A Re-evaluation of Systematic Reviews and Meta-analysis of Acupuncture and Moxibustion for Chronic Constipation by AMSTAR 2 and GRADE System  

作　　者：ZHANG Wei WANG Rui YANG Tao KONG Yuan-yuan LIU Zhi-shun FEI Jing-wen 张维;王蕊;杨涛;孔媛媛;刘志顺;费静雯(Department of Acupuncture and Moxibustion,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Evidence-based Medicine Center,Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]Department of Acupuncture and Moxibustion,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China [2]Evidence-based Medicine Center,Friendship Hospital,Capital Medical University,Beijing 100050,China

出　　处：《World Journal of Integrated Traditional and Western Medicine》2021年第3期1-12,共12页世界中西医结合杂志（英文）

基　　金：Ministry of Science and Technology of the People's Republic of China,"Development of International Clinical Practice Guideline,Technical Operation Standard and Service Standard of Acupuncture and Moxibustion".Granting number:2019YFC1712200。

摘　　要：Objective:To evaluate the methodological quality of the systematic reviews(SRs)of acupuncture and moxibustion for chronic constipation and rate the evidence bodies of their Meta-analysis.Methods:We searched MEDLINE,EMBASE,Chinese Biomedical Literature Database(CBM),the China National Knowledge Infrastructure(CNKI),the VIP Database and the WanFang Database.Systematic Aseviews and Meta-analysis of all Randomized Controlled Trials(RCTs)of acupuncture and moxibustion for chronic constipation were included.Data from the included studies were extracted by two independent reviewers and were re-evaluated with AMSTAR 2 and Grades of Recommendation,Assessment,Development,and Evaluation(GRADE).Results:We included 12 SRs/Meta-analysis with only one conducted outside China.Evaluated with AMSTAR 2,methodology of one SR was of medium quality,methodologies of 7 SRs were of low quality,and methodologies of 4 SRs were of critical low quality.Among 54 outcome measures screened from included SRs,7 outcome measures introduced evidence bodies of moderate quality,22 outcome measures were of low quality and 25 outcome measures were of very low quality.No high level of quality was awarded to any evidence body.Conclusion:Overall,the quality level of SR/Meta-analysis of acupuncture/moxibustion for chronic constipation is low.The SRs/Meta-analysis of acupuncture/moxibustion for chronic constipation can be used for guideline formulation and clinical decision making by taking into account the experience of clinical experts,patients'preference,medical policies and other factors.

关 键 词：ACUPUNCTURE MOXIBUSTION Systematic review META-ANALYSIS AMSTAR 2 GRADE 

分 类 号：R246.1[医药卫生—针灸推拿学]