Complementary and Alternative Modalities (CAM) for pain management in musculoskeletal diseases (MSDs)

Bhoi, Debesh; Jain, Dhruv; Garg, Rakesh; Iyengar, Karthikeyan P; Hoda, Wasimul; Vaishya, Raju; Jain, Vijay Kumar

doi:10.1016/j.jcot.2021.04.021

Cited by 10 publications

(9 citation statements)

References 58 publications

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“…Anyway, although the title clearly indicates that what is being read is an SR protocol and meta-analysis [ 31 ], and that there is no evidence at this time, it is quoted as a published meta-analysis whose results are favorable to the effect of acupuncture on knee osteoarthritis: “A recent meta-analysis has reported the beneficial effect of acupuncture in the management of knee osteoarthritis” [ 32 ]. Even the protocol [ 33 ] quotation can be as inaccurate as providing quantitative results: “They found that eight weeks of EA increases CSBMs to 3 or more mean weekly CSBMs in the electro acupuncture group, 37.7% compared with 14.1% in the placebo group” [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Quotation Accuracy of Systematic Review and Meta-Analysis Protocols on Acupuncture

et al. 2021

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Currently, published systematic review protocols (SR protocols) have increasingly become a new trend in fields such as acupuncture and are therefore a new source of quotations in these fields. Systematic reviews are considered the pinnacle of the evidence pyramid as they embody comprehensive literature searching. Quotations are key elements to achieve this goal as they can support the assertions of the original authors, but the ‘misquotation’ exists, too, and they can be misleading to the reader. The aim of this study was to examine the quotation accuracy of SR protocols in a meta-analysis on acupuncture research. We searched SCOPUS through 31 December, 2020, and each protocol and its citations were analyzed and classified as correct or incorrect. We used descriptive statistics to report the quotation errors and characteristics of the included protocols. The results showed 248 SR protocols, where 124 protocols received quotations and 38 quotations (31.4%) were erroneous. Only 11 (4.4%) of the published SRs and SR protocols had been published previously. Furthermore, the scientific journal in which the most SR protocols were published was Medicine (193; 77.8%), followed by BMJ Open (39; 15.7%). Authors from China (86.5%) were the most productive in publishing SRs and SR protocols. Finally, we concluded that the number of SR protocols and meta-analyses published in scientific journals and indexed by databases exceeds the publication capacity of the SRs associated with them, generating scientific literature that does not make any novel contribution to knowledge.

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Section: Discussionmentioning

confidence: 99%

Quotation Accuracy of Systematic Review and Meta-Analysis Protocols on Acupuncture

et al. 2021

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“…Results are presented in rainforest plots [ 50 ] where uncertainty is visualized by the height of the raindrops for each individual estimate while the width of the raindrop corresponds to the estimated CI. All analyses were conducted in R version 4.1 [ 51 ] using the following packages: tidyverse [ 52 ], meta [ 53 ], dmetar [ 54 ] metafor [ 55 ] and metaviz [ 56 ].…”

Section: Methodsmentioning

confidence: 99%

Efficacy of Topical Essential Oils in Musculoskeletal Disorders: Systematic Review and Meta-Analysis of Randomized Controlled Trials

et al. 2023

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Essential oils (EOs) are widely used topically in musculoskeletal disorders (MSDs); however, their clinical efficacy is controversial. Our aim was to find evidence that topical EOs are beneficial as an add-on treatment in MSDs. We performed a systematic review and meta-analysis to summarize the evidence on the available data of randomized controlled trials (RCTs). The protocol of this work was registered on PROSPERO. We used Web of Science, EMBASE, PubMed, Central Cochrane Library and Scopus electronic databases for systematic search. Eight RCTs were included in the quantitative analysis. In conclusion, EO therapy had a favorable effect on pain intensity (primary outcome) compared to placebo. The greatest pain-relieving effect of EO therapy was calculated immediately after the intervention (MD of pain intensity = −0.87; p = 0.014). EO therapy had a slightly better analgesic effect than placebo one week after the intervention (MD of pain intensity = −0.58; p = 0.077) and at the four-week follow-up as well (MD of pain intensity = −0.52; p = 0.049). EO therapy had a beneficial effect on stiffness (a secondary outcome) compared to the no intervention group (MD = −0.77; p = 0.061). This systematic review and meta-analysis showed that topical EOs are beneficial as an add-on treatment in reducing pain and stiffness in the investigated MSDs.

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“…Second, the experienced bene ts of patients´ CT use may remain undiscussed in clinical encounters. These bene ts include experienced general helpfulness (30,31), management for pain (32,33) and perceived improvement of well-being and quality of life (34). Third, CT use is common all over the world (35)(36)(37)(38)(39), CT modalities are applied to a large extent for health promotion (40,41) and CT is used primarily to supplement conventional health care rather than replace it (36).…”

Section: Introductionmentioning

confidence: 99%

Varieties of silence – A mixed-methods study exploring reasons and justifications for nondisclosure of the use of complementary therapies to physicians

Aarva,

Väänänen,

Pyykkönen

et al. 2024

Preprint

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Background In health care, two in three users of complementary therapies (CT) stay silent about their CT use. Disclosure of CT use to physicians is important for patient safety, participation, and shared decision-making. Common reasons for CT nondisclosure include patients´ expectations of physicians' unaccepting response to disclosure, physicians not asking, and patients believing it is unnecessary. This study aimed to increase understanding of patient silence. We investigated how the reasons for nondisclosure of CT use reported by CT users were associated with the frequency of CT disclosure and how these associations and reported justifications to keep silent reflect patient silence among the study participants. Methods This mixed-methods study used existing data from the non-probability-based online survey (n = 6802) targeted to CT users among the general population in Finland. A qualitative structured tabular thematic analysis was conducted for the selected 342 brief texts describing the reasons and justification for not telling physicians about CT use. The associations between the frequency of CT disclosure and the reasons for CT nondisclosure were analysed by crosstabulations and binary logistic regression analysis with SPSS (v28). Results Three types of patient silence were revealed. Avoidant silence illustrates the respondents coping with the fear of unwanted response from a physician and avoiding the expected negative consequences of CT disclosure. Precautionary silence exemplifies respondents striving to prevent the reoccurrence of previously experienced frustration of wishes to be seen and heard as CT users. Conditional silence portrays the self-confidence of respondents who assessed their need to disclose CT use to physicians on a case-by-case basis. Conclusions Silence, for some patients, may serve as a way of warding off past and possible future fears and frustrations related to CT disclosure. It is important to recognise different types of patient silence related to CT disclosure to enhance patient participation and shared decision-making in health care. Efforts are needed to provide health policy decision-makers with information about CT users’ lived experiences with CT communication in health care.

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Complementary and Alternative Modalities (CAM) for pain management in musculoskeletal diseases (MSDs)

Cited by 10 publications

References 58 publications

Quotation Accuracy of Systematic Review and Meta-Analysis Protocols on Acupuncture

Quotation Accuracy of Systematic Review and Meta-Analysis Protocols on Acupuncture

Efficacy of Topical Essential Oils in Musculoskeletal Disorders: Systematic Review and Meta-Analysis of Randomized Controlled Trials

Varieties of silence – A mixed-methods study exploring reasons and justifications for nondisclosure of the use of complementary therapies to physicians

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