艾灸治疗癌因性疲乏随机对照试验方法学和报告质量评价研究  

Study on methodological and reporting quality evaluation of RCTs in moxibustion treatment of cancer-related fatigue

作　　者：王历刚 杨柳[1] 王珑[2] 梁小琴[2] 薛辉 陈柳茵 邱吓花 黄碧春 圣夏 WANG Ligang;YANG Liu;WANG Long;LIANG Xiaoqin;XUE Hui;CHEN Liuyin;QIU Xiahua;HUANG Bichun;SHENG Xia(School of Nursing,Fujian University of Traditional Chinese Medicine,Fujian 350122)

机构地区：[1]福建中医药大学护理学院,福建350122 [2]福建省立医院

出　　处：《循证护理》2022年第20期2699-2706,共8页Chinese Evidence-Based Nursing

基　　金：国家级大学生创新创业训练计划项目,编号:202010393006。

摘　　要：目的:评价艾灸治疗癌因性疲乏随机对照试验的方法学质量、报告质量。方法:系统检索中国知网、万方数据库、维普数据库、PubMed、the Cochrane Library、Web of Science核心合集建库至2022年1月31日收录的艾灸治疗癌因性疲乏随机对照试验。基于Cochrane偏倚风险评估工具和CONSORT声明评价纳入研究的方法学质量和报告质量。结果:共纳入42篇符合标准的随机对照试验,方法学质量评价结果显示2篇(4.76%)详细说明了分配隐藏的方法,1篇(2.38%)对研究对象实行盲法,2篇(4.76%)对结局评估者实行盲法。报告质量评价显示:3篇(7.14%)记录了招募和随访的日期,5篇(11.90%)描述了试验的设计方式,4篇(9.52%)运用了样本量公式计算样本量,4篇(9.52%)叙述了主要和次要结局指标、评估的效应大小及其精度,14篇(33.33%)指出了试验的局限性。结论:目前纳入的艾灸治疗癌因性疲乏随机对照试验的方法学质量、报告质量均较低,建议今后的研究要遵循Cochrane偏倚风险评估工具和CONSORT声明内容进行方案设计和研究结果的报告。Objectives:To evaluate the methodological and reporting quality of RCTs in moxibustion treatment of cancer-related fatigue.Methods:RCTs on moxibustion treatment of cancer-related fatigue were searched from CNKI,WanFang Database, VIP,PubMed, the Cochrane Library, and Web of Science.The retrieval time was from inception to January 31,2022.The methodological quality and reporting quality of the included study were evaluated based on Cochrane Bias Risk Assessment Tool and CONSORT statement.Results:A total of 42 standard RCTs were included.Methodological quality evaluation results showed that 2(4.76%) articles described the methods of allocation concealment, 1(2.38%) articles blinded the subjects, and 2(4.76%) articles blinded the outcome evaluators.Reporting quality evaluation results showed that 3(7.14%) articles recorded the date of recruitment and follow-up, 5(11.90%) articles described the design of the trial, 4(9.52%) articles used the sample size formula to calculate the sample size, 4(9.52%) articles described the main and secondary outcome indicators, the size and accuracy of the evaluation effect, and 14(33.33%) articles pointed out the limitations of the trial.Conclusion:The methodological and reporting quality of RCT of moxibustion for cancer related fatigue included at present are low, it is suggested that future researches should follow the Cochrane Bias Risk Assessment Tool and the CONSORT statement to conduct scheme design and report the research results.

关 键 词：艾灸 癌因性疲乏 随机对照试验 方法学质量 报告质量 循证护理 

分 类 号：R248.9[医药卫生—中医临床基础]