摘要
背景:目前国内外已有多篇推拿治疗腰椎间盘突出症的系统评价/Meta分析,但文献质量参差不齐。目的:应用雷达图综合评价方法,多元评价推拿治疗腰椎间盘突出症系统评价/Meta分析的文献质量,为临床实践提供高质量的理论指导。方法:计算机检索CNKI、CBM、VIP数据库、Wanfang Data、Pub Med、EMBASE和the Cochrane Library,搜集推拿治疗腰椎间盘突出症相关的系统评价和Meta分析,检索时间均为建库时间至2018年11月。由2名研究员根据纳入标准和排除标准单独进行检索和筛选文献,从6个方面对文章质量进行评价,即出版年份、设计类型、同质性程度、发表偏倚、AMSTAR方法学质量、PRISMA发表质量,采用Excel 2010、Adobe Illustrator CC绘制并优化雷达图。结果与结论:(1)共纳入5个系统评价,3个Meta分析,纳入研究的文献质量平均秩数为5.75,其中研究类型、同质性、发表偏倚的评分较高,发表年份、AMSTAR方法学评分量表、PRISMA报告学质量评价得分较低;(2)目前推拿治疗腰椎间盘突出系统分析/Meta分析的文章有部分质量较好,较为严谨;但有部分文章质量不佳,建议参考AMSTAR方法学评分量表、PRISMA报告学质量评价进行报告,并严格控制设计类型、同质性程度、发表偏倚,以提高报告完整性。
BACKGROUND: There have been a number of systematic reviews/meta-analysis of massage in the treatment of lumbar disc herniation at domestic and overseas, but the quality of the studies varies.OBJECTIVE: To evaluate the study quality of systematic reviews/meta-analysis of massage in the treatment of lumbar disc herniation based on evaluation of radar plot, thus providing the high-quality evidence reference for clinical practice.METHODS: Databases of CNKI, CBM, VIP, WanFang, PubMed, EMBASE and the Cochrane Library were searched from inception to November 2018 for the systematic reviews/meta-analysis of massage in the treatment of lumbar disc herniation. Two reviewers independently screened literature and extracted data. All studies were evaluated in aspects of publication year, design type, homogeneity,publication bias, AMSTAR methodological quality score and PRISMA quality score. Optimized radar plots were drawn on Excel 2010 and Adobe Illustrator CC.RESULTS AND CONCLUSION:(1) Five systematic reviews and three meta-analyses were enrolled, and the quality of the average rank scored 5.75. Of which, the research type, homogeneity, and publication bias had higher evaluation scores, and the publication year, the AMSTAR scale and PRISMA scale scores are lower.(2) In summary, a part of studies about systematic reviews/meta-analysis of massage in the treatment of lumbar disc herniation are good and rigorous. However, quality of some studies is poor. It is recommended to refer to the AMSTAR scale and PRISMA scale for reporting, and strictly control the design type, homogeneity, and publication bias to improve report integrity.
引文
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