METHODS: We systematically searched PubMed from inception to August 16, 2022 for overviews on acupuncture therapies. Reporting quality of included overviews was evaluated using the PRIOR statement, and the results were cross-checked. Multiple linear regression analysis was used to assess the predictors of the reporting completeness. GraphPad 9.4 was utilized to generate an evidence map, Excel 2019 was used to extract and manage data, and R 4.2.3 was used for data analysis.
RESULTS: A total of 49 overviews published from 2006 to 2022 were included, of which China ranked first with 38 overviews. The most frequently searched database was PubMed/ Medline (n = 48, 98%), and commonly used methodological quality assessment tool was AMSTAR-2 (n = 14, 29%). The overarching themes centered on acupuncture for obstetrics, gynecology, reproductive diseases, as well as depression, anxiety, and insomnia. Reporting quality needs to be improved involving the definition of systematic reviews (SRs), overlap of primary studies and SRs, methods for managing discrepant data across SRs, risk of bias in primary studies, heterogeneity, and sensitivity analysis of synthesized results, reporting bias assessment, and registration and protocol. Moreover, publication in recent years and receiving funding support were significantly associated with higher overall reporting quality score (P < 0.05).
CONCLUSIONS: Based on the PRIOR statement, this methodological study indicates that the reporting quality of the included acupuncture overviews is poor. In the future, authors of overviews are encouraged to use the PRIOR statement for standardized reporting. Furthermore, it is recommended that journal editors mandate the inclusion of this statement in authors\' reports and require a complete PRIOR checklist.
方法:我们系统地搜索了PubMed从成立到2022年8月16日的针灸治疗概述。纳入概述的报告质量使用之前的声明进行了评估,结果进行了交叉检查。多元线性回归分析用于评估报告完整性的预测因素。GraphPad9.4被用来生成证据图,Excel2019用于提取和管理数据,使用R4.2.3进行数据分析。
结果:共包括2006年至2022年发布的49个概述,其中中国以38条概览排名第一。搜索频率最高的数据库是PubMed/Medline(n=48,98%),常用的方法学质量评估工具是AMSTAR2(n=14,29%)。首要主题集中在产科针灸,妇科,生殖疾病,除了抑郁症,焦虑,和失眠。需要提高报告质量,包括系统评价(SRs)的定义,主要研究和SR的重叠,用于管理跨SR的差异数据的方法,初级研究中的偏倚风险,异质性,和综合结果的敏感性分析,报告偏见评估,以及注册和协议。此外,近年来的发表和接受基金支持与较高的总体报告质量评分显著相关(P<0.05).
结论:根据之前的声明,这项方法学研究表明,纳入针灸概述的报告质量较差。在未来,鼓励概述的作者使用之前的声明进行标准化报告。此外,建议期刊编辑强制将此声明包含在作者\'报告中,并要求完整的先前清单。