Document Detail

Review of Cochrane reviews on acupuncture: how Chinese resources contribute to Cochrane reviews.
MedLine Citation:
PMID:  23410528     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Cochrane Systematic Reviews (CSRs) are frequently referenced by acupuncture efficacy studies currently. In this study, the CSRs on acupuncture are reviewed, and the disease fields they covered and the conclusions they reached are analyzed. In order to explore the potential contribution to CSRs by Chinese resources, the authors analyzed whether the participation of Chinese reviewers, the utilization of Chinese databases, and the inclusion of Chinese clinical trials would affect the positive conclusion ratios of the CSRs.
METHODS: Acupuncture-related CSRs in the Cochrane Library were searched and classified based on the International Classification of Diseases-10 (ICD-10). The CSRs were further designated as positive or negative according to the conclusion statements. CSRs with the participation of Chinese reviewers, the utilization of Chinese databases, or the inclusion of Chinese clinical trials were extracted, and the positive ratios of conclusions were compared separately with corresponding CSRs without those three Chinese resources.
RESULTS: Thirty-two (32) CSRs were identified, 9 (28.1%) of which reached positive conclusions. The CSRs with positive conclusions were mainly about multifarious pains, nausea and vomiting, and functional disorders. Seventeen (17; 53.1%) included the participation of Chinese reviewers, 18 (56.3%) involved the utilization of Chinese databases, and 20 (62.5%) included Chinese clinical trials. No differences on the positive conclusion ratios were observed between CSRs with reviewers from Chinese institutions and those that did not (odds ratio [OR]: 0.32, 95% confidence interval [CI]: 0.06, 1.62), the utilization of Chinese databases and those that did not (OR: 0.51, 95% CI: 0.11, 2.44), or the inclusion of Chinese clinical trials and those that did not (OR: 1.29, 95% CI: 0.26, 6.49).
CONCLUSIONS: Most CSRs on acupuncture are inconclusive. No significant differences regarding the positive conclusion ratios were found between the CSRs with or without the utilization of Chinese resources.
Shuang Jiao; Kiichiro Tsutani; Nobuhiko Haga
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2013-02-14
Journal Detail:
Title:  Journal of alternative and complementary medicine (New York, N.Y.)     Volume:  19     ISSN:  1557-7708     ISO Abbreviation:  J Altern Complement Med     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-07-03     Completed Date:  2013-10-17     Revised Date:  2014-07-01    
Medline Journal Info:
Nlm Unique ID:  9508124     Medline TA:  J Altern Complement Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  613-21     Citation Subset:  IM    
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MeSH Terms
Acupuncture Therapy*
Clinical Trials as Topic
Cross-Cultural Comparison
Databases, Bibliographic*
Review Literature as Topic*
Treatment Outcome

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