An overview of systematic reviews on Tuina from 2013 to 2017_Chinese Journal of Evidence-Based Medicine

Authors：

ZHANG Xiatian ¹ , HU Yeyin ¹ , ZHANG Xiaoyu ¹ , CHEN Heqing ¹ , WANG Xiaoli ¹ , LI Xinyi ¹ , HUANG Yusi ¹ , LIN Yiyi ¹ , SHANG Hongcai ¹ , BIANG Zhaoxiang ² ,  TIAN Guihua ¹

1. Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing, 100700, P.R.China;
2. School of Chinese Medicine of HongKong Baptist University, HongKong, 999077, P.R.China;

Corresponding author：

TIAN Guihua, Email: rosetgh@163.com

Keywords：

Tuina; Bibliometrics; Overview of systematic reviews; AMSTAR 2 tool

DOI：

10.7507/1672-2531.201806062

Video：

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Objectives To conduct an overview of systematic reviews (SRs) on Tuina from 2013 to 2017, and to explore recent research improvements on Tuina.Methods PubMed, Web of Science, The Cochrane Library, SpringerLink e-book database, CNKI, VIP, WanFang Data and CBM databases were searched to collect SRs including randomized controlled clinical trials on Tuina from January 1^st, 2013 to December 31^st, 2017. Two reviewers independently screened literature, extracted data, and used AMSTAR 2 tool and PRISMA statement to assess methodology quality and reporting quality of included studies, respectively. The R 3.4.3 software was used to analyze data.Results A total of 8 SRs studies were included in the overview. The studied diseases involved radiculopathy cervical spondylotic, myelopathy cervical spondylotic, constipation, child anorexia, child diarrhea and external humeral epicondylitis. The results of above SRs showed that massage might be superior to other interventions in clinical efficacy, curative effects or total effective rate. However, due to the low quality of included studies of SRs, further evidence from high-quality clinical studies is required to verify above conclusions. For the results of AMSTAR 2 assessment, all 8 SRs were rated as very low quality. The quantity of items accomplished for each SR ranged from 7 to 13, 2 SRs had low methodological quality (percentage of accomplishment or partial accomplishment <50.0%) and 6 SRs with high methodological quality (percentage of accomplishment or partial accomplishment ≥50.0%). All 8 SRs did not report item 2 "Whether to declare research methods", item 10 "Whether reports have included funding sources for each study" and item 11 "Whether reports used the correct statistical method". The results of PRISMA assessment showed that all SR had good quality of reporting. The accomplished items number of each SR ranged from 22 to 26. However, there were defects in item 5(0), item 16(25.0%) and item 23(25.0%). All SRs did not report item 5 "Whether to declare research program".Conclusions This study finds that Tuina has supportive evidence-based medical evidence for treating anorexia, cervical spondylosis and other diseases, however, the SRs of Tuina are yet needed to be improved in terms of standardized degree. Therefore, establishing a reporting consolidated standard for evidence-based medicine on Tuina in order to improve the quality of clinical studies so as to provide clinicians with high-quality evidence is the focus of our further research.

Citation： ZHANG Xiatian, HU Yeyin, ZHANG Xiaoyu, CHEN Heqing, WANG Xiaoli, LI Xinyi, HUANG Yusi, LIN Yiyi, SHANG Hongcai, BIANG Zhaoxiang, TIAN Guihua. An overview of systematic reviews on Tuina from 2013 to 2017. Chinese Journal of Evidence-Based Medicine, 2019, 19(3): 361-367. doi: 10.7507/1672-2531.201806062 Copy

