efficacy and safety of scalp acupuncture for patients with VD. CONCLUSION This study will provide available evidence to judge whether scalp acupuncture is an effective and safe intervention for patients with VD. It also will provide reliable evidence for its widespread application. ETHICS AND DISSEMINATION This systematic review will provide convincing evidence for both patients and clinicians. It does not require ethical approval and the results will be published in a peer-reviewed journal. OSF REGISTRATION NUMBER DOI 10.17605/OSF.IO/7CYZR.
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Affiliation(s)
- Jie Li
- College of Acupuncture & Massage, Shaanxi University of Chinese Medicine, Shaanxi Key Laboratory of Acupuncture & Medicine, Xixian New Area, Shaanxi Province
| | - Qiuhong Man
- Shanghai Fourth People's Hospital Affiliated to Tongji University School of Medicine
| | | | - Rizhao Pang
- The General Hospital of Western Theater Command
| | | | - Feng Zhang
- Acupuncture and Tuina School, Chengdu University of Traditional Medicine, Chengdu
| | - Anren Zhang
- Department of Rehabilitation Medicine, Shanghai Fourth People's Hospital Affiliated to Tongji University School of Medicine, Shanghai, China
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Yue A, Han X, Mao E, Wu G, Gao J, Huang L, Zhou B. The effect of scalp electroacupuncture combined with Memantine in patients with vascular dementia: A retrospective study. Medicine (Baltimore) 2020; 99:e21242. [PMID: 32871984 PMCID: PMC7437843 DOI: 10.1097/md.0000000000021242] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Revised: 05/12/2020] [Accepted: 06/11/2020] [Indexed: 11/25/2022] Open
Abstract
Currently there is no effective treatment for vascular dementia (VaD). Pharmacological treatment often lead to severe complications and require drug dosage adjustment. This study investigated the effect of scalp electroacupuncture combined with Memantine in VaD. The safety and antioxidative effect of scalp electroacupuncture were also explored.A retrospective study was conducted and data of inpatients of Linyi Central Hospital with VaD between June 2017 and May 2018 were collected and sorted. The patients were divided into scalp electroacupuncture-medication (A), scalp electroacupuncture (B) and medication (control) (C) groups, in which Memantine was prescribed as medication. Cognitive function, activities of daily living and quality of life assessed by Montreal Cognitive Assessment (MoCA), Barthel index and dementia quality of life questionnaire; the contents of superoxide dismutase, lipid peroxide and nitric oxide in blood samples; and adverse reaction were compared.Data from a total of 150 patients were collected (Group A, n = 55; Group B, n = 50; Group C, n = 45). The post-treatment/follow-up Montreal Cognitive Assessment, Barthel index and dementia quality of life questionnaire scores were significantly improved in all groups compared to pre-treatment (groups A and B, P<.01; group C, P<.05). The improvements were significant for groups A vs C, B vs C (P<0.01, both), and group A vs B (P<.05). The post-treatment/follow-up levels of lipid peroxide and nitric oxide decreased significantly while superoxide dismutase increased significantly in groups A and B compared to pre-treatment (P<.01, both). The differences were significant for groups A vs C, and B vs C (P < .01, both), but not significant between groups A and B (P > .05). There were no significant adverse events occurred during the study and follow-up.In combined treatment, scalp electroacupuncture works in parallel with Memantine and significantly increase the therapeutic effect in VaD with no significant adverse events. Scalp electroacupuncture may have the potential to serve as an option or alternative treatment for VaD. Scalp electroacupuncture may alleviate VaD symptoms through its antioxidative mechanism.
