Systematic review and meta-analysis: the effectiveness and safety of acupuncture in the treatment of herpes zoster

Qi, Tao; Lan, Hua; Zhong, Chao; Zhang, Ruwen; Zhang, Huamei; Zhu, Fuguo; Jia, Bing

doi:10.21037/apm-22-109

Cited by 7 publications

(16 citation statements)

References 15 publications

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“…According to the retrieval strategy, a total of 77 related articles were selected, 36 duplicates were removed, 3 studies were excluded after record screening, and 19 studies were included (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31). The entire process and results are shown in Figure 1.…”

Section: Results Of the Literature Search And Selection Processmentioning

confidence: 99%

“…Among them, 3 articles (14-16) included RCTs and CCTs, and 16 articles (13,17-31) were RCTs. Thirteen articles (13,15,18,19,21-23,25-31) used the bias risk assessment tool recommended by Cochrane. Sixteen articles (13-22, 24-26) described two evaluators for data extraction and analysis.…”

Section: Resultsmentioning

confidence: 99%

“…In the included SRs/MAs, 3 (13,24,25) were rated as medium quality, and 16 (14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(26)(27)(28)(29)(30)(31) were rated as low quality. Only item 1 was evaluated in 19 studies, and item 10 was evaluated in 19 studies; item 16 was unevaluated in 18 studies.…”

Section: Methodological Quality Of the Included Srs/masmentioning

confidence: 99%

“…Six systematic reviews (13,14,18,19,22,25) evaluated the time of relieving pain. There were significant differences in pain relief between acupuncture and valaciclovir combined with vitamin B1 and saline application; the pain in the acupuncture group disappeared 6.59 days earlier than that in the oral and local use of acyclovir group (13); the electroacupuncture group could relieve pain 13 days earlier (14); the analgesic effect of the treatment group was better than the control group (18); and fire needle could relieve pain 3 days earlier (19).…”

Section: Pain Relief Timementioning

confidence: 99%

“…Fourteen systematic reviews (13,14,19,(20)(21)(22)(23)(24)(25)(26)(27)(29)(30)(31) evaluated the incidence of PHN. The results are shown in Table 4.…”

Section: Incidence Of Phnmentioning

confidence: 99%

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Evaluating the Evidence Quality Supporting the Role of Acupuncture for Herpes Zoster Pain: An Umbrella Review of Systematic Reviews and Meta-analyses

Chen

2022

Preprint

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Objective: Acupuncture is one of the most effective means to treat herpes zoster, especially during the acute stage. It can shorten the duration of pain, with a low incidence of residual neuralgia. The aim of this review was to assess the methodological and evidence quality of systematic reviews and meta-analyses on acupuncture for herpes zoster pain. Methods: Eight databases were searched from their inception to Feb 2022. Methodological and evidence quality was evaluated by using the Assessment of Multiple Systematic Reviews 2, and the Grading of Recommendations Assessment Development and Evaluation. Results: Nineteen SRs/MAs were included according to the inclusion criteria. Assessment of Multiple Systematic Reviews 2 results showed that the methodological quality was low for 16 studies and very low for 3 studies. According to the Grading of Recommendations Assessment Development and Evaluation, 43 outcome indicators were evaluated, the evidence quality was high in three, medium in twelve, low in twenty-three, and very low in five. Compared with drugs for herpes zoster, acupuncture can reduce pain and the incidence of postherpetic neuralgia. Acupuncture at Huatuo Jiaji points (EX-B2) was generally one of the most effective methods. Conclusions: Our study showed that acupuncture therapies including fire needles, acupuncture at Huatuo Jiaji points (EX-B2), pricking collaterals, and bloodletting may be beneficial for the clinical practice of herpes zoster pain. However, the quality of methodological report and evidence of the included studies was low, this conclusion must be interpreted with caution. More rigorous designs and comprehensive investigations by systematic reviews and meta-analyses are needed.

