以雷达图再评价推拿治疗腰椎间盘突出症系统评价的文献质量
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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.
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
[1]Vialle LR,Vialle EN,Suárez Henao JE,et al.Lumbar disc herniation.Rev Bras Ortop.2015;45(1):17-22.
[2]Manchikanti L,Singh V,Falco FJ,et al.Epidemiology of low back pain in adults.Neuromodulation.2014;17 Suppl 2:3-10.
[3]Hoy D,Bain C,Williams G,et al.A systematic review of the global prevalence of low back pain.Arthritis Rheum.2012;64(6):2028-2037.
[4]Wang K,Hong X,Zhou By,et al.Evaluation of transforaminal endoscopic lumbar discectomy in the treatment of lumbar disc herniation.Int Orthop.2015;39(8):1599-1604.
[5]Ren L,Guo H,Zhang T,et al.Efficacy evaluation of percutaneous laser disc decompression in the treatment of lumbar disc herniation.Photomed Laser Surg.2013;31(4):174-178.
[6]Pan Z,Ha Y,Yi S.Efficacy of transforaminal endoscopic spine system(TESSYS)technique in treating lumbar disc herniation.Med Sci Monitor.2016;22:530-539.
[7]Kreiner DS,Hwang SW,Easa JE,et al.An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy.Spine J.2014;14(1):180-191.
[8]中华中医药学会.中医内科常见病诊疗指南(中医病证部分)[M].北京:中国中医药出版社,2008:132-135.
[9]赵毅,季远.推拿手法学[M].北京:中国中医药出版社,2016:33-34.
[10]Field T.Massage therapy research review.Complement Ther Clin.2014;20(4).224-229.
[11]董悦颖.Meta分析方法学质量与报告质量评价的主要问题[J].中国卫生统计,2017,34(6):1006-1008.
[12]Faggion CM.Critical appraisal of AMSTAR:challenges,limitations,and potential solutions from the perspective of an assessor.BMC Med Res Methodol.2015;15:63.
[13]Moher D,Shamseer L,Clarke M,et al.Preferred reporting items for systematic review and meta-analysis protocols(PRISMA-P)2015statement.Syst Rev.2015,4:1.
[14]周诚恩,陆延,黄云鸿,等.脊柱旋转复位手法治疗腰椎间盘突出症的系统评价[J].中国中医急症,2013,22(7):1132-1134+1139.
[15]卜江慧,孔令,郭朝卿,等.手法与牵引治疗腰椎间盘突出症的Meta分析[J].中国骨伤,2014,27(5):409-414.
[16]李林,詹红生,张明才,等.手法治疗腰椎间盘突出症临床随机对照试验系统评价[J].中国骨伤,2010,23(9):696-700.
[17]王艳国,郭秀琴,刘凯,等.推拿治疗腰椎间盘突出症随机对照试验的系统评价[J].中华中医药学刊,2013,31(8):1638-1642.
[18]杨威,周红海,潘法有.斜扳法治疗腰椎间盘突出症的Meta分析[J].广西医学,2015,37(11):1543-1545.
[19]阎博华,丰芬,邵明义,等.中医正骨类手法治疗腰椎间盘突出症临床随机对照试验系统评价[J].中国中医骨伤科杂志,2011,19(9):21-23.
[20]王芃.手法治疗腰椎间盘突出症--基于文献的疗效评价和临床试验研究[D].北京:中国中医科学院,2010.
[21]李洪亮,薛智慧,陈果,等.整脊推拿治疗腰椎间盘突出症的文献评价与Meta分析[C].//中华中医药学会第十五次中医推拿学术年会论文集.湖南中医药大学(湖南省中医药研究院),2014:14-17.
[22]Tsutsumimoto T,Yui M,Uehara M,et al.A prospective study of the incidence and outcomes of incidental dural tears in microendoscopic lumbar decompressive surgery.Bone Joint J.2014;96-B(5):641-645.
[23]Oosterhuis T,van Tulder M,Peul W,et al.Effectiveness and cost-effectiveness of rehabilitation after lumbar disc surgery(REALISE):design of a randomized controlled trial.BMC Musculoskel Dis.2013;14:124.
[24]Hahhe AJ,Ford JJ.Conservative management of lumbar disc herniation with associated radiculopathy:a systematic review.Spine.2010;35(11):E488-504.
[25]Zhang Y,Tang S,Chen G.Chinese massage combined with core stability exercises for nonspecific low back pain:a randomized controlled trial.Complement Ther Med.2015;23(1):1-6.
[26]Celenay ST,Kaya DO.Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neck pain:A prospective,randomized controlled trial.Manual Ther.2016;21:144-150.
[27]周晟,胡佳卉,孟庆刚.雷达图在中医药领域的应用探索[J].北京中医药大学学报,2018,41(1):9-13.
[28]Sharon S,David M.Registering systematic reviews.Can Med Assoc J.2010;182:13-14.
