Efficacy Comparison of Different Acupuncture Treatments for Hot Flashes: A Systematic Review with Network Meta-Analysis
The objective of this study was to conduct a systematic review and network meta-analysis to evaluate and compare the effectiveness of various types of acupuncture for menopausal hot flashes (HF). Randomized controlled trials (RCTs) were retrieved from 8 electronic databases, and the risk of bias was...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MEDrang Inc.
2021-05-01
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| Series: | Journal of Acupuncture Research |
| Subjects: | |
| Online Access: | http://www.e-jar.org/upload/pdf/jar-2020-00010.pdf |
| _version_ | 1827280700426944512 |
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| author | Hyo Rim Jo Seong Kyeong Choi Won Suk Sung Eun Jung Kim Su Ji Choi Dong Il Kim Eun Ji Noh |
| author_facet | Hyo Rim Jo Seong Kyeong Choi Won Suk Sung Eun Jung Kim Su Ji Choi Dong Il Kim Eun Ji Noh |
| author_sort | Hyo Rim Jo |
| collection | DOAJ |
| description | The objective of this study was to conduct a systematic review and network meta-analysis to evaluate and compare the effectiveness of various types of acupuncture for menopausal hot flashes (HF). Randomized controlled trials (RCTs) were retrieved from 8 electronic databases, and the risk of bias was evaluated for the included studies. Pairwise meta-analysis and network meta-analysis were performed using Review Manager and R software for indirect comparison and ranking, respectively. In total, 23 RCTs (2,302 patients) were eligible for systematic review, of which 10 were included in network meta-analysis. Network meta-analysis showed manual acupuncture (MA) had the highest probability of reducing HF frequency and severity, followed by sham acupuncture (SA), electroacupuncture, usual care, or no treatment; furthermore, warm acupuncture significantly improved menopause-specific quality of life compared with MA or electroacupuncture. Compared with hormone replacement therapy, acupuncture had less efficacy in reducing HF frequency but enhanced menopause-specific quality of life. There was no significant difference between MA and SA in mitigating HF. The existing evidence showed that MA could be used for alleviating menopausal HF. However, it is recommended that more high-quality RCTs should be performed. |
| first_indexed | 2024-04-24T08:45:23Z |
| format | Article |
| id | doaj.art-78c3890eec5d4187891370fef40e29e1 |
| institution | Directory Open Access Journal |
| issn | 2586-288X 2586-2898 |
| language | English |
| last_indexed | 2024-04-24T08:45:23Z |
| publishDate | 2021-05-01 |
| publisher | MEDrang Inc. |
| record_format | Article |
| series | Journal of Acupuncture Research |
| spelling | doaj.art-78c3890eec5d4187891370fef40e29e12024-04-16T13:39:09ZengMEDrang Inc.Journal of Acupuncture Research2586-288X2586-28982021-05-0138211012110.13045/jar.2020.000102525Efficacy Comparison of Different Acupuncture Treatments for Hot Flashes: A Systematic Review with Network Meta-AnalysisHyo Rim Jo0Seong Kyeong Choi1Won Suk Sung2Eun Jung Kim3Su Ji Choi4Dong Il Kim5Eun Ji Noh6 Department of Acupuncture and Moxibustion, Dongguk University Bundang Oriental Hospital, Seongnam, Korea Department of Acupuncture and Moxibustion, Dongguk University Bundang Oriental Hospital, Seongnam, Korea Department of Acupuncture and Moxibustion, Dongguk University Bundang Oriental Hospital, Seongnam, Korea Department of Acupuncture and Moxibustion, Dongguk University Bundang Oriental Hospital, Seongnam, Korea Department of Obstetrics and Gynecology, Dongguk University Ilsan Oriental Hospital, Goyang, Korea Department of Obstetrics and Gynecology, Dongguk University Ilsan Oriental Hospital, Goyang, Korea Department of Obstetrics and Gynecology, Dongguk University Ilsan Oriental Hospital, Goyang, KoreaThe objective of this study was to conduct a systematic review and network meta-analysis to evaluate and compare the effectiveness of various types of acupuncture for menopausal hot flashes (HF). Randomized controlled trials (RCTs) were retrieved from 8 electronic databases, and the risk of bias was evaluated for the included studies. Pairwise meta-analysis and network meta-analysis were performed using Review Manager and R software for indirect comparison and ranking, respectively. In total, 23 RCTs (2,302 patients) were eligible for systematic review, of which 10 were included in network meta-analysis. Network meta-analysis showed manual acupuncture (MA) had the highest probability of reducing HF frequency and severity, followed by sham acupuncture (SA), electroacupuncture, usual care, or no treatment; furthermore, warm acupuncture significantly improved menopause-specific quality of life compared with MA or electroacupuncture. Compared with hormone replacement therapy, acupuncture had less efficacy in reducing HF frequency but enhanced menopause-specific quality of life. There was no significant difference between MA and SA in mitigating HF. The existing evidence showed that MA could be used for alleviating menopausal HF. However, it is recommended that more high-quality RCTs should be performed.http://www.e-jar.org/upload/pdf/jar-2020-00010.pdfacupuncturehot flasheshot flushesmenopausesystematic reviewnetwork meta-analysis |
| spellingShingle | Hyo Rim Jo Seong Kyeong Choi Won Suk Sung Eun Jung Kim Su Ji Choi Dong Il Kim Eun Ji Noh Efficacy Comparison of Different Acupuncture Treatments for Hot Flashes: A Systematic Review with Network Meta-Analysis Journal of Acupuncture Research acupuncture hot flashes hot flushes menopause systematic review network meta-analysis |
| title | Efficacy Comparison of Different Acupuncture Treatments for Hot Flashes: A Systematic Review with Network Meta-Analysis |
| title_full | Efficacy Comparison of Different Acupuncture Treatments for Hot Flashes: A Systematic Review with Network Meta-Analysis |
| title_fullStr | Efficacy Comparison of Different Acupuncture Treatments for Hot Flashes: A Systematic Review with Network Meta-Analysis |
| title_full_unstemmed | Efficacy Comparison of Different Acupuncture Treatments for Hot Flashes: A Systematic Review with Network Meta-Analysis |
| title_short | Efficacy Comparison of Different Acupuncture Treatments for Hot Flashes: A Systematic Review with Network Meta-Analysis |
| title_sort | efficacy comparison of different acupuncture treatments for hot flashes a systematic review with network meta analysis |
| topic | acupuncture hot flashes hot flushes menopause systematic review network meta-analysis |
| url | http://www.e-jar.org/upload/pdf/jar-2020-00010.pdf |
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