Evidence gap between the systematic reviews and clinical concerns in acupuncture and moxibustion for frozen shoulder.
10.13703/j.0255-2930.20250318-k0003
- Author:
Zhen LUO
1
;
Weijuan GANG
1
;
Xiaoyi HU
1
;
Huan CHEN
1
;
Lu WANG
1
;
Wencui XIU
1
;
Tianyu MING
1
;
Xianghong JING
1
Author Information
1. Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.
- Publication Type:Journal Article
- Keywords:
acupuncture and moxibustion;
clinical concerns;
evidence gap;
frozen shoulder
- MeSH:
Humans;
Acupuncture Therapy;
Bursitis/therapy*;
Evidence Gaps;
Moxibustion;
Systematic Reviews as Topic;
Meta-Analysis as Topic
- From:
Chinese Acupuncture & Moxibustion
2025;45(11):1673-1680
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To reveal the gap between the evidence of systematic reviews (SRs) and clinical concerns by systematically summarizing the evidence on acupuncture and moxibustion for frozen shoulder and investigating the concerns and needs of clinicians in treatment with acupuncture and moxibustion for this disease.
METHODS:The articles of SR and Meta-analysis on acupuncture and moxibustion for frozen shoulder were searched from CNKI, Wanfang, VIP, SinoMed, PubMed, EMbase and Cochrane Library, starting from the inception of each database up to December 31st, 2022. Two researchers screened the articles and extracted data independently. Using AMSTAR-2, the methodological quality of the included studies was evaluated. Based on systematic reviews and expert discussion, a questionnaire on clinical concerns of acupuncture and moxibustion for frozen shoulder was developed and distributed to clinicians. The discrepancies between the evidence and clinical concerns were compared from 5 dimensions, including population, interventions, control measures, outcome indicators and review time points.
RESULTS:The evidence gaps existed between SRs and clinical concerns. In the existing studies, the needs of personalized treatment were not fully considered in terms of different syndromes/patterns of frozen shoulder and stages of illness, the outcome indicators were not employed properly, the time for outcome measurement was vague, the control groups were set up outside of standardization, and the methodological quality was lower.
CONCLUSION:It is suggested that future studies should improve the quality of methodology, lay more consideration to different patient groups, optimize outcome indicators and standardize the setting of control groups, so as to better meet the needs of patients and achieve the best match between evidence and clinicians' needs.
