Acupuncture and Moxibustion Treatment of Cancer-Related Fatigue:An Overview of Systematic Reviews
- VernacularTitle:针灸治疗癌因性疲乏的系统评价再评价
- Author:
Quanyi ZHANG
1
;
Hao TIAN
;
Yipeng XU
;
Yi HE
;
Dingjun CAI
;
Zhengyu ZHAO
Author Information
- Keywords: Cancer-related fatigue; Acupuncture; Overview; AMSTAR 2; GRADE; PRISMA; Radar plot
- From: World Science and Technology-Modernization of Traditional Chinese Medicine 2023;25(7):2526-2534
- CountryChina
- Language:Chinese
- Abstract: Objective Due to the increasing number but unknown quality of the existing systematic reviews meta-analyses(SRs/MAs)of acupuncture and moxibustion in the treatment of cancer-related fatigue(CRF),this overview aimed to systematically evaluate and synthesize these SRs/MAs.Methods SRs/MAs were searched via 8 databases from inception to February 22,2022.AMSTAR 2,PRISMA and GRADE evaluation tools were used to evaluate the quality of reports,methodologies and evidence included in MAs/SRs.All analyses were performed with radar plots.Results 16 SRs/MAs were included.The main outcome index was the degree of fatigue.The results of 12 articles showed that acupuncture could effectively alleviate CRF.According to AMSTAR-2,4 SRs/MAs were considered being of high quality,10 medium quality and 2 low quality.There are 12 articles with PRISMA score of 16-24 and 4 articles with PRISMA score of 15-20.5,which mainly have defects in protocol registration and inter study bias.Amstar 2 evaluation includes 4 high-quality studies,studies.Grade rating shows that the evidence quality of acupuncture treatment of CRF is mostly medium,and the main factor of degradation is inaccuracy.Conclusions At present,the SRS/MAS report of acupuncture and moxibustion in the treatment of CRF is complete,and the quality of methodology and evidence is medium.It is suggested that SRS/MAS improve the program registration and funding source description in the future to enhance the assessment of the risk of inter study bias.
