Extending the CONSORT Statement to moxibustion

Cheng, Chung Wah; Fu, Sun; Zhou, Qing-Hui; Wu, Taixiang; Shang, Hongcai; Tang, Xudong; Liu, Zhishun; Liu, Jia; Lin, Zhi‐Xiu; Lao, Lixing; Lü, Aiping; Zhang, Boli; Liu, Baoyan; Bian, Zhaoxiang

doi:10.3736/jintegrmed2013009

Cited by 79 publications

(71 citation statements)

References 33 publications

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“…When compared with acupuncture research, the quantity and quality of moxibustion therapy research is relatively low. The STandards for Reporting Interventions in Clinical Trials of Moxibustion (STRICTOM) was published in Chinese in 2013, 45 but has not been widely adopted and translated into English. A recent systematic review was published on TCM treatment of lower back pain.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness and safety of moxibustion treatment for non-specific lower back pain: protocol for a systematic review

et al. 2017

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IntroductionMany patients experience acute lower back pain that becomes chronic pain. The proportion of patients using complementary and alternative medicine to treat lower back is increasing. Even though several moxibustion clinical trials for lower back pain have been conducted, the effectiveness and safety of moxibustion intervention is controversial. The purpose of this study protocol for a systematic review is to evaluate the effectiveness and safety of moxibustion treatment for non-specific lower back pain patients.Methods and analysisWe will conduct an electronic search of several databases from their inception to May 2017, including Embase, PubMed, Cochrane Central Register of Controlled Trial, Allied and Complementary Medicine Database, Wanfang Database, Chongqing VIP Chinese Science and Technology Periodical Database, China National Knowledge Infrastructure Database, Korean Medical Database, Korean Studies Information Service System, National Discovery for Science Leaders, Oriental Medicine Advanced Searching Integrated System, the Korea Institute of Science and Technology, and KoreaMed. Randomised controlled trials investigating any type of moxibustion treatment will be included. The primary outcome will be pain intensity and functional status/disability due to lower back pain. The secondary outcome will be a global measurement of recovery or improvement, work-related outcomes, radiographic improvement of structure, quality of life, and adverse events (presence or absence). Risk ratio or mean differences with a 95% confidence interval will be used to show the effect of moxibustion therapy when it is possible to conduct a meta-analysis.Ethics and disseminationThis review will be published in a peer-reviewed journal and will be presented at an international academic conference for dissemination. Our results will provide current evidence of the effectiveness and safety of moxibustion treatment in non-specific lower back pain patients, and thus will be beneficial to patients, practitioners, and policymakers.Trial registration numberCRD42016047468 in PROSPERO 2016

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Section: Discussionmentioning

confidence: 99%

Effectiveness and safety of moxibustion treatment for non-specific lower back pain: protocol for a systematic review

et al. 2017

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“…The authors confirm that all ongoing and related trials for this intervention are registered. All methods were performed in accordance with CONSORT, STRICTA, and STRICTOM guidelines262728. Supporting checklists are available as supplementary materials.…”

Section: Methodsmentioning

confidence: 99%

Acupuncture and Moxibustion have Different Effects on Fatigue by Regulating the Autonomic Nervous System: A Pilot Controlled Clinical Trial

Shu

Wang

Litscher

et al. 2016

Sci Rep

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In order to investigate the different effects of acupuncture and moxibustion on chronic fatigue syndrome (CFS) and alterations in the autonomic nervous system by measuring heart rate variability (HRV). Forty-five participants were recruited and randomly divided into 3 groups using a randomization schedule. The control group (CG, n = 15) and the acupuncture group (AG, n = 15) were treated by manipulation acupuncture, and the moxibustion group (MG, n = 15) was treated by indirect moxibustion. Primary outcomes were the scores of the Fatigue Assessment Instrument (FAI). Secondary outcomes were the HRV parameters which can reflect activity of the autonomic nervous system. This trial considered both instantaneous changes and long-term effectiveness. FAI scores decreased after the 4th and 10th treatments in the 3 groups. The decrease in FAI in the MG was greater than that in the AG. Acupuncture was more effective in instantaneous changes of HRV and moxibustion in long-term aspects. Both acupuncture and moxibustion improved fatigue in CFS patients, but moxibustion was more effective. The possible mechanism of the intervention may be through activation of the vagus nerve. Moxibustion was more effective than acupuncture in long-term treatment of CFS.

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“…First of all, this systematic review had a high risk of bias, which seemed to result in the positive results we found. In the future, in order to avoid bias, we suggest that authors refer to the recent extension of the Consolidated Standards of Reporting Trials (CONSORT) statement for trials of moxibustion interventions [51,52]. In addition, the sample size of included studies was very small.…”

Section: Study Limitationsmentioning

confidence: 97%

Moxibustion for treating rheumatoid arthritis: A systematic review and meta-analysis of randomized controlled trials

Sun

et al. 2014

European Journal of Integrative Medicine

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Introduction: Moxibustion is widely used in China and other East Asian countries to manage the symptom of rheumatoid arthritis (RA) and to lessen the adverse effects of western medicine. The purpose of this systematic review was to evaluate the available evidence from randomized controlled trials (RCTs) of moxibustion for treating patients with rheumatoid arthritis (RA). Methods: Seven Chinese and English databases were searched to November 2013 from their inception. Eligible RCTs were included if moxibustion was used either alone or in combination with Western medicine for treating rheumatoid arthritis. Study selection, data extraction, and validation was performed independently by two reviewers. Cochrane criteria for risk of bias was used to assess the methodological quality of the trials. Results: Eight RCTs met the inclusion criteria, and most were of low methodological quality. Meta-analysis showed favorable effects of moxibustion on the response rate, either alone [RR = 1.18, 95%CI (1.03, 1.35), p = 0.02; heterogeneity: Chi 2 = 1.11, p = 0.77, I 2 = 0%] or the combination with Western medicine therapy [RR = 1.28, 95%CI (1.12, 1.47), p = 0.0004; heterogeneity: Chi 2 = 1.96, p = 0.58, I 2 = 0%]. When compared with Western medicine therapy, Western medicine plus moxibustion therapy showed a favorable statistically significant effect on a reduction on American College of Rheumatology (ACR) 50 [RR = 1.57, 95%CI (1.25, 1.99), p = 0.0001; heterogeneity: Chi 2 = 2.87, p = 0.58, I 2 = 0%], whereas it failed to do so on American College of Rheumatology (ACR) 20. Additionally, when compared with western medicine therapy alone, meta-analysis of three RCTs suggested favorable but no statistically significant effects of moxibustion plus western medicine on the control of disease activities of rheumatoid arthritis.Conclusions: It is difficult to draw firm conclusions on whether moxibustion is an effective intervention for treating RA due to the small sample size of eligible RCTs and the high risk of bias among the available RCTs. Further rigorous RCTs are warranted but need to overcome methodological shortcomings of the existing evidence.

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Extending the CONSORT Statement to moxibustion

Cited by 79 publications

References 33 publications

Effectiveness and safety of moxibustion treatment for non-specific lower back pain: protocol for a systematic review

Effectiveness and safety of moxibustion treatment for non-specific lower back pain: protocol for a systematic review

Acupuncture and Moxibustion have Different Effects on Fatigue by Regulating the Autonomic Nervous System: A Pilot Controlled Clinical Trial

Moxibustion for treating rheumatoid arthritis: A systematic review and meta-analysis of randomized controlled trials

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