Critical quality evaluation and application value of network Meta-analyses in traditional Chinese medicine.
10.19540/j.cnki.cjcmm.20191022.501
- Author:
Yao CHEN
1
;
Xue-Yang ZENG
2
;
Di-Fei LIU
2
;
Xiao-Yu TAN
2
;
Xian-Ming CAI
2
;
Feng-Wen YANG
3
;
Xing LIAO
4
;
Feng SUN
1
;
Yan-Ming XIE
4
Author Information
1. Institute of Public Health,Peking University Beijing 100191,China Center for Evidence Based Medical and Clinical Research,Peking University Beijing 100191,China.
2. Institute of Public Health,Peking University Beijing 100191,China.
3. Centre for Evidence-Based Medicine,Tianjin University of Traditional Chinese Medicine Tianjin 301617,China.
4. Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences Beijing 100700,China.
- Publication Type:Review
- Keywords:
application value;
descriptive analysis;
network Meta-analysis;
quality assessment;
reporting checklist;
traditional Chinese medicine
- MeSH:
Administration, Oral;
Humans;
Injections;
Medicine, Chinese Traditional;
Network Meta-Analysis;
Physical Therapy Modalities;
Quality Control;
Research Design/standards*;
Systematic Reviews as Topic
- From:
China Journal of Chinese Materia Medica
2019;44(24):5322-5328
- CountryChina
- Language:Chinese
-
Abstract:
To introduce the application status of network Meta-analysis( NMA) in the field of traditional Chinese medicine,and to discuss the application value of NMA in the field of traditional Chinese medicine,this study comprehensively reviewed the systematic reviews with application of NMA in the field of traditional Chinese medicine. CNKI,Wan Fang,Sino Med,VIP,Embase,PubMed and Cochrane Library and the reference list of previous studies were searched. The AMSTAR scale was used to evaluate the quality of literature methodology,and PRISMA-NMA checklist was used to measure the degree of report specification. Overall,122 articles were included,including 80 in Chinese and 42 in English. The included studies centered on cancer,bone and joint disease,cardiovascular disease,respiratory disease,mental disease and digestive disease. Additionally,the intervention can be categorized into three groups,traditional Chinese medicine injection,oral Chinese medicine or prescription,and traditional physical therapy including acupuncture.Nearly one-third of the researches' intervention program is aimed at comparing the effect of Chinese and Western combined therapy and monotherapy. The overall methodology quality grade is medium and the report quality is average,with methodology reporting and result reporting especially need to be improved. The subgroup analysis shows that the methodology quality of the English literatures is evidently higher than Chinese literatures,and the quality of the literatures published after 2015 is higher than those published in or before 2015.This study indicates that the NMA can compare multiple treatments simultaneously,which accords with characteristics of the clinical practice in traditional Chinese medicine that is complex and individual. NMA in the field of traditional Chinese medicine is still in the process of development. With higher level of quality control and reporting as well as the improvement of the statistical methodology and the accumulation of original researches,NMA application in the field of traditional Chinese medicine will be promising.