[29]de Vries RBM,Hooijmans CR,Langendam MW,et al.A protocol format for the preparation,registration and publication of systematic reviews of animal intervention studies.Evid Based Precl Med.2015;2(1)1-9.
[2]Manchikanti L,Singh V,Falco FJ,et al.Epidemiology of low back pain in adults.Neuromodulation.2014;17 Suppl 2:3-10.
[3]Hoy D,Bain C,Williams G,et al.A systematic review of the global prevalence of low back pain.Arthritis Rheum.2012;64(6):2028-2037.
[4]Wang K,Hong X,Zhou By,et al.Evaluation of transforaminal endoscopic lumbar discectomy in the treatment of lumbar disc herniation.Int Orthop.2015;39(8):1599-1604.
[5]Ren L,Guo H,Zhang T,et al.Efficacy evaluation of percutaneous laser disc decompression in the treatment of lumbar disc herniation.Photomed Laser Surg.2013;31(4):174-178.
[6]Pan Z,Ha Y,Yi S.Efficacy of transforaminal endoscopic spine system(TESSYS)technique in treating lumbar disc herniation.Med Sci Monitor.2016;22:530-539.
[7]Kreiner DS,Hwang SW,Easa JE,et al.An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy.Spine J.2014;14(1):180-191.
[8]中华中医药学会.中医内科常见病诊疗指南(中医病证部分)[M].北京:中国中医药出版社,2008:132-135.
[9]赵毅,季远.推拿手法学[M].北京:中国中医药出版社,2016:33-34.
[10]Field T.Massage therapy research review.Complement Ther Clin.2014;20(4).224-229.
[11]董悦颖.Meta分析方法学质量与报告质量评价的主要问题[J].中国卫生统计,2017,34(6):1006-1008.
[12]Faggion CM.Critical appraisal of AMSTAR:challenges,limitations,and potential solutions from the perspective of an assessor.BMC Med Res Methodol.2015;15:63.
[13]Moher D,Shamseer L,Clarke M,et al.Preferred reporting items for systematic review and meta-analysis protocols(PRISMA-P)2015statement.Syst Rev.2015,4:1.
[14]周诚恩,陆延,黄云鸿,等.脊柱旋转复位手法治疗腰椎间盘突出症的系统评价[J].中国中医急症,2013,22(7):1132-1134+1139.
[15]卜江慧,孔令,郭朝卿,等.手法与牵引治疗腰椎间盘突出症的Meta分析[J].中国骨伤,2014,27(5):409-414.
[16]李林,詹红生,张明才,等.手法治疗腰椎间盘突出症临床随机对照试验系统评价[J].中国骨伤,2010,23(9):696-700.
[17]王艳国,郭秀琴,刘凯,等.推拿治疗腰椎间盘突出症随机对照试验的系统评价[J].中华中医药学刊,2013,31(8):1638-1642.
[18]杨威,周红海,潘法有.斜扳法治疗腰椎间盘突出症的Meta分析[J].广西医学,2015,37(11):1543-1545.
[19]阎博华,丰芬,邵明义,等.中医正骨类手法治疗腰椎间盘突出症临床随机对照试验系统评价[J].中国中医骨伤科杂志,2011,19(9):21-23.
[20]王芃.手法治疗腰椎间盘突出症--基于文献的疗效评价和临床试验研究[D].北京:中国中医科学院,2010.
[21]李洪亮,薛智慧,陈果,等.整脊推拿治疗腰椎间盘突出症的文献评价与Meta分析[C].//中华中医药学会第十五次中医推拿学术年会论文集.湖南中医药大学(湖南省中医药研究院),2014:14-17.
[22]Tsutsumimoto T,Yui M,Uehara M,et al.A prospective study of the incidence and outcomes of incidental dural tears in microendoscopic lumbar decompressive surgery.Bone Joint J.2014;96-B(5):641-645.
[23]Oosterhuis T,van Tulder M,Peul W,et al.Effectiveness and cost-effectiveness of rehabilitation after lumbar disc surgery(REALISE):design of a randomized controlled trial.BMC Musculoskel Dis.2013;14:124.
[24]Hahhe AJ,Ford JJ.Conservative management of lumbar disc herniation with associated radiculopathy:a systematic review.Spine.2010;35(11):E488-504.
[25]Zhang Y,Tang S,Chen G.Chinese massage combined with core stability exercises for nonspecific low back pain:a randomized controlled trial.Complement Ther Med.2015;23(1):1-6.
[26]Celenay ST,Kaya DO.Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neck pain:A prospective,randomized controlled trial.Manual Ther.2016;21:144-150.
[27]周晟,胡佳卉,孟庆刚.雷达图在中医药领域的应用探索[J].北京中医药大学学报,2018,41(1):9-13.
[28]Sharon S,David M.Registering systematic reviews.Can Med Assoc J.2010;182:13-14.
[29]de Vries RBM,Hooijmans CR,Langendam MW,et al.A protocol format for the preparation,registration and publication of systematic reviews of animal intervention studies.Evid Based Precl Med.2015;2(1)1-9.