Acupuncture therapy on primary osteoporosis based on radar plot: an overview of systematic reviews_Chinese Journal of Evidence-Based Medicine

Authors：

HUANG Fan ¹ ^* , ZHAO Siyi ¹ ^* , DAI Lin ¹ , LIN Xuxin ² , FENG Zitong ¹ ,  CHEN Guizhen ³ ,  XU Yunxiang ¹

1. Acupuncture and Rehabilitation Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, 510405, P.R.China;
2. The Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, 510403, P.R.China;
3. The Bao’an District TCM Hospital, The Affiliated Hospital of Guangzhou University of Chinese Medicine, Shenzhen, 518133, P.R.China;

Corresponding?author：

CHEN Guizhen, Email: cgzhen2000@163.com; XU Yunxiang, Email: xuyx1968@163.com

Keywords：

Acupuncture; Primary osteoporosis; Overview of systematic review; Multiple evaluation; AMSTAR; PRISMA

DOI：

10.7507/1672-2531.201812008

Video：

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Objective To overview the reporting and methodology quality of systematic reviews/meta-analysis on acupuncture in the treatment of primary osteoporosis (POP).Methods PubMed, EMbase, The Cochrane Library, CBM, WanFang Data, CNKI and VIP databases were electronically searched to collect systematic reviews/meta-analysis on acupuncture in the treatment of POP from inception to July 2018. Two reviewers independently screened literature, extracted data, and assessed the quality of systematic reviews. A Measurement Tool to Assess Systematic Reviews (AMSTAR) methodological quality score and Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) were used to assess the methodological quality and reporting quality of the systematic reviews, along with the risk of homogeneity and publication bias.Results A total of 11 systematic reviews/meta-analysis were included and multiple evaluations of the radar plot showed that the quality average rank scored 7.68. The major problems in studies were lack of items registration, imperfect search strategies and selection bias and so on.Conclusion The quality of systematic reviews/meta-analysis of acupuncture in the treatment of POP is insufficient, indicating that the methodological and reporting quality of systematic reviews should be further strengthened.

Citation： HUANG Fan, ZHAO Siyi, DAI Lin, LIN Xuxin, FENG Zitong, CHEN Guizhen, XU Yunxiang. Acupuncture therapy on primary osteoporosis based on radar plot: an overview of systematic reviews. Chinese Journal of Evidence-Based Medicine, 2019, 19(5): 602-608. doi: 10.7507/1672-2531.201812008 Copy

