External therapy of TCM for gastroesophageal reflux disease: an overview of systematic reviews
10.3760/cma.j.cn115398-20230517-00223
- VernacularTitle:中医外治法治疗胃食管反流病系统评价再评价
- Author:
Wenwan PENG
1
;
Yuxin WANG
;
Zheng ZHOU
;
Haiyang HUANG
;
Mingguo DONG
Author Information
1. 广州中医药大学东莞医院脾胃病科，东莞 523000
- Keywords:
Gastroesophageal reflux;
External therapy;
Overview of systematic review;
AMSTAR 2;
PRISMA;
GRADE;
Multiple evaluation
- From:
International Journal of Traditional Chinese Medicine
2024;46(10):1363-1370
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To overview the systematic reviews/meta analysis of the treatment of external therapy of TCM for gastroesophageal reflux disease (GERD).Methods:Systematic reviews/meta analysis of the treatment of external therapy of TCM for GERD were retrieved from CNKI, Wanfang Data, VIP, CBM, PubMed, Embase and Cochrane Library databases from the establishment of the databases to 31st, December 2022. The AMSTAR 2 tool, PRISMA 2020 reporting specifications, and GRADE guidelines were used to evaluate the methodological quality, reporting quality, and evidence quality of the included literature. A multiple evaluation was performed in six dimensions: year of publication, type of study design, methodological quality score, reporting quality score, degree of homogeneity, and risk of publication bias evaluation.Results:A total of 9 systematic reviews/meta analysis were included, of which 1 was of low quality methodological quality and 8 was of very low quality. GRADE guidelines evidence quality grading results showed 33 outcome indicators, 9 of which were with moderate evidence, 21 of which were with low evidence, and 3 of which were with very low evidence. 9 articles had reporting quality scores ranging from 16 to 24, of which 1 report was relatively complete and 8 had some deficiencies. The rank mean scores of multiple evaluations indicated that 2 articles were of high quality and 1 article was of poor quality.Conclusions:The quality of evidence for the treatment of external therapy of TCM for GERD is intermediate in terms of improving the cure rate and reducing adverse effects, and is recommended for clinical use. However, the methodological quality and reporting quality of the current systematic reviews/meta analysis of the treatment of external therapy of TCM for GERD need to be improved, and users of the evidence ought to use the above evidence with caution for decision making.