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Section: Results Of the Literature Search And Selection Processmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodological Quality Of the Included Srs/masmentioning

confidence: 99%

Section: Pain Relief Timementioning

confidence: 99%

“…Fourteen systematic reviews (13,14,19,(20)(21)(22)(23)(24)(25)(26)(27)(29)(30)(31) evaluated the incidence of PHN. The results are shown in Table 4.…”

Section: Incidence Of Phnmentioning

confidence: 99%

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Evaluating the Evidence Quality Supporting the Role of Acupuncture for Herpes Zoster Pain: An Umbrella Review of Systematic Reviews and Meta-analyses

Chen

2022

Preprint

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Public health impact of herpes zoster vaccination on older adults in Singapore: a modeling study

Oh,

Tan,

Williams

et al. 2024

Human Vaccines & Immunotherapeutics

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In Singapore, population aging and rising life expectancy are increasing herpes zoster (HZ) burden, which may be reduced by vaccination. The present study modeled the public health impact of HZ vaccination in Singapore using ZOster ecoNomic Analysis (ZONA) model adapted with Singapore-specific key model inputs, where available. Base case analysis was conducted in adults ≥ 50 years of age (YOA), exploring three vaccination strategies (no vaccination, recombinant zoster vaccine [RZV], zoster vaccine live [ZVL]) under mass vaccination setting (30% coverage). Scenario and sensitivity analyses were performed. Out of 1.51 million adults in 2021 (base case population), 406,513 (27.0%) cases of HZ, 68,264 (4.5%) cases of post-herpetic neuralgia (PHN), and 54,949 (3.6%) cases of other complications were projected without vaccination. RZV was estimated to avoid 73,129 cases of HZ, 11,094 cases of PHN, and 9,205 cases of other complications over the subjects’ remaining lifetime; ZVL would avoid 17,565 cases of HZ, 2,781 cases of PHN, and 1,834 cases of other complications. The number needed to vaccinate to prevent one case of HZ/PHN was lower for RZV (7/41) than ZVL (26/163). Among all five age-stratified cohorts (50–59/60–64/65–69/70–79/≥80 YOA), RZV (versus no vaccination/ZVL) avoided the largest number of cases in the youngest cohort, 50–59 YOA. Results were robust under scenario and sensitivity analyses. Mass vaccination with RZV is expected to greatly reduce the public health burden of HZ among Singapore individuals ≥ 50 YOA. Findings support value assessment and decision-making regarding public health vaccination strategies for HZ prevention in Singapore.

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Comparison of efficacy of acupuncture-related therapy in the treatment of herpes zoster: A network meta-analysis of randomized controlled trials

Zhang,

Mou,

Wang

et al. 2023

Medicine

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Objective: A systematic review and meta-analysis of randomized controlled trials (RCTs) were conducted to evaluate the efficacy and safety of acupuncture-related therapy in the treatment of herpes zoster (HZ) and to provide a reference for the clinical treatment of herpes zoster. Methods: PubMed, Cochrane Library, EMBASE, Web of Science, CNKI, VIP database, Wanfang Database, and SinoMED Chinese and English databases were systematically searched for RCTs on acupuncture-related therapy for HZ until February 2023. Literature screening, data extraction, and risk of bias assessment were performed independently by 2 researchers. R4.2.1 and Stata15.1 software were used for data analysis. Results: A total of 26 RCTs involving 1929 HZ patients were included, and the network meta-analysis results showed that acupotomy appeared to be most effective in terms of improving VAS scores and the time of incrustation; SUCRA cumulative probability ranking showed the best efficacy of bloodletting in improving efficiency and the time of ceasing new blisters, acupuncture in improving the time of decrustation, and moxibustion in reducing the incidence of postherpetic neuralgia (PHN). Conclusions: Through a comprehensive comparison of 9 different acupuncture therapies, acupotomy was the optimal treatment to improve VAS pain scores and the time of incrustation; bloodletting, acupuncture, fire needle, and moxibustion could be effective intervention measures to improve the time of ceasing new blisters and decrustation and reduce the incidence of PHN; Western medicine was closely related to adverse reactions. The conclusions need to be further verified due to the limitations of the study.

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Systematic review and meta-analysis: the effectiveness and safety of acupuncture in the treatment of herpes zoster

Cited by 7 publications

References 15 publications

Evaluating the Evidence Quality Supporting the Role of Acupuncture for Herpes Zoster Pain: An Umbrella Review of Systematic Reviews and Meta-analyses

Evaluating the Evidence Quality Supporting the Role of Acupuncture for Herpes Zoster Pain: An Umbrella Review of Systematic Reviews and Meta-analyses

Public health impact of herpes zoster vaccination on older adults in Singapore: a modeling study

Comparison of efficacy of acupuncture-related therapy in the treatment of herpes zoster: A network meta-analysis of randomized controlled trials

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