An Overview of Systematic Reviews: Acupuncture in the Treatment of Essential Hypertension

Mi Zhou, Huaien Bu, Dongjun Wang, Mengyang Wang, Yuanyuan Guan, Xuan Sun, Zhikui Tian, Hongwu Wang School of Public Health, Tianjin University of Traditional Chinese Medicine, Tianjin, People’s Republic of ChinaCorrespondence: Hongwu Wang, Email tjwanghw55@163.comObjective: Acupuncture treatment is...

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Main Authors: Zhou M, Bu H, Wang D, Wang M, Guan Y, Sun X, Tian Z, Wang H
Format: Article
Language:English
Published: Dove Medical Press 2022-11-01
Series:International Journal of General Medicine
Subjects:
Online Access:https://www.dovepress.com/an-overview-of-systematic-reviews-acupuncture-in-the-treatment-of-esse-peer-reviewed-fulltext-article-IJGM
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author Zhou M
Bu H
Wang D
Wang M
Guan Y
Sun X
Tian Z
Wang H
author_facet Zhou M
Bu H
Wang D
Wang M
Guan Y
Sun X
Tian Z
Wang H
author_sort Zhou M
collection DOAJ
description Mi Zhou, Huaien Bu, Dongjun Wang, Mengyang Wang, Yuanyuan Guan, Xuan Sun, Zhikui Tian, Hongwu Wang School of Public Health, Tianjin University of Traditional Chinese Medicine, Tianjin, People’s Republic of ChinaCorrespondence: Hongwu Wang, Email tjwanghw55@163.comObjective: Acupuncture treatment is widely used for essential hypertension (EH), and numerous systematic reviews on acupuncture for EH have been published. This article provides an overview of the effectiveness and safety of acupuncture for EH and assesses the quality of reports, methodological bias, quality of evidence and risk of bias for inclusion in the evaluation.Methods: Two researchers independently computer searched Pubmed, EMbase, The Cochrane library, WOS, CBM, CNKI, Wangfang Data, VIP and other Chinese and English databases with a search time frame from the date of creation to 13th October 2022; and independently screened systematic reviews of acupuncture therapy for EH; and finally The Report Quality Assessment Tool (PRISMA 2020), Methodological Quality Assessment Tool (AMSTAR2), Grading of Evidence Assessment Tool (GRADE), and Bias Assessment Tool (ROBIS) were used independently to assess the bias of the included literature.Results: A total of 11 systematic reviews were included. The included studies mainly reported on outcome indicators such as efficiency rate, end SBP, end DBP, SBP change value, DBP change value, etc. Deficiencies in the quality of PRISMA 2020 reporting were mainly in the areas of independent screening by multiple researchers, use of GRADE for analysis, early registration, description of conflict of interest, and public access to information; the results of the AMSTAR 2 tool evaluation were mostly were very low, and of the 16 entries affecting the methodological quality of the systematic evaluation, entries 2/3/4/5/12/16 had the greatest methodological bias; GRADE assessed the quality of evidence for key outcome indicators, with a few being low and all others being very low; and ROBIS reported a high level of bias in the literature.Conclusion: Current acupuncture has some efficacy in the treatment of essential hypertension, but its quality of evidence is low. It is hoped that the quality of relevant literature reporting, methodological quality, quality of evidence, and bias will improve.Keywords: acupuncture, essential hypertension, systematic review, overview
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spelling doaj.art-57218cdf839e4caf87e33d9ade1dfbfa2022-12-22T03:36:33ZengDove Medical PressInternational Journal of General Medicine1178-70742022-11-01Volume 158093810979512An Overview of Systematic Reviews: Acupuncture in the Treatment of Essential HypertensionZhou MBu HWang DWang MGuan YSun XTian ZWang HMi Zhou, Huaien Bu, Dongjun Wang, Mengyang Wang, Yuanyuan Guan, Xuan Sun, Zhikui Tian, Hongwu Wang School of Public Health, Tianjin University of Traditional Chinese Medicine, Tianjin, People’s Republic of ChinaCorrespondence: Hongwu Wang, Email tjwanghw55@163.comObjective: Acupuncture treatment is widely used for essential hypertension (EH), and numerous systematic reviews on acupuncture for EH have been published. This article provides an overview of the effectiveness and safety of acupuncture for EH and assesses the quality of reports, methodological bias, quality of evidence and risk of bias for inclusion in the evaluation.Methods: Two researchers independently computer searched Pubmed, EMbase, The Cochrane library, WOS, CBM, CNKI, Wangfang Data, VIP and other Chinese and English databases with a search time frame from the date of creation to 13th October 2022; and independently screened systematic reviews of acupuncture therapy for EH; and finally The Report Quality Assessment Tool (PRISMA 2020), Methodological Quality Assessment Tool (AMSTAR2), Grading of Evidence Assessment Tool (GRADE), and Bias Assessment Tool (ROBIS) were used independently to assess the bias of the included literature.Results: A total of 11 systematic reviews were included. The included studies mainly reported on outcome indicators such as efficiency rate, end SBP, end DBP, SBP change value, DBP change value, etc. Deficiencies in the quality of PRISMA 2020 reporting were mainly in the areas of independent screening by multiple researchers, use of GRADE for analysis, early registration, description of conflict of interest, and public access to information; the results of the AMSTAR 2 tool evaluation were mostly were very low, and of the 16 entries affecting the methodological quality of the systematic evaluation, entries 2/3/4/5/12/16 had the greatest methodological bias; GRADE assessed the quality of evidence for key outcome indicators, with a few being low and all others being very low; and ROBIS reported a high level of bias in the literature.Conclusion: Current acupuncture has some efficacy in the treatment of essential hypertension, but its quality of evidence is low. It is hoped that the quality of relevant literature reporting, methodological quality, quality of evidence, and bias will improve.Keywords: acupuncture, essential hypertension, systematic review, overviewhttps://www.dovepress.com/an-overview-of-systematic-reviews-acupuncture-in-the-treatment-of-esse-peer-reviewed-fulltext-article-IJGMacupunctureessential hypertensionsystematic reviewoverview
spellingShingle Zhou M
Bu H
Wang D
Wang M
Guan Y
Sun X
Tian Z
Wang H
An Overview of Systematic Reviews: Acupuncture in the Treatment of Essential Hypertension
International Journal of General Medicine
acupuncture
essential hypertension
systematic review
overview
title An Overview of Systematic Reviews: Acupuncture in the Treatment of Essential Hypertension
title_full An Overview of Systematic Reviews: Acupuncture in the Treatment of Essential Hypertension
title_fullStr An Overview of Systematic Reviews: Acupuncture in the Treatment of Essential Hypertension
title_full_unstemmed An Overview of Systematic Reviews: Acupuncture in the Treatment of Essential Hypertension
title_short An Overview of Systematic Reviews: Acupuncture in the Treatment of Essential Hypertension
title_sort overview of systematic reviews acupuncture in the treatment of essential hypertension
topic acupuncture
essential hypertension
systematic review
overview
url https://www.dovepress.com/an-overview-of-systematic-reviews-acupuncture-in-the-treatment-of-esse-peer-reviewed-fulltext-article-IJGM
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