1.	李幼平, 李静, 孙鑫, 等. 循证医学在中国的发展: 回顾与展望. 兰州大学学报(医学版), 2016, 42(1): 25-28.
2.	张明妍, 杨丰文, 李越, 等. 《中国中西医结合杂志》刊载中医药随机对照试验报告质量的研究. 中国循证医学杂志, 2017, 17(3): 357-363.
3.	毛兵, 王刚, 陈小东, 等. 《中国中西医结合杂志》发表随机对照试验报告的质量评价. 中国循证医学杂志, 2006, 6(4): 297-304.
4.	王家莹, 王俊峰, 承诗琪, 等. 中医药系统评价/Meta 分析 19 年发展及现状分析. 中医杂志, 2017, 58(11): 919-925.
5.	朱国苗, 房敏, 孙武权, 等. 循证医学在提高推拿临床研究质量中的应用. 按摩与康复医学, 2007, 23(5): 2-3.
6.	王军, 刘艳, 谭曾德, 等. 中国现代推拿病谱的文献研究概述. 中医药信息, 2011, 28(4): 151-153.
7.	Wood L, Egger M, Gluud LL, et al. Empirical evidence of bias in treatment effect estimates in controlled trials with different interventions and outcomes: meta-epidemiological study. BMJ, 2008, 336(7644): 601.
8.	吴泰相, 刘关键. 隐蔽分组(分配隐藏)和盲法的概念、实施与报告. 中国循证医学杂志, 2007, 7(3): 222-225.
9.	安光辉, 赵毅, 姚斐, 等. 脊柱推拿治疗腰背及颈部疼痛的疗效和安全性的系统评价再评价. 中国循证医学杂志, 2015, 15(9): 1010-1017.
10.	Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 2017, 358: j4008.
11.	Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med, 2009, 6(7): e1000097.
12.	杨佳, 张瑞春, 王新军. 推拿与牵引治疗神经根型颈椎病的 Meta 分析. 环球中医药, 2013, 6(9): 641-648.
13.	张军, 吴宗蔚, 马笃军, 等. 推拿治疗便秘临床研究文献的 Meta 分析. 湖南中医杂志, 2013, 29(3): 127-130.
14.	Qiao CX, Zhang XF, Cai XP. Evaluating the efficacy of tui na in treatment of childhood anorexia: a meta-analysis. Altern Ther Health Med, 2014, 20(5): 45-52.
15.	李娜. 小儿推拿治疗小儿厌食症的系统评价. 成都: 成都中医药大学, 2016.
16.	司梦冉, 蔡君豪, 王文奕, 等. 推拿与蒙脱石散治疗小儿腹泻效果比较的 Meta 分析. 中国医药导报, 2016, 13(19): 76-79.
17.	朱成林, 徐波, 李艳, 等. 推拿治疗脊髓型颈椎病的系统评价. 陕西中医学院学报, 2016, 39(2): 71-74.
18.	林强, 严隽陶. 手法治疗肱骨外上髁炎文献质量评价及 Meta 分析. 中医药导报, 2017, (21): 116-122.
19.	杨超, 鲁梦倩, 于天源, 等. 推拿治疗小儿厌食症随机对照试验的系统评价和 Meta 分析. 中华中医药学刊, 2017, 35(5): 1161-1166.
20.	张方圆, 沈傲梅, 曾宪涛, 等. 系统评价方法学质量评价工具 AMSTAR 2 解读. 中国循证心血管医学杂志, 2018, 18(1): 14-18.
21.	David Moher, Alessandro Liberati, Jennifer Tetzlaff, et al. 系统综述和荟萃分析优先报告的条目: PRISMA 声明. 中西医结合学报, 2009, 7(9): 889-896.
22.	Bj S, Ga HC, Lm B, et al. AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviews. J Clin Epidemiol, 2009, 62(10): 1013-1020.
23.	罗智博, 张哲, 张会永, 等. 以系统论为指导构建中医临床疗效评价指标体系. 中华中医药学刊, 2008, 26(2): 257-259.
24.	王传池, 胡镜清, 江丽杰, 等. 中医学与现代医学整体论的差别. 中医杂志, 2017, 58(5): 361-365.
25.	王永炎, 刘保延, 谢雁鸣. 应用循证医学方法构建中医临床评价体系. 中国中医基础医学杂志, 2003, 9(3): 17-23.
26.	陈倢, 梁伟雄. 中医循证教学的现状与思考. 中医药导报, 2015, 21(8): 105-107.
27.	陈书, 魏高文, 邓思思, 等. 中医专业本科生循证医学教学体会及思考. 科教导刊(上旬刊), 2017, (10): 45-46.
28.	朱音, 周忞, 陆颖, 等. 中医研究生循证医学教学探索. 上海中医药大学学报, 2010, 24(5): 18-19.
29.	Cheng CW, Wu TX, Shang HC, et al. CONSORT extension for Chinese herbal medicine formulas 2017: recommendations, explanation, and elaboration. Ann Intern Med, 2017, 167(2): 112-121.
30.	Schulz KF, Altman DG, Moher D, et al. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMJ, 2010, 340(7748): 698-702.

