国内针刺治疗缺血性卒中Meta分析方法学和报告质量评价
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摘要
目的:评价国内针刺治疗缺血性卒中Meta分析方法学和报告质量。方法:计算机检索从建库到2016年底中国生物医学文献数据库(CBM)、中文科技期刊全文数据库(VIP)、中国期刊全文数据库(CNKI)和万方数据在线知识服务平台,查找国内针刺治疗缺血性卒中的所有系统评价文献。采用评价系统评价的测评工具(A Measurement Tool to Assess Systematic Reviews,AMSTAR)、系统评价/Meta分析优先报告条目(Preferred Reporting Items for Systematic Reviews and Meta-Analyses,PRISMA)量表对纳入文献的方法学与报告质量分条目逐个进行评价。结果:初检得出相关文献402篇,最终纳入7篇文献(中文6篇,英文1篇)。纳入文献的方法学质量存在的主要问题:检索策略不全面、未重视发表偏倚的识别、对异质性的认识和处理不够深入等;报告质量的主要问题:检索策略的报告不规范、相关研究特征及偏倚风险报道不全、未报告证据强度级别等。结论:目前国内针刺治疗缺血性卒中Meta分析在方法学、报告质量方面存在不同程度问题,仍需要进一步提高及不断更新。
Objective To evaluate the quality of methodology and reporting of Meta-analyses on acupuncture treating ischemic stroke in China. Methods The domestic literature of systematic reviews(SRs) on acupuncture treating ischemic stroke was retrieved from CBM, VIP, CNKI and WANFANG databases. The quality of methodology and reporting was measured by A Measurement Tool to Assess Systematic Reviews(AMSTAR) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA). Results Seven studies involving 6 papers in Chinese and 1 paper in English were chosen from 402 papers. The deficiencies of methodology mainly contained incomplete retrieval strategy, less attention to the publication bias and the heterogeneity, etc. The shortages of reporting was on retrieval strategy reporting, the studies features and the risk of bias reporting and evidence strength level reporting, etc. Conclusion At present the quality of methodology and reporting of SRs on acupuncture treating ischemic stroke in China has flaws, which needs improvement.
Objective To evaluate the quality of methodology and reporting of Meta-analyses on acupuncture treating ischemic stroke in China. Methods The domestic literature of systematic reviews(SRs) on acupuncture treating ischemic stroke was retrieved from CBM, VIP, CNKI and WANFANG databases. The quality of methodology and reporting was measured by A Measurement Tool to Assess Systematic Reviews(AMSTAR) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA). Results Seven studies involving 6 papers in Chinese and 1 paper in English were chosen from 402 papers. The deficiencies of methodology mainly contained incomplete retrieval strategy, less attention to the publication bias and the heterogeneity, etc. The shortages of reporting was on retrieval strategy reporting, the studies features and the risk of bias reporting and evidence strength level reporting, etc. Conclusion At present the quality of methodology and reporting of SRs on acupuncture treating ischemic stroke in China has flaws, which needs improvement.
引文
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[11]张彤,张莉,张惠敏,等.针刺治疗急性缺血性卒中的系统评价[J].中华中医药杂志, 2009, 24(1):101-104.
[12] Zhou JW, Li J, Wells GA, et al. Meta analysis on ischemic stroke treated with scalp acupuncture[J]. World J Acupunct Mox, 2013,23(2):41-47.
[13]杨克虎.系统评价指导手册[M].北京:人民卫生出版社, 2013.
[14]李幼平,李静,孙鑫,等.循证医学在中国的起源与发展:献给中国循证医学20周年[J].中国循证医学杂志, 2016, 16(1):2-6.
[15]陶映雪,李霞,许桂萍.医学论文发表偏倚现象、原因、后果及改进措施[J].中国现代医学杂志, 2011, 21(35):4480-4482.
[16]王丹,翟俊霞,牟振云,等.Meta分析中的异质性及其处理方法[J].中国循证医学杂志, 2009, 9(10):1115-1118.
[17]屈会起,林珊,邱明才.循证医学的最佳证据——系统评价[J].循证医学, 2001, 1(1):52-54.
[2]丁恩奇,全婷婷,李桂平.针灸治疗急性缺血性脑卒中的临床研究进展[J].世界中西医结合杂志, 2013, 8(10):1071-1072, 1080.
[3]李静,李幼平.不断完善与发展的Cochrane系统评价[J].中国循证医学杂志, 2008, 8(9):742-743.
[4]SheaBJ,GrimshawJM,WellsGA,etal.Developmentof AMSTAR:ameasurementtooltoassessthemethodological quality of systematic reviews[J]. BMC Med Res Methodol, 2007,7(10):1-10, e7-e8.
[5]Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and Meta-analyses:the PRISMA statement[J].PLoS One, 2009, 6(7):e1000097.
[6]林国华,卢立宏,陈楚云,等.针刺治疗脑梗死非急性期神经功能缺损程度的Meta分析[J].云南中医学院学报,2016,39(3):44-47.
[7]谢佳宏,杨志新,刘永平,等.醒脑开窍针刺法治疗缺血性中风的疗效与安全性的系统评价[J].中华中医药杂志,2015,30(3):890-894.
[8]王金海,张星华,杜小正,等.头针治疗缺血性卒中疗效的Meta分析[J].中国循证医学杂志, 2015, 15(10):1161-1167.
[9]田亮,王金海,孙润洁,等.针药结合治疗缺血性中风随机对照临床研究文献的Meta分析[J].中医临床研究,2015,7(34):4-8.
[10]柳维林,黄佳,陶静.电针治疗缺血性脑卒中后认知功能障碍影响疗效的系统评价[J].医学信息, 2015, 28(13):64.
[11]张彤,张莉,张惠敏,等.针刺治疗急性缺血性卒中的系统评价[J].中华中医药杂志, 2009, 24(1):101-104.
[12] Zhou JW, Li J, Wells GA, et al. Meta analysis on ischemic stroke treated with scalp acupuncture[J]. World J Acupunct Mox, 2013,23(2):41-47.
[13]杨克虎.系统评价指导手册[M].北京:人民卫生出版社, 2013.
[14]李幼平,李静,孙鑫,等.循证医学在中国的起源与发展:献给中国循证医学20周年[J].中国循证医学杂志, 2016, 16(1):2-6.
[15]陶映雪,李霞,许桂萍.医学论文发表偏倚现象、原因、后果及改进措施[J].中国现代医学杂志, 2011, 21(35):4480-4482.
[16]王丹,翟俊霞,牟振云,等.Meta分析中的异质性及其处理方法[J].中国循证医学杂志, 2009, 9(10):1115-1118.
[17]屈会起,林珊,邱明才.循证医学的最佳证据——系统评价[J].循证医学, 2001, 1(1):52-54.