Reliability of the Evidence to Guide Decision-Making in Acupuncture for Functional Dyspepsia

Background and AimsThere has been a significant increase in the number of systematic reviews (SRs)/meta-analyses (MAs) investigating the effects of acupuncture for functional dyspepsia (FD). To systematically collate, appraise, and synthesize the current evidence, we carried out an umbrella review o...

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Main Authors: Jinke Huang, Jiali Liu, Zhihong Liu, Jing Ma, Jinxin Ma, Mi Lv, Fengyun Wang, Xudong Tang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.842096/full
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author Jinke Huang
Jiali Liu
Zhihong Liu
Jing Ma
Jinxin Ma
Mi Lv
Fengyun Wang
Xudong Tang
author_facet Jinke Huang
Jiali Liu
Zhihong Liu
Jing Ma
Jinxin Ma
Mi Lv
Fengyun Wang
Xudong Tang
author_sort Jinke Huang
collection DOAJ
description Background and AimsThere has been a significant increase in the number of systematic reviews (SRs)/meta-analyses (MAs) investigating the effects of acupuncture for functional dyspepsia (FD). To systematically collate, appraise, and synthesize the current evidence, we carried out an umbrella review of SRs/MAs.MethodsSystemic reviews/meta-analyses on acupuncture for FD were collected by searching major medical databases. The included studies were evaluated in terms of methodological quality, reporting quality, and evidence quality using the criteria from the Assessment of Multiple Systematic Reviews 2 (AMSTAR-2) tool, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, and the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) system, respectively.ResultsTen SRs/MAs were analyzed for this study. The methodological quality, reporting quality, and evidence quality of the included SRs/MAs were generally unsatisfactory. Lack of protocol registration, no list of excluded trials, or lack of a comprehensive search strategy were the main limitations. No high-quality evidence was found to support the effects of acupuncture for FD; the qualitative data synthesis relied on low quality trials with small sample sizes and was the main factor for evidence degradation.ConclusionsAcupuncture seems to have a promising efficacy in the treatment of FD. It provides a new and prospective therapeutic method for FD. Although the quality of the included SRs/MAs was generally low and defects were frequent, this umbrella review highlights areas where improvement in methodology is required.
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spelling doaj.art-65236e870e814be982a47ec5b63252642022-12-21T23:55:56ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-04-011010.3389/fpubh.2022.842096842096Reliability of the Evidence to Guide Decision-Making in Acupuncture for Functional DyspepsiaJinke Huang0Jiali Liu1Zhihong Liu2Jing Ma3Jinxin Ma4Mi Lv5Fengyun Wang6Xudong Tang7Department of Gastroenterology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaDepartment of Gastroenterology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaDepartment of Gastroenterology, Peking University Traditional Chinese Medicine Clinical Medical School (Xiyuan), Beijing, ChinaDepartment of Gastroenterology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaDepartment of Gastroenterology, Peking University Traditional Chinese Medicine Clinical Medical School (Xiyuan), Beijing, ChinaDepartment of Gastroenterology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaDepartment of Gastroenterology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaChina Academy of Chinese Medical Sciences, Beijing, ChinaBackground and AimsThere has been a significant increase in the number of systematic reviews (SRs)/meta-analyses (MAs) investigating the effects of acupuncture for functional dyspepsia (FD). To systematically collate, appraise, and synthesize the current evidence, we carried out an umbrella review of SRs/MAs.MethodsSystemic reviews/meta-analyses on acupuncture for FD were collected by searching major medical databases. The included studies were evaluated in terms of methodological quality, reporting quality, and evidence quality using the criteria from the Assessment of Multiple Systematic Reviews 2 (AMSTAR-2) tool, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, and the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) system, respectively.ResultsTen SRs/MAs were analyzed for this study. The methodological quality, reporting quality, and evidence quality of the included SRs/MAs were generally unsatisfactory. Lack of protocol registration, no list of excluded trials, or lack of a comprehensive search strategy were the main limitations. No high-quality evidence was found to support the effects of acupuncture for FD; the qualitative data synthesis relied on low quality trials with small sample sizes and was the main factor for evidence degradation.ConclusionsAcupuncture seems to have a promising efficacy in the treatment of FD. It provides a new and prospective therapeutic method for FD. Although the quality of the included SRs/MAs was generally low and defects were frequent, this umbrella review highlights areas where improvement in methodology is required.https://www.frontiersin.org/articles/10.3389/fpubh.2022.842096/fullreliabilityevidencedecision-makingacupuncturefunctional dyspepsia
spellingShingle Jinke Huang
Jiali Liu
Zhihong Liu
Jing Ma
Jinxin Ma
Mi Lv
Fengyun Wang
Xudong Tang
Reliability of the Evidence to Guide Decision-Making in Acupuncture for Functional Dyspepsia
Frontiers in Public Health
reliability
evidence
decision-making
acupuncture
functional dyspepsia
title Reliability of the Evidence to Guide Decision-Making in Acupuncture for Functional Dyspepsia
title_full Reliability of the Evidence to Guide Decision-Making in Acupuncture for Functional Dyspepsia
title_fullStr Reliability of the Evidence to Guide Decision-Making in Acupuncture for Functional Dyspepsia
title_full_unstemmed Reliability of the Evidence to Guide Decision-Making in Acupuncture for Functional Dyspepsia
title_short Reliability of the Evidence to Guide Decision-Making in Acupuncture for Functional Dyspepsia
title_sort reliability of the evidence to guide decision making in acupuncture for functional dyspepsia
topic reliability
evidence
decision-making
acupuncture
functional dyspepsia
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.842096/full
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