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Affiliation(s)
- Aixia Yue
- Department of Rehabilitation Medicine, Linyi Central Hospital, Second People's Hospital of Linyi City, Linyi City, Shandong
| | - Xiuqing Han
- Department of Rehabilitation Medicine, Linyi Central Hospital, Second People's Hospital of Linyi City, Linyi City, Shandong
| | - Enxia Mao
- Department of Rehabilitation Medicine, Linyi Central Hospital, Second People's Hospital of Linyi City, Linyi City, Shandong
| | - Guangling Wu
- Department of Rehabilitation Medicine, Linyi Central Hospital, Second People's Hospital of Linyi City, Linyi City, Shandong
| | - Junxiang Gao
- Department of Rehabilitation Medicine, Linyi Central Hospital, Second People's Hospital of Linyi City, Linyi City, Shandong
| | - Liping Huang
- School of Health and Exercise Science, Tianjin University of Sport, Tianjin, P.R. China
| | - Bin Zhou
- Department of Rehabilitation Medicine, Linyi Central Hospital, Second People's Hospital of Linyi City, Linyi City, Shandong
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Kodounis M, Liampas IN, Constantinidis TS, Siokas V, Mentis AFA, Aloizou AM, Xiromerisiou G, Zintzaras E, Hadjigeorgiou GM, Dardiotis E. Assessment of the reporting quality of double-blind RCTs for ischemic stroke based on the CONSORT statement. J Neurol Sci 2020; 415:116938. [DOI: 10.1016/j.jns.2020.116938] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 05/10/2020] [Accepted: 05/18/2020] [Indexed: 12/12/2022]
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Long Y, Chen R, Guo Q, Luo S, Huang J, Du L. Do acupuncture trials have lower risk of bias over the last five decades? A methodological study of 4 715 randomized controlled trials. PLoS One 2020; 15:e0234491. [PMID: 32520964 PMCID: PMC7286517 DOI: 10.1371/journal.pone.0234491] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Accepted: 05/26/2020] [Indexed: 02/05/2023] Open
Abstract
Objective To evaluate the change of the risk of bias (RoB) of acupuncture randomized controlled trials (RCTs) in the past five decades. Methods Multiple databases were searched. We included RCTs identified from systematic reviews (SRs) on acupuncture. General characteristics and RoB judgment for each domain were extracted. The proportions of RCTs at high and unclear RoB were calculated and the changes were examined by the Mann-Kendall test. Results We included 368 SRs including 4 715 RCTs. The rates of RCTs at unclear RoB were the highest in allocation concealment (63%), and at the lowest in incomplete outcome data (35%); in the last five decades, statistically significant reductions were found for random sequence generation (P < 0.001) and selective reporting (P = 0.01), and increases for blinding of participants and personnel (P < 0.001), blinding of outcome assessment (P < 0.001) and incomplete outcome data (P = 0.04). For the proportions of RCTs at high RoB, blinding of participants and personnel (47%) and blinding of outcome assessment (35%) were the poorest domains; there were no significant differences in changes for all domains. Conclusions Although improvements concerning unclear risk were observed for random sequence generation and selective reporting, major issues remain for allocation concealment and blinding. It is imperative to use valid randomization, specify how it is conducted, and try to test for selection bias and the success of masking by using the Berger Exner test.
