Role of Acupuncture in the Treatment of COPD: An Overview of Systematic Reviews

Liu, Chun; Li, Xuanlin; Feng, Zhenzhen; Xie, Yuansheng; Li, Jiansheng

doi:10.2147/ijgm.s300270

Cited by 7 publications

(5 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a previous overview 28 closely related to this topic, acupuncture was investigated as either a primary or adjuvant treatment for COPD, the findings were similar to ours. This earlier overview identified nine SRs on acupuncture and demonstrated the therapeutic effects of acupuncture on 6MWD, SGRQ, FEV1%, and FEV1/FVC.…”

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

Efficacy and Safety of Acupuncture in Managing COPD: An Overview of Systematic Reviews

Zeng,

Liu,

Chen

et al. 2024

COPD

View full text Add to dashboard Cite

Background Acupuncture has been used as an adjuvant therapy for Chronic obstructive pulmonary disease (COPD). However, systematic reviews (SRs) and meta-analyses (MAs) have reported inconsistent results and unknown quality. This overview aimed to summarize the current SRs/MAs to provide evidence for the effectiveness and safety of acupuncture in the treatment of COPD. Methods SRs/MAs were searched via eight databases from their establishment to December 31, 2023. The methodological quality was assessed by A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR 2). The risk of bias was assessed using the Risk of Bias in Systematic Review (ROBIS) tool. The Preferred Reporting Items for Systematic Reviews and Meta-analyses for Acupuncture (PRISMA-A) to evaluate the reporting quality. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) was used to determine the strength of evidence. In addition, we also conducted an analysis of the acupuncture points used in the primary RCTs. Results Twenty-two SRs/MAs were included in this overview. Based on the assessment using AMSTAR 2, nineteen SRs/MAs were “critically low”. Eight SRs/MAs had a low risk of bias. Based on PRISMA-A, the reporting completeness of eighteen SRs/MAs were more than 70%. As for GRADE assessment, only three outcome measures were of high quality. COPD patients can benefit from moxibustion, acupoint application, acupoint catgut embedding, manual acupuncture, and electroacupuncture, as indicated by effectiveness in measures including lung function, 6MWD, mMRC, CAT, and acute exacerbation. In addition, the efficacy of TENS needed to be further demonstrated. The commonly used acupuncture points in the RCTs include BL13, BL23, and EX-B1. Conclusion Evidence from SRs showed that acupuncture is beneficial to lung function, acute exacerbation, 6MWD, mMRC and CAT. For SGRQ and brog scale, acupuncture should be used selectively, but this finding should still be taken with caution.

show abstract

Section: Discussionsupporting

confidence: 89%

“…Recently, an overview was conducted to evaluate the role of acupuncture in the management of COPD. 28 However, the review did not include non-invasive acupuncture methods such as moxibustion and transcutaneous electrical acupoint stimulation.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Safety of Acupuncture in Managing COPD: An Overview of Systematic Reviews

Zeng,

Liu,

Chen

et al. 2024

COPD

View full text Add to dashboard Cite

show abstract

“… 25 The results of this review are consistent with those of reviews in other areas (eg depression), 26 where methodological quality and strength of evidence were low or very low. Furthermore, Chun 27 reached the same conclusion in their study on the methodological quality and strength of evidence of reviews on acupuncture for COPD. Medical research suggests that there may be substantial methodological problems with acupuncture in the treatment of disease.…”

Section: Discussionmentioning

confidence: 55%

An Overview of Systematic Reviews: Acupuncture in the Treatment of Essential Hypertension

Zhou¹,

Bu²,

Wang³

et al. 2022

IJGM

View full text Add to dashboard Cite

Acupuncture treatment is widely used for essential hypertension (EH), and numerous systematic reviews on acupuncture for EH have been published. This article provides an overview of the effectiveness and safety of acupuncture for EH and assesses the quality of reports, methodological bias, quality of evidence and risk of bias for inclusion in the evaluation. Methods: Two researchers independently computer searched Pubmed, EMbase, The Cochrane library, WOS, CBM, CNKI, Wangfang Data, VIP and other Chinese and English databases with a search time frame from the date of creation to 13th October 2022; and independently screened systematic reviews of acupuncture therapy for EH; and finally The Report Quality Assessment Tool (PRISMA 2020), Methodological Quality Assessment Tool (AMSTAR2), Grading of Evidence Assessment Tool (GRADE), and Bias Assessment Tool (ROBIS) were used independently to assess the bias of the included literature. Results: A total of 11 systematic reviews were included. The included studies mainly reported on outcome indicators such as efficiency rate, end SBP, end DBP, SBP change value, DBP change value, etc. Deficiencies in the quality of PRISMA 2020 reporting were mainly in the areas of independent screening by multiple researchers, use of GRADE for analysis, early registration, description of conflict of interest, and public access to information; the results of the AMSTAR 2 tool evaluation were mostly were very low, and of the 16 entries affecting the methodological quality of the systematic evaluation, entries 2/3/4/5/12/16 had the greatest methodological bias; GRADE assessed the quality of evidence for key outcome indicators, with a few being low and all others being very low; and ROBIS reported a high level of bias in the literature. Conclusion:Current acupuncture has some efficacy in the treatment of essential hypertension, but its quality of evidence is low. It is hoped that the quality of relevant literature reporting, methodological quality, quality of evidence, and bias will improve.

show abstract

“… 53 Additionally, Chun et al assessed the methodological quality and strength of evidence of SRs/MAs regarding acupuncture in the treatment of COPD, and made the same conclusion. 55 The findings suggest that there may be serious methodological problems in SRs/MAs on the use of acupuncture in the treatment of diseases. Therefore, it must be acknowledged that double-blinding of acupuncture trials is not feasible, and sham controls are relevant only for efficacy studies, but not for studies testing the effectiveness relative to non-treatment or to another control intervention that can be easily distinguishable from acupuncture.…”

Section: Discussionmentioning

confidence: 98%

“…52 The results of this review were consistent with those from other fields (like chronic obstructive pulmonary disease (COPD), depression and hypertension). [53][54][55] For example, Zhao et al summarized the evidence of SRs/MAs about the application of acupuncture in hypertension. They concluded that the methodological quality and quality of evidence were unsatisfactory.…”

Section: Risk Of Bias In the Reviewmentioning

confidence: 99%

Acupuncture for the Treatment of Knee Osteoarthritis: An Overview of Systematic Reviews

Chen¹,

Liu²,

Zhou³

et al. 2021

IJGM

View full text Add to dashboard Cite

Role of Acupuncture in the Treatment of COPD: An Overview of Systematic Reviews

Cited by 7 publications

References 42 publications

Efficacy and Safety of Acupuncture in Managing COPD: An Overview of Systematic Reviews

Efficacy and Safety of Acupuncture in Managing COPD: An Overview of Systematic Reviews

An Overview of Systematic Reviews: Acupuncture in the Treatment of Essential Hypertension

Acupuncture for the Treatment of Knee Osteoarthritis: An Overview of Systematic Reviews

Contact Info

Product

Resources

About