摘要 :
Background:Acupuncture is used to relieve symptoms,reducing recurrence,and improve the lives of patients with skin diseases.Objective:To identify,describe,and organize the available evidence on acupuncture for atopic eczema(AE)usi...
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Background:Acupuncture is used to relieve symptoms,reducing recurrence,and improve the lives of patients with skin diseases.Objective:To identify,describe,and organize the available evidence on acupuncture for atopic eczema(AE)using evidence mapping of randomized controlled trials(RCTs),systematic reviews(SRs),and metaanalyses.Methods:We searched eight databases from inception to October 30,2021,for RCTs,SRs,and metaanalyses of acupuncture for patients with AE.Two reviewers screened the papers,before extracting the data and assessing the quality of the included studies.The basic and clinical characteristics,and quality of assessment of the studies were assessed using descriptive statistics and qualitative analyses.A bubble plot was used to visualize the evidence map to indicate the relationship between the type and frequency of outcomes,the quality and overall effects of acupuncture,and the outcomes of the studies.Results:Forty-five studies(Forty RCTs,five SRs,and meta-analyses)were included.The number of publications increased rapidly after 2013 and peaked in 2019.The most frequently applied intervention was one type of acupuncture therapy.The most frequent comparison was between acupuncture and active medicine.The symptomatic outcome was the most commonly used,and the quality of the included studies was relatively low.All included studies showed a significantly better outcome in the acupuncture group compared to the control group(P<0.05).Most outcomes in the included studies were of low or critically low quality.Several symptomatic outcomes and health-related quality of life outcomes in the included RCTs indicated moderate quality,while some symptomatic outcomes and global symptom improvement in the included SRs and meta-analyses indicated low quality.Conclusion:The majority of studies related to acupuncture for AE indicated promising results,but with relatively low quality;thus,further studies with more robust designs should be conducted to validate the results.
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摘要 :
Objective:The body of research on acupuncture as a treatment strategy for fibromyalgia(FM)is steadily growing.This evidence map identifies,describes,and summarizes the current status of studies conducted to evaluate the efficacy o...
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Objective:The body of research on acupuncture as a treatment strategy for fibromyalgia(FM)is steadily growing.This evidence map identifies,describes,and summarizes the current status of studies conducted to evaluate the efficacy of acupuncture for FM,identify research gaps,and provide information that could guide the design of future studies.Methods:Seven electronic databases–Cochrane Library,PubMed,Embase,China Biomedical Literature Database,VIP,Wanfang Database,and Chinese National Knowledge Infrastructure–were searched for relevant articles on acupuncture for FM.The search period was from the dates of inception of the databases to December 19,2022.Original clinical studies and systematic reviews on the use of acupuncture-related modalities for the treatment of FM were included.The basic information,quality assessments,and evidence maps of the included studies are presented as charts and bubble plots.The quality assessment tools used for evaluating the different types of studies included in the present study were Cochrane Collaboration’s tool,Canadian Institute of Health Economics quality appraisal tool,and A MeaSurement Tool to Assess systematic Reviews 2.Results:Fifty studies were included in this study.Of these,39(78.00%)were randomized controlled trials(RCTs),6(12.0%)were case series,and 5(10.0%)were systematic reviews.The included studies focused on manual acupuncture and conventional treatment in the treatment and control groups,respectively.The outcomes analyzed in the RCTs included pain(94.9%),sleep quality(46.2%),depression(46.2%),physical function(46.2%),stiffness(35.9%),well-being(35.9%),work status(35.9%),anxiety(33.3%),fatigue(33.3%),quality of life(17.9%),and overall effective rate(10.3%).The methodological quality of most of the studies was low or critically low regardless of the study design.In most studies,the therapeutic effect of acupuncture was significantly superior to that of the comparator.
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