Acupotomy in the treatment of tenosynovitis of hand flexor tendons: A systematic review and meta-analysis

Li, Dan; Wang, Xiaole; Fang, Ting; Chen, Ying; Xiang, Sheng; Qi, Junnan; Liang, Chengning; Ren, Changan; Zhao, Xiaolan; Qiu, Zikai; Liu, Fushui; Yan, Xiangqiao

doi:10.1097/md.0000000000031504

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…Several systematic reviews and meta-analyses have focused on trigger finger [4][5][6][7][8][9]. However, these reviews have certain limitations.…”

Section: Discussionmentioning

confidence: 99%

“…However, a comprehensive review of all acupuncture and related therapies is necessary to evaluate their efficacy in treating trigger finger. The currently available systematic reviews and meta-analysis literature [4][5][6][7][8][9] regarding the effective treatment for trigger finger cover only acupotomy as an intervention, and the other Korean medicine treatments have not been discussed. In addition, these reviews treat all interventions as a single category, and different interventions have not been differentially compared.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Acupuncture and Acupotomy for Trigger Finger: A Systematic Review and Meta-Analysis

Hong

Jeong

et al. 2023

J Acupunct Res

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Trigger finger is a common cause of hand disability that results in finger catching, clicking, or locking. Conventional treatment options such as medication, injection, and surgery have limitations. Studies have indicated that acupuncture and acupotomy can be effective in treating trigger finger. However, no review regarding these treatment modalities has been published yet. This review included randomized controlled trials published until January 2023, investigating acupuncture-related interventions. The primary outcomes of interest included the effectiveness rate (ER) and pain intensity, measured using a visual analog scale (VAS) and Numerical Rating Scale (NRS), and secondary outcomes were the Quinnell grade (QG) and recurrence rate (RR). Adverse events (AEs) have also been reported wherever available. Overall, 19 studies were included, and results demonstrated that arcedge acupuncture improved the ER and QG and reduced NRS, and acupuncture was effective in reducing VAS. Compared with conventional surgery, acupotomy alone improved the ER and QG and lowered VAS and RR, with relatively fewer AEs. Acupotomy add-on treatment was more effective than conventional treatment; however, careful interpretation is needed for VAS. Acupotomy add-on treatment was more effective than acupotomy alone. However, the overall results must be interpreted with caution because of study quality, small sample size, and heterogeneity of the results.

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“…Several systematic reviews and meta-analyses have focused on trigger finger [4][5][6][7][8][9]. However, these reviews have certain limitations.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effectiveness of Acupuncture and Acupotomy for Trigger Finger: A Systematic Review and Meta-Analysis

Hong

Jeong

et al. 2023

J Acupunct Res

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“…The exact number of KMDs utilizing acupotomy and their demographic information have not been accurately collected. Acupotomy, unlike acupuncture, has not yet become widely generalized in Korea, and it remains a relatively new technology that is actively researched [ 17 , 27 , 28 , 29 ]. Consequently, a limited number of practitioners still utilize acupotomy.…”

Section: Discussionmentioning

confidence: 99%

Acupotomy in Korean Medicine Doctors: A Preliminary Survey on Experiences, Perceptions, and Clinical Usage Status

Jun,

Yoon,

Ryu

et al. 2023

Healthcare

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Acupotomy is a widely used medical intervention in traditional East Asian medicine, and efforts are being made to improve its effectiveness and safety. As a first step toward establishing more standardized procedural guidelines, a survey was conducted to explore the current clinical practice status and perceived adverse events (AEs) by Korean Medicine (KM) practitioners. The survey was developed via expert consensus and included information on clinical usage, perception, and the AEs experienced. The largest acupotomy society in Korea, which consists of 185 KM doctors, participated in an online survey conducted in September 2021. Of the 185 KM doctors, 107 (57.8%) responded. Musculoskeletal and connective tissue diseases accounted for 80.8% of suggested indications by KM doctors. Regarding the detailed procedure, there were considerable discrepancies between KM doctors. The most frequent acupotomy-related AEs observed by KM practitioners were bruises (77.3%), fatigue (57.7%), pain (51.8%), and hematoma (51.8%). Only 1.8% of the respondents answered that they had experienced severe AEs. Survey respondents answered that the use of imaging devices during acupotomy and the development of clinical practice guidelines are the most necessary policy requirements for promoting the use and ensuring the safety of acupotomy. To the best of our knowledge, this study marks the initial exploration into the KM physicians’ clinical usage status, AEs experienced, and their requests for standardized guidelines and expanded health insurance coverage concerning acupotomy. Further research should include qualitative studies to assess patient experience and prospective observational studies to examine the effects of operator skills and treatment modalities on AEs and adherence.

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Has the design quality of randomized controlled trials of Acupotomy improved over the past 18 years? -- CONSORT statement-based literature study from 2006 to 2024

Li,

Zhou,

et al. 2024

Preprint

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Acupotomy, originally named ‘Nine Needles’ in Ling Shu, was invented as a new type of TCM instrument in 1976, an innovative combination of acupuncture and surgical treatment. Its forward development is related to the Clinical effectiveness and safety. RCTs are gold standards in clinical practice and were welcomed in Acupotomy recently. The CONSORT Statement is set to guide the designing, analysis and interpretation of trials. But there haven’t been many Acupotomy RCTs until now, with few on quality evaluation, therefore design quality of Acupotomy RCTs is still weakness. This study aims to assess design quality of acupotomy RCTs by CONSORT statement, to analyze the overall quality status and influencing factors. PubMed database was used to search keywords like ‘Acupotomy’ and ‘Randomized Controlled Trial’. All 48 Acupotomy RCTs published from January 2006 to January 2024 were included. The CONSORT(2010) was used for quality assessment. 48 studies were included for analysis, with 39 articles from Grade 3A hospitals and 9 from non-Grade 3A hospitals. Scores of RCTs ranged from 33 to 82, the mean score of 53.1 and median of 49. Grade 3A and non-Grade 3A hospitals differed significantly only in item 8, no studies reported item 18, and items 11, 14, and 23 had the highest frequency of reporting as failed. Based on 48 Acupotomy RCTs included, the publication time associated with the quality of reports. The number of authors and possession of funding were the most important factors affecting the total score. Number of beds, hospitals’ grade, sample sizes, and region GDP/PP did not relate to the total score. Among 25 items, Ancillary analyses, Blinding, Recruitment were the worst-performing items. Therefore, updating and standardizing the use of CONSORT can help to improve quality of RCTs, and cross-team communication and cooperation could promote the use of CONSORT.

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Acupotomy in the treatment of tenosynovitis of hand flexor tendons: A systematic review and meta-analysis

Cited by 4 publications

References 6 publications

Effectiveness of Acupuncture and Acupotomy for Trigger Finger: A Systematic Review and Meta-Analysis

Effectiveness of Acupuncture and Acupotomy for Trigger Finger: A Systematic Review and Meta-Analysis

Acupotomy in Korean Medicine Doctors: A Preliminary Survey on Experiences, Perceptions, and Clinical Usage Status

Has the design quality of randomized controlled trials of Acupotomy improved over the past 18 years? -- CONSORT statement-based literature study from 2006 to 2024

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