1.	Osteoporosis prevention, diagnosis, and therapy. JAMA, 2001, 285(6): 785-795.
2.	Chen P, Li Z. Prevalence of osteoporosis in China: a meta-analysis and systematic review. BMC Public Health, 2016, 16(1): 1039.
3.	原發性骨質疏松癥診療指南(2017). 中華骨質疏松和骨礦鹽疾病雜志, 2017, 10(5): 413-444.
4.	Zhao JG, Zeng XT, Wang J. Association between calcium or vitamin D supplementation and fracture incidence in community-dwelling older adults: a systematic review and meta-analysis. JAMA, 2017, 318(24): 2466-2482.
5.	Crandall CJ, Newberry SJ, Diamant A, et al. Comparative effectiveness of pharmacologic treatments to prevent fractures: an updated systematic review. Ann Intern Med, 2014, 161(10): 711-23.
6.	Xie YM, Yuwen Y, Dong FH, et al. Clinical practice guideline of traditional medicine for primary osteoporosis. Chin J Integr Med, 2011, 17(1): 52-63.
7.	Schiller J, Korallus C, Bethge M, et al. Effects of acupuncture on quality of life and pain in patients with osteoporosis-a pilot randomized controlled trial. Arch Osteoporos, 2016, 11(1): 34.
8.	Xu DM, Xu H, Liu J, et al. Effect of thunder-fire moxibustion on pain, quality of life, and tension of multifidus in patients with primary osteoporosis: a randomized controlled trial. Med Sci Monit, 2018, 24: 2937-2945.
9.	Mak JC. Complementary and alternative medicine use by osteoporotic patients in Australia (CAMEO-A): a prospective study. J Altern Complement Med, 2010, 16(5): 579-84.
10.	肖麗, 陳果, 龍抗勝, 等. 針灸治療絕經后骨質疏松癥療效及選穴規律的Meta分析. 湘南學院學報(醫學版), 2016, 18(4): 12-15.
11.	周龍云, 黃桂成, 郭楊, 等. 針刺治療原發性骨質疏松癥療效的Meta分析. 遼寧中醫雜志, 2016, 43(12): 2465-2471.
12.	陳金鳳, 張人文, 莫灼錨, 等. 針灸治療原發性骨質疏松癥Meta分析. 遼寧中醫藥大學學報, 2018, 20(4): 185-189.
13.	伍亞男, 羅丁, 符文彬. 電針對原發性骨質疏松患者有效性的Meta分析和系統評價. 中國骨質疏松雜志, 2017, 23(2): 183-190.
14.	Luo D, Liu Y, Wu Y, et al. Warm needle acupuncture in primary osteoporosis management: a systematic review and meta-analysis. Acupunct Med, 2018, 36(4): 215-221.
15.	Pan H, Jin R, Li M, et al. The effectiveness of acupuncture for osteoporosis: a systematic review and meta-analysis. Am J Chin Med, 2018, 46(3): 489-513.
16.	王曉彤, 林海雄, 陳梓軒, 等. 系統評價溫針灸防治絕經后骨質疏松的臨床療效及對骨代謝的影響. 遼寧中醫雜志, 2018, 45(3): 479-483.
17.	徐俊濤, 沈新云, 曹岐新, 等. 針刺治療老年性骨質疏松癥有效性系統分析. 浙江中西醫結合雜志, 2014, 24(4): 374-376.
18.	李勝, 張豐正, 王鴻度, 等. 針灸治療絕經后骨質疏松癥臨床文獻的系統評價. 瀘州醫學院學報, 2014, 37(5): 461-467.
19.	羅丁, 伍亞男, 劉月, 等. 溫針治療原發性骨質疏松的系統評價. 中國老年學雜志, 2017, 37(4): 954-958.
20.	Xu F, Huang M, Jin Y, et al. Moxibustion treatment for primary osteoporosis: a systematic review of randomized controlled trials. Plos One, 2017, 12(6): e0178688.
21.	熊俊, 陳日新. 系統評價/Meta分析方法學質量的評價工具AMSTAR. 中國循證醫學雜志, 2011, 11(9): 1084-1089.
22.	Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med, 2009, 6(7): e1000100.
23.	方積乾. 衛生統計學 (7版). 北京: 人民衛生出版社, 2015: 175.
24.	秦集斌, 宋潔富, 薛旭紅. 原發性骨質疏松癥的病因學研究進展. 中國骨質疏松雜志, 2016, 22(4): 511-514.
25.	焦恩虎. 針刺夾脊穴配合艾灸治療脊柱骨質疏松癥60例觀察. 中醫臨床研究, 2017, 9(5): 101-103.
26.	李金艷, 陳穎, 唐艷麗, 等. 針灸治療骨質疏松癥效應機制研究進展. 中國骨質疏松雜志, 2014, 20(3): 315-321.
27.	方劍喬. 針刺鎮痛-全景式的多維度疼痛調控方案. 針刺研究, 2018, 43(8): 459-466.
28.	Zhou J, Chen S, Guo H, et al. Electroacupuncture prevents ovariectomy-induced osteoporosis in rats: a randomized controlled trial. Acupunct med, 2012, 30(1): 37-43.
29.	Zhou J, Li X, Liao Y, et al. Effects of electroacupuncture on bone mass and cathepsin K expression in ovariectomized rats. Acupunct Med, 2014, 32(6): 478-485.
30.	董悅穎. Meta分析方法學質量與報告質量評價的主要問題. 中國衛生統計, 2017, 34(6): 1006-1008.