1. 李幼平, 李静, 孙鑫, 等. 循证医学在中国的发展: 回顾与展望. 兰州大学学报(医学版), 2016, 42(1): 25-28.
2. 张明妍, 杨丰文, 李越, 等. 《中国中西医结合杂志》刊载中医药随机对照试验报告质量的研究. 中国循证医学杂志, 2017, 17(3): 357-363.
3. 毛兵, 王刚, 陈小东, 等. 《中国中西医结合杂志》发表随机对照试验报告的质量评价. 中国循证医学杂志, 2006, 6(4): 297-304.
4. 王家莹, 王俊峰, 承诗琪, 等. 中医药系统评价/Meta 分析 19 年发展及现状分析. 中医杂志, 2017, 58(11): 919-925.
5. 朱国苗, 房敏, 孙武权, 等. 循证医学在提高推拿临床研究质量中的应用. 按摩与康复医学, 2007, 23(5): 2-3.
6. 王军, 刘艳, 谭曾德, 等. 中国现代推拿病谱的文献研究概述. 中医药信息, 2011, 28(4): 151-153.
7. Wood L, Egger M, Gluud LL, et al. Empirical evidence of bias in treatment effect estimates in controlled trials with different interventions and outcomes: meta-epidemiological study. BMJ, 2008, 336(7644): 601.
8. 吴泰相, 刘关键. 隐蔽分组(分配隐藏)和盲法的概念、实施与报告. 中国循证医学杂志, 2007, 7(3): 222-225.
9. 安光辉, 赵毅, 姚斐, 等. 脊柱推拿治疗腰背及颈部疼痛的疗效和安全性的系统评价再评价. 中国循证医学杂志, 2015, 15(9): 1010-1017.
10. Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 2017, 358: j4008.
11. Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med, 2009, 6(7): e1000097.
12. 杨佳, 张瑞春, 王新军. 推拿与牵引治疗神经根型颈椎病的 Meta 分析. 环球中医药, 2013, 6(9): 641-648.
13. 张军, 吴宗蔚, 马笃军, 等. 推拿治疗便秘临床研究文献的 Meta 分析. 湖南中医杂志, 2013, 29(3): 127-130.
14. Qiao CX, Zhang XF, Cai XP. Evaluating the efficacy of tui na in treatment of childhood anorexia: a meta-analysis. Altern Ther Health Med, 2014, 20(5): 45-52.
15. 李娜. 小儿推拿治疗小儿厌食症的系统评价. 成都: 成都中医药大学, 2016.
16. 司梦冉, 蔡君豪, 王文奕, 等. 推拿与蒙脱石散治疗小儿腹泻效果比较的 Meta 分析. 中国医药导报, 2016, 13(19): 76-79.
17. 朱成林, 徐波, 李艳, 等. 推拿治疗脊髓型颈椎病的系统评价. 陕西中医学院学报, 2016, 39(2): 71-74.
18. 林强, 严隽陶. 手法治疗肱骨外上髁炎文献质量评价及 Meta 分析. 中医药导报, 2017, (21): 116-122.
19. 杨超, 鲁梦倩, 于天源, 等. 推拿治疗小儿厌食症随机对照试验的系统评价和 Meta 分析. 中华中医药学刊, 2017, 35(5): 1161-1166.
20. 张方圆, 沈傲梅, 曾宪涛, 等. 系统评价方法学质量评价工具 AMSTAR 2 解读. 中国循证心血管医学杂志, 2018, 18(1): 14-18.
21. David Moher, Alessandro Liberati, Jennifer Tetzlaff, et al. 系统综述和荟萃分析优先报告的条目: PRISMA 声明. 中西医结合学报, 2009, 7(9): 889-896.
22. Bj S, Ga HC, Lm B, et al. AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviews. J Clin Epidemiol, 2009, 62(10): 1013-1020.
23. 罗智博, 张哲, 张会永, 等. 以系统论为指导构建中医临床疗效评价指标体系. 中华中医药学刊, 2008, 26(2): 257-259.
24. 王传池, 胡镜清, 江丽杰, 等. 中医学与现代医学整体论的差别. 中医杂志, 2017, 58(5): 361-365.
25. 王永炎, 刘保延, 谢雁鸣. 应用循证医学方法构建中医临床评价体系. 中国中医基础医学杂志, 2003, 9(3): 17-23.
26. 陈倢, 梁伟雄. 中医循证教学的现状与思考. 中医药导报, 2015, 21(8): 105-107.
27. 陈书, 魏高文, 邓思思, 等. 中医专业本科生循证医学教学体会及思考. 科教导刊(上旬刊), 2017, (10): 45-46.
28. 朱音, 周忞, 陆颖, 等. 中医研究生循证医学教学探索. 上海中医药大学学报, 2010, 24(5): 18-19.
29. Cheng CW, Wu TX, Shang HC, et al. CONSORT extension for Chinese herbal medicine formulas 2017: recommendations, explanation, and elaboration. Ann Intern Med, 2017, 167(2): 112-121.
30. Schulz KF, Altman DG, Moher D, et al. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMJ, 2010, 340(7748): 698-702.

Chinese Journal of Evidence-Based Medicine

An overview of systematic reviews on Tuina from 2013 to 2017

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