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

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2.	Chen P, Li Z. Prevalence of osteoporosis in China: a meta-analysis and systematic review. BMC Public Health, 2016, 16(1): 1039.
3.	原发性骨质疏松症诊疗指南(2017). 中华骨质疏松和骨矿盐疾病杂志, 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.	肖丽, 陈果, 龙抗胜, 等. 针灸治疗绝经后骨质疏松症疗效及选穴规律的Meta分析. 湘南学院学报(医学版), 2016, 18(4): 12-15.
11.	周龙云, 黄桂成, 郭杨, 等. 针刺治疗原发性骨质疏松症疗效的Meta分析. 辽宁中医杂志, 2016, 43(12): 2465-2471.
12.	陈金凤, 张人文, 莫灼锚, 等. 针灸治疗原发性骨质疏松症Meta分析. 辽宁中医药大学学报, 2018, 20(4): 185-189.
13.	伍亚男, 罗丁, 符文彬. 电针对原发性骨质疏松患者有效性的Meta分析和系统评价. 中国骨质疏松杂志, 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.	王晓彤, 林海雄, 陈梓轩, 等. 系统评价温针灸防治绝经后骨质疏松的临床疗效及对骨代谢的影响. 辽宁中医杂志, 2018, 45(3): 479-483.
17.	徐俊涛, 沈新云, 曹岐新, 等. 针刺治疗老年性骨质疏松症有效性系统分析. 浙江中西医结合杂志, 2014, 24(4): 374-376.
18.	李胜, 张丰正, 王鸿度, 等. 针灸治疗绝经后骨质疏松症临床文献的系统评价. 泸州医学院学报, 2014, 37(5): 461-467.
19.	罗丁, 伍亚男, 刘月, 等. 温针治疗原发性骨质疏松的系统评价. 中国老年学杂志, 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, 陈日新. 系统评价/Meta分析方法学质量的评价工具AMSTAR. 中国循证医学杂志, 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.	方积乾. 卫生统计学 (7版). 北京: 人民卫生出版社, 2015: 175.
24.	秦集斌, 宋洁富, 薛旭红. 原发性骨质疏松症的病因学研究进展. 中国骨质疏松杂志, 2016, 22(4): 511-514.
25.	焦恩虎. 针刺夹脊穴配合艾灸治疗脊柱骨质疏松症60例观察. 中医临床研究, 2017, 9(5): 101-103.
26.	李金艳, 陈颖, 唐艳丽, 等. 针灸治疗骨质疏松症效应机制研究进展. 中国骨质疏松杂志, 2014, 20(3): 315-321.
27.	方剑乔. 针刺镇痛-全景式的多维度疼痛调控方案. 针刺研究, 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.	董悦颖. Meta分析方法学质量与报告质量评价的主要问题. 中国卫生统计, 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. 原发性骨质疏松症诊疗指南(2017). 中华骨质疏松和骨矿盐疾病杂志, 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. 肖丽, 陈果, 龙抗胜, 等. 针灸治疗绝经后骨质疏松症疗效及选穴规律的Meta分析. 湘南学院学报(医学版), 2016, 18(4): 12-15.
11. 周龙云, 黄桂成, 郭杨, 等. 针刺治疗原发性骨质疏松症疗效的Meta分析. 辽宁中医杂志, 2016, 43(12): 2465-2471.
12. 陈金凤, 张人文, 莫灼锚, 等. 针灸治疗原发性骨质疏松症Meta分析. 辽宁中医药大学学报, 2018, 20(4): 185-189.
13. 伍亚男, 罗丁, 符文彬. 电针对原发性骨质疏松患者有效性的Meta分析和系统评价. 中国骨质疏松杂志, 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. 王晓彤, 林海雄, 陈梓轩, 等. 系统评价温针灸防治绝经后骨质疏松的临床疗效及对骨代谢的影响. 辽宁中医杂志, 2018, 45(3): 479-483.
17. 徐俊涛, 沈新云, 曹岐新, 等. 针刺治疗老年性骨质疏松症有效性系统分析. 浙江中西医结合杂志, 2014, 24(4): 374-376.
18. 李胜, 张丰正, 王鸿度, 等. 针灸治疗绝经后骨质疏松症临床文献的系统评价. 泸州医学院学报, 2014, 37(5): 461-467.
19. 罗丁, 伍亚男, 刘月, 等. 温针治疗原发性骨质疏松的系统评价. 中国老年学杂志, 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, 陈日新. 系统评价/Meta分析方法学质量的评价工具AMSTAR. 中国循证医学杂志, 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. 方积乾. 卫生统计学 (7版). 北京: 人民卫生出版社, 2015: 175.
24. 秦集斌, 宋洁富, 薛旭红. 原发性骨质疏松症的病因学研究进展. 中国骨质疏松杂志, 2016, 22(4): 511-514.
25. 焦恩虎. 针刺夹脊穴配合艾灸治疗脊柱骨质疏松症60例观察. 中医临床研究, 2017, 9(5): 101-103.
26. 李金艳, 陈颖, 唐艳丽, 等. 针灸治疗骨质疏松症效应机制研究进展. 中国骨质疏松杂志, 2014, 20(3): 315-321.
27. 方剑乔. 针刺镇痛-全景式的多维度疼痛调控方案. 针刺研究, 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. 董悦颖. Meta分析方法学质量与报告质量评价的主要问题. 中国卫生统计, 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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