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Affiliation(s)
- Youlin Long
- Medical Device Regulatory Research and Evaluation Center, West China Hospital, Sichuan University, Chengdu, China
- Chinese Cochrane Center, West China Hospital, Sichuan University, Chengdu, China
| | - Rui Chen
- School of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Qiong Guo
- Chinese Cochrane Center, West China Hospital, Sichuan University, Chengdu, China
| | - Shanxia Luo
- Department of Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Jin Huang
- Medical Device Regulatory Research and Evaluation Center, West China Hospital, Sichuan University, Chengdu, China
- West China Hospital, Sichuan University, Chengdu, China
| | - Liang Du
- Chinese Cochrane Center, West China Hospital, Sichuan University, Chengdu, China
- * E-mail:
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Effects of CREB1 gene silencing on cognitive dysfunction by mediating PKA-CREB signaling pathway in mice with vascular dementia. Mol Med 2018; 24:18. [PMID: 30134805 PMCID: PMC6016877 DOI: 10.1186/s10020-018-0020-y] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2018] [Accepted: 04/20/2018] [Indexed: 12/22/2022] Open
Abstract
Background As a form of dementia primarily affecting the elderly, vascular dementia (VD) is characterized by changes in the supply of blood to the brain, resulting in cognitive impairment. The aim of the present study was to explore the effects involved with cyclic adenosine monophosphate (cAMP) response element-binding (CREB)1 gene silencing on cognitive dysfunction through meditation of the protein kinase A (PKA)-CREB signaling pathway in mice with VD. Methods Both the Morris water maze test and the step down test were applied to assess the cognitive function of the mice with VD. Immunohistochemical and TUNEL staining techniques were employed to evaluate the positive expression rates of the protein CREB1 and Cleaved Caspase-3, as well as neuronal apoptosis among hippocampal tissues in a respective manner. Flow cytometry was applied to determine the proliferation index and apoptosis rate of the hippocampal cells among each group. Reverse transcription quantitative polymerase chain reaction and Western blot analysis methods were applied to detect the expressions of cAMP, PKA and CREB in hippocampal cells. Results Compared with the normal group, all the other groups exhibited impaired cognitive function, reduced cell numbers in the CAI area, positive expressions of CREB1 as well as positive optical density (OD) values. Furthermore, increased Cleaved Caspase-3 positive expression, OD value, proliferation index, apoptosis rate of hippocampal cells and neurons, were observed in the other groups when compared with the normal group, as well as lower expressions of cAMP, PKA and CREB1 and p-CREB1 (the shCREB1–1, H89 and shCREB1–1 + H89 groups < the VD group). Conclusion The key findings of the present study demonstrated that CREB1 gene silencing results in aggravated VD that occurs as a result of inhibiting the PKA-CREB signaling pathway, thus exasperating cognitive dysfunction.
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Ye Y, Xiao LY, Liu YH, Yang JW, Yan CQ, Wang XR, Shi GX, Liu CZ. Acupuncture for patients with vascular dementia: a systematic review protocol. BMJ Open 2017; 7:e019066. [PMID: 29217728 PMCID: PMC5728254 DOI: 10.1136/bmjopen-2017-019066] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
INTRODUCTION This systematic review protocol aims to provide the methods used to evaluate the effectiveness and safety of acupuncture therapy for treating vascular dementia. METHODS AND ANALYSIS The following eight databases will be searched from inception to July 2017: Cochrane Central Register of Controlled Trials, PubMed, MEDLINE, EMBASE, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, VIP Database and Wanfang Database. All randomised controlled trials in English or Chinese related to acupuncture for vascular dementia will be included. Outcomes will include change in cognitive function and activities of daily living. The incidence of adverse events will be assessed for safety evaluation. Study inclusion, data extraction and quality assessment will be performed independently by two reviewers. Assessment of risk of bias and data synthesis will be performed using Review Manager software. ETHICS AND DISSEMINATION Ethics approval is not required because individual patient data are not included. The findings of this systematic review will be disseminated through peer-reviewed publication or conference presentations. PROSPERO REGISTRATION NUMBER CRD42017071820.
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Affiliation(s)
- Yang Ye
- Graduate School, Beijing University of Chinese Medicine, Beijing, China
- Department of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing, China
| | - Ling-Yong Xiao
- Graduate School, Beijing University of Chinese Medicine, Beijing, China
- Department of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing, China
| | - Yi-Hua Liu
- Graduate School, Beijing University of Chinese Medicine, Beijing, China
| | - Jing-Wen Yang
- Department of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing, China
| | - Chao-Qun Yan
- Department of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing, China
| | - Xue-Rui Wang
- Department of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing, China
| | - Guang-Xia Shi
- Department of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing, China
| | - Cun-Zhi Liu
- Department of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing, China
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