1. Osteoporosis prevention, diagnosis, and therapy. JAMA, 2001, 285(6): 785-795.
2. Chen P, Li Z. Prevalence of osteoporosis in China: a meta-analysis and systematic review. BMC Public Health, 2016, 16(1): 1039.
3. 原發性骨質疏松癥診療指南(2017). 中華骨質疏松和骨礦鹽疾病雜志, 2017, 10(5): 413-444.
4. Zhao JG, Zeng XT, Wang J. Association between calcium or vitamin D supplementation and fracture incidence in community-dwelling older adults: a systematic review and meta-analysis. JAMA, 2017, 318(24): 2466-2482.
5. Crandall CJ, Newberry SJ, Diamant A, et al. Comparative effectiveness of pharmacologic treatments to prevent fractures: an updated systematic review. Ann Intern Med, 2014, 161(10): 711-23.
6. Xie YM, Yuwen Y, Dong FH, et al. Clinical practice guideline of traditional medicine for primary osteoporosis. Chin J Integr Med, 2011, 17(1): 52-63.
7. Schiller J, Korallus C, Bethge M, et al. Effects of acupuncture on quality of life and pain in patients with osteoporosis-a pilot randomized controlled trial. Arch Osteoporos, 2016, 11(1): 34.
8. Xu DM, Xu H, Liu J, et al. Effect of thunder-fire moxibustion on pain, quality of life, and tension of multifidus in patients with primary osteoporosis: a randomized controlled trial. Med Sci Monit, 2018, 24: 2937-2945.
9. Mak JC. Complementary and alternative medicine use by osteoporotic patients in Australia (CAMEO-A): a prospective study. J Altern Complement Med, 2010, 16(5): 579-84.
10. 肖麗, 陳果, 龍抗勝, 等. 針灸治療絕經后骨質疏松癥療效及選穴規律的Meta分析. 湘南學院學報(醫學版), 2016, 18(4): 12-15.
11. 周龍云, 黃桂成, 郭楊, 等. 針刺治療原發性骨質疏松癥療效的Meta分析. 遼寧中醫雜志, 2016, 43(12): 2465-2471.
12. 陳金鳳, 張人文, 莫灼錨, 等. 針灸治療原發性骨質疏松癥Meta分析. 遼寧中醫藥大學學報, 2018, 20(4): 185-189.
13. 伍亞男, 羅丁, 符文彬. 電針對原發性骨質疏松患者有效性的Meta分析和系統評價. 中國骨質疏松雜志, 2017, 23(2): 183-190.
14. Luo D, Liu Y, Wu Y, et al. Warm needle acupuncture in primary osteoporosis management: a systematic review and meta-analysis. Acupunct Med, 2018, 36(4): 215-221.
15. Pan H, Jin R, Li M, et al. The effectiveness of acupuncture for osteoporosis: a systematic review and meta-analysis. Am J Chin Med, 2018, 46(3): 489-513.
16. 王曉彤, 林海雄, 陳梓軒, 等. 系統評價溫針灸防治絕經后骨質疏松的臨床療效及對骨代謝的影響. 遼寧中醫雜志, 2018, 45(3): 479-483.
17. 徐俊濤, 沈新云, 曹岐新, 等. 針刺治療老年性骨質疏松癥有效性系統分析. 浙江中西醫結合雜志, 2014, 24(4): 374-376.
18. 李勝, 張豐正, 王鴻度, 等. 針灸治療絕經后骨質疏松癥臨床文獻的系統評價. 瀘州醫學院學報, 2014, 37(5): 461-467.
19. 羅丁, 伍亞男, 劉月, 等. 溫針治療原發性骨質疏松的系統評價. 中國老年學雜志, 2017, 37(4): 954-958.
20. Xu F, Huang M, Jin Y, et al. Moxibustion treatment for primary osteoporosis: a systematic review of randomized controlled trials. Plos One, 2017, 12(6): e0178688.
21. 熊俊, 陳日新. 系統評價/Meta分析方法學質量的評價工具AMSTAR. 中國循證醫學雜志, 2011, 11(9): 1084-1089.
22. Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med, 2009, 6(7): e1000100.
23. 方積乾. 衛生統計學 (7版). 北京: 人民衛生出版社, 2015: 175.
24. 秦集斌, 宋潔富, 薛旭紅. 原發性骨質疏松癥的病因學研究進展. 中國骨質疏松雜志, 2016, 22(4): 511-514.
25. 焦恩虎. 針刺夾脊穴配合艾灸治療脊柱骨質疏松癥60例觀察. 中醫臨床研究, 2017, 9(5): 101-103.
26. 李金艷, 陳穎, 唐艷麗, 等. 針灸治療骨質疏松癥效應機制研究進展. 中國骨質疏松雜志, 2014, 20(3): 315-321.
27. 方劍喬. 針刺鎮痛-全景式的多維度疼痛調控方案. 針刺研究, 2018, 43(8): 459-466.
28. Zhou J, Chen S, Guo H, et al. Electroacupuncture prevents ovariectomy-induced osteoporosis in rats: a randomized controlled trial. Acupunct med, 2012, 30(1): 37-43.
29. Zhou J, Li X, Liao Y, et al. Effects of electroacupuncture on bone mass and cathepsin K expression in ovariectomized rats. Acupunct Med, 2014, 32(6): 478-485.
30. 董悅穎. Meta分析方法學質量與報告質量評價的主要問題. 中國衛生統計, 2017, 34(6): 1006-1008.

Chinese Journal of Evidence-Based Medicine

Acupuncture therapy on primary osteoporosis based on radar plot: an overview of systematic reviews

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