Study on Evidence-Based Decision-Making of Acupuncture for Post-Prostatectomy Urinary Incontinence： based on TOPSIS Combined with Entropy Method
10.13288/j.11-2166/r.2024.23.009
- VernacularTitle:基于优劣解距离算法联合熵值法的针刺治疗前列腺癌术后尿失禁的循证决策研究
- Author:
Zhiwei DONG
1
;
Junlan WANG
2
;
Tao XIE
1
;
Yanying YE
1
;
Ting LI
1
;
Cong YU
3
;
Ning TIAN
1
Author Information
1. Guangdong Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Guangzhou University of Chinese Medicine，Foshan，528200
2. The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine
3. School of Acupuncture，Moxibustion and Tuina，Jiangxi University of Traditional Chinese Medicine
- Publication Type:Journal Article
- Keywords:
prostate cancer;
post-prostatectomy urinary incontinence;
acupuncture therapy;
entropy method;
technique for order preference by similarity to ideal solution;
optimized protocol;
evidence-based evaluation
- From:
Journal of Traditional Chinese Medicine
2024;65(23):2434-2441
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo screen optimized protocol of acupuncture for post-prostatectomy urinary incontinence （PPUI） patients， and to provide evidence for clinical practice. MethodsMEDLINE， Embase， Cochrane Library， Web of Science， Chinese Biomedical Literature Database， China National Knowledge Infrastructure， WanFang and VIP databases were searched to collect randomized controlled trials of acupuncture for PPUI. The search was conducted from the establishment of the database to February 1， 2024， and the quality of the literature was evaluated to exclude the studies with a high risk of overall bias or modified Jadad ＜3， and constructed acupuncture protocol and performed meta-analysis. We used International Consultation on Urinary Incontinence Short Form （ICI-Q-SF） scores， quality of life scores， overall effective rate， and modified Jadad scores as beneficial indicators， and the number of acupoints selected， stimulation duration， the number of acupuncture， and the duration of the treatment course as costly indicators， to derive the standardized protocol matrix， and used the entropy method to determine the weights of the different decision-making indicators， and finally combined with the Technique for Order Preference by Similarity to Ideal Solution （TOPSIS） for comprehensive evaluation. ResultsNine studies met the criteria， and the acupuncture treatments involved were constructed as six protocols including electrical acupoint stimulation with low-frequency， electroacupuncture at four acupoints of sacral region， replenishing qi and tonifying kidney acupuncture， body acupuncture plus pelvic floor muscle training， auricular acupuncture， and electroacupuncture plus pelvic floor muscle training. The ICI-Q-SF， number of acupuncture sessions， and total effectiveness rate were given higher weights in the decision-making indexes， while the stimulation duration and the duration of treatment course were given lower weights； the entropy method of TOPSIS was used for the evaluation and proved that the best protocol was the electroacupuncture at four acupoints of sacral region which used continuous-wave electroacupuncture with a frequency of 2 Hz for 60 min each time， and required the needle sensation to radiate to the root of the penis， with the advantages of streamlined selection of acupoints， a significant reduction in ICI-Q-SF， and an increase in the effectiveness rate. ConclusionThe final optimized protocol was electroacupuncture at four acupoints of sacral region， which can provide an evidence-based basis for clinical decision-making and guideline development.
