Warm needle acupuncture for osteoarthritis: An overview of systematic reviews and meta-analysis

BackgroundOsteoarthritis (OA) is a chronic disease that is a major cause of pain and functional disability. Warm needle acupuncture (WA) therapy has been widely used to treat OA. This overview summarizes the evidence from systematic reviews (SRs) and assesses the methodological quality of previous S...

Full description

Bibliographic Details
Main Authors: Ji Hee Jun, Tae-Young Choi, Sunju Park, Myeong Soo Lee
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.971147/full
_version_ 1797871444359643136
author Ji Hee Jun
Tae-Young Choi
Sunju Park
Myeong Soo Lee
author_facet Ji Hee Jun
Tae-Young Choi
Sunju Park
Myeong Soo Lee
author_sort Ji Hee Jun
collection DOAJ
description BackgroundOsteoarthritis (OA) is a chronic disease that is a major cause of pain and functional disability. Warm needle acupuncture (WA) therapy has been widely used to treat OA. This overview summarizes the evidence from systematic reviews (SRs) and assesses the methodological quality of previous SRs that evaluated the use of WA therapy for OA.MethodsWe searched electronic databases to identify SRs that evaluated the efficacy of WA therapy for OA. Two reviewers independently extracted data and assessed the methodological quality of the reviews according to the A Measurement Tool to Assess Systematic Reviews (AMSTAR 2) tool. The reporting quality was assessed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis 2020 (PRISMA 2020) guidelines. The quality of evidence was assessed according to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach.ResultsFifteen SRs were included in this study. WA therapy was more effective than control conditions for the treatment of OA. The results of the AMSTAR 2 tool showed that the methodological quality of all included studies was critically low. The items with the lowest scores were item 2 (reporting the protocol), item 7 (listing excluded studies and justifying the exclusions), and item 16 (including conflicts of interest). Regarding the PRISMA guidelines, 2 SRs exhibited greater than 85% compliance. The overall quality of evidence in the included SRs ranged from “very low” to “moderate.”ConclusionThis overview shows that WA therapy was more effective than the control treatment for OA. However, the methodological quality of the reviews was low, indicating the need for improvements in the collection of evidence. Future studies are needed to collect high-quality evidence regarding the use of WA for OA.Systematic review registrationhttps://www.researchregistry.com/, Research Registry (reviewregistry1317).
first_indexed 2024-04-10T00:43:06Z
format Article
id doaj.art-981fdb881f30437ea132b726bd974a87
institution Directory Open Access Journal
issn 2296-858X
language English
last_indexed 2024-04-10T00:43:06Z
publishDate 2023-03-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj.art-981fdb881f30437ea132b726bd974a872023-03-14T05:09:45ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-03-011010.3389/fmed.2023.971147971147Warm needle acupuncture for osteoarthritis: An overview of systematic reviews and meta-analysisJi Hee Jun0Tae-Young Choi1Sunju Park2Myeong Soo Lee3KM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, Republic of KoreaKM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, Republic of KoreaDepartment of Preventive Medicine, College of Korean Medicine, Daejeon University, Daejeon, Republic of KoreaKM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, Republic of KoreaBackgroundOsteoarthritis (OA) is a chronic disease that is a major cause of pain and functional disability. Warm needle acupuncture (WA) therapy has been widely used to treat OA. This overview summarizes the evidence from systematic reviews (SRs) and assesses the methodological quality of previous SRs that evaluated the use of WA therapy for OA.MethodsWe searched electronic databases to identify SRs that evaluated the efficacy of WA therapy for OA. Two reviewers independently extracted data and assessed the methodological quality of the reviews according to the A Measurement Tool to Assess Systematic Reviews (AMSTAR 2) tool. The reporting quality was assessed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis 2020 (PRISMA 2020) guidelines. The quality of evidence was assessed according to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach.ResultsFifteen SRs were included in this study. WA therapy was more effective than control conditions for the treatment of OA. The results of the AMSTAR 2 tool showed that the methodological quality of all included studies was critically low. The items with the lowest scores were item 2 (reporting the protocol), item 7 (listing excluded studies and justifying the exclusions), and item 16 (including conflicts of interest). Regarding the PRISMA guidelines, 2 SRs exhibited greater than 85% compliance. The overall quality of evidence in the included SRs ranged from “very low” to “moderate.”ConclusionThis overview shows that WA therapy was more effective than the control treatment for OA. However, the methodological quality of the reviews was low, indicating the need for improvements in the collection of evidence. Future studies are needed to collect high-quality evidence regarding the use of WA for OA.Systematic review registrationhttps://www.researchregistry.com/, Research Registry (reviewregistry1317).https://www.frontiersin.org/articles/10.3389/fmed.2023.971147/fullacupuncturemoxibustionwarm needle acupunctureosteoarthritisoverviewsystematic review
spellingShingle Ji Hee Jun
Tae-Young Choi
Sunju Park
Myeong Soo Lee
Warm needle acupuncture for osteoarthritis: An overview of systematic reviews and meta-analysis
Frontiers in Medicine
acupuncture
moxibustion
warm needle acupuncture
osteoarthritis
overview
systematic review
title Warm needle acupuncture for osteoarthritis: An overview of systematic reviews and meta-analysis
title_full Warm needle acupuncture for osteoarthritis: An overview of systematic reviews and meta-analysis
title_fullStr Warm needle acupuncture for osteoarthritis: An overview of systematic reviews and meta-analysis
title_full_unstemmed Warm needle acupuncture for osteoarthritis: An overview of systematic reviews and meta-analysis
title_short Warm needle acupuncture for osteoarthritis: An overview of systematic reviews and meta-analysis
title_sort warm needle acupuncture for osteoarthritis an overview of systematic reviews and meta analysis
topic acupuncture
moxibustion
warm needle acupuncture
osteoarthritis
overview
systematic review
url https://www.frontiersin.org/articles/10.3389/fmed.2023.971147/full
work_keys_str_mv AT jiheejun warmneedleacupunctureforosteoarthritisanoverviewofsystematicreviewsandmetaanalysis
AT taeyoungchoi warmneedleacupunctureforosteoarthritisanoverviewofsystematicreviewsandmetaanalysis
AT sunjupark warmneedleacupunctureforosteoarthritisanoverviewofsystematicreviewsandmetaanalysis
AT myeongsoolee warmneedleacupunctureforosteoarthritisanoverviewofsystematicreviewsandmetaanalysis