Standardizing and optimizing acupuncture treatment for irritable bowel syndrome: A Delphi expert consensus study
Background: Acupuncture has been widely utilized for irritable bowel syndrome (IBS). However, heterogeneity is large among therapeutic strategies and protocols. The aim of this study was to propose some down-to-earth recommendations and establish an optimized protocol for acupuncture practice in IBS...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | Integrative Medicine Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213422021000159 |
| _version_ | 1818692536760270848 |
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| author | Xin-Tong Su Li-Qiong Wang Na Zhang Jin-Ling Li Ling-Yu Qi Yu Wang Jing-Wen Yang Guang-Xia Shi Cun-Zhi Liu |
| author_facet | Xin-Tong Su Li-Qiong Wang Na Zhang Jin-Ling Li Ling-Yu Qi Yu Wang Jing-Wen Yang Guang-Xia Shi Cun-Zhi Liu |
| author_sort | Xin-Tong Su |
| collection | DOAJ |
| description | Background: Acupuncture has been widely utilized for irritable bowel syndrome (IBS). However, heterogeneity is large among therapeutic strategies and protocols. The aim of this study was to propose some down-to-earth recommendations and establish an optimized protocol for acupuncture practice in IBS. Methods: A panel of 74 traditional Chinese medicine (TCM) acupuncturists participated in clinical issue investigation. Subsequently, systematic reviews concerning acupuncture for IBS were screened within 3 databases. An initial consensus questionnaire was formed from the results of clinical issue investigation and literature review. Ultimately, a Delphi vote was carried out to determine these issues. 30 authoritative experts with extensive experience were requested to respond with agreement, neutrality, or disagreement for the items. Consensus achievement on a given item was defined as greater than 80% agreement. Results: Following a 2-round Delphi survey, there were 19 items reaching consensus; of which 5 items (26.32%) achieved thorough consensus, and significant agreement was reached for the other 14 items. These items can be classified into the 3 major domains: 1) clinical outcomes that acupuncture can bring for favorable intervention population (5 items), 2) suitable therapeutic principles and parameters of acupuncture (13 items), 3) possible adverse events in the treatment (1 item). Conclusion: Without any ready-made guidelines and lacking of homogeneity in the published literatures, such expert consensus could be valuable for TCM acupuncturists in daily practice and patients with IBS to obtain appropriate and standardized acupuncture treatment. In addition, it also points out the clinical focus which need to be further explored in future trials. |
| first_indexed | 2024-12-17T12:59:21Z |
| format | Article |
| id | doaj.art-b42a23be3ef94eebab4a7a69d4347820 |
| institution | Directory Open Access Journal |
| issn | 2213-4220 |
| language | English |
| last_indexed | 2024-12-17T12:59:21Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Integrative Medicine Research |
| spelling | doaj.art-b42a23be3ef94eebab4a7a69d43478202022-12-21T21:47:24ZengElsevierIntegrative Medicine Research2213-42202021-09-01103100728Standardizing and optimizing acupuncture treatment for irritable bowel syndrome: A Delphi expert consensus studyXin-Tong Su0Li-Qiong Wang1Na Zhang2Jin-Ling Li3Ling-Yu Qi4Yu Wang5Jing-Wen Yang6Guang-Xia Shi7Cun-Zhi Liu8International Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, ChinaInternational Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, ChinaSchool of Acupuncture, Moxibustion and Tuina, Shandong University of Traditional Chinese Medicine, Jinan, ChinaInternational Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, ChinaInternational Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, ChinaInternational Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, ChinaInternational Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, ChinaInternational Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, ChinaInternational Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China; Corresponding author at: International Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, No. 11, Bei San Huan Dong Lu, Chaoyang District, Beijing 100029, P. R. China.Background: Acupuncture has been widely utilized for irritable bowel syndrome (IBS). However, heterogeneity is large among therapeutic strategies and protocols. The aim of this study was to propose some down-to-earth recommendations and establish an optimized protocol for acupuncture practice in IBS. Methods: A panel of 74 traditional Chinese medicine (TCM) acupuncturists participated in clinical issue investigation. Subsequently, systematic reviews concerning acupuncture for IBS were screened within 3 databases. An initial consensus questionnaire was formed from the results of clinical issue investigation and literature review. Ultimately, a Delphi vote was carried out to determine these issues. 30 authoritative experts with extensive experience were requested to respond with agreement, neutrality, or disagreement for the items. Consensus achievement on a given item was defined as greater than 80% agreement. Results: Following a 2-round Delphi survey, there were 19 items reaching consensus; of which 5 items (26.32%) achieved thorough consensus, and significant agreement was reached for the other 14 items. These items can be classified into the 3 major domains: 1) clinical outcomes that acupuncture can bring for favorable intervention population (5 items), 2) suitable therapeutic principles and parameters of acupuncture (13 items), 3) possible adverse events in the treatment (1 item). Conclusion: Without any ready-made guidelines and lacking of homogeneity in the published literatures, such expert consensus could be valuable for TCM acupuncturists in daily practice and patients with IBS to obtain appropriate and standardized acupuncture treatment. In addition, it also points out the clinical focus which need to be further explored in future trials.http://www.sciencedirect.com/science/article/pii/S2213422021000159AcupunctureAbdominal painDefecationExpert consensusFunctional gastrointestinal diseaseTraditional Chinese medicine |
| spellingShingle | Xin-Tong Su Li-Qiong Wang Na Zhang Jin-Ling Li Ling-Yu Qi Yu Wang Jing-Wen Yang Guang-Xia Shi Cun-Zhi Liu Standardizing and optimizing acupuncture treatment for irritable bowel syndrome: A Delphi expert consensus study Integrative Medicine Research Acupuncture Abdominal pain Defecation Expert consensus Functional gastrointestinal disease Traditional Chinese medicine |
| title | Standardizing and optimizing acupuncture treatment for irritable bowel syndrome: A Delphi expert consensus study |
| title_full | Standardizing and optimizing acupuncture treatment for irritable bowel syndrome: A Delphi expert consensus study |
| title_fullStr | Standardizing and optimizing acupuncture treatment for irritable bowel syndrome: A Delphi expert consensus study |
| title_full_unstemmed | Standardizing and optimizing acupuncture treatment for irritable bowel syndrome: A Delphi expert consensus study |
| title_short | Standardizing and optimizing acupuncture treatment for irritable bowel syndrome: A Delphi expert consensus study |
| title_sort | standardizing and optimizing acupuncture treatment for irritable bowel syndrome a delphi expert consensus study |
| topic | Acupuncture Abdominal pain Defecation Expert consensus Functional gastrointestinal disease Traditional Chinese medicine |
| url | http://www.sciencedirect.com/science/article/pii/S2213422021000159 |
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