[논문]Acupuncture for Symptomatic Rotator Cuff Disease: A Systematic Review and Meta-Analysis

Choi, Seoyoung; Lee, Jisun; Lee, Seunghoon; Yang, Gi Young; Kim, Kun Hyung

doi:10.13045/jar.2020.00458

Acupuncture for Symptomatic Rotator Cuff Disease: A Systematic Review and Meta-Analysis 원문보기

Journal of acupuncture research, v.38 no.1, 2021년, pp.20 - 31

Choi, Seoyoung (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) , Lee, Jisun (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) , Lee, Seunghoon (Department of Acupuncture and Moxibustion, College of Korean Medicine, Kyung Hee University) , Yang, Gi Young (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) , Kim, Kun Hyung (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital)

Abstract ▼ AI-Helper

The objective was to evaluate the effectiveness and safety of acupuncture for patients with rotator cuff diseases. There were 12 electronic databases and 3 trial registries searched up to November 30th, 2019. All randomized trials were eligible, regardless of language, date of publication, or settings. The primary outcomes were pain, shoulder function, and proportion of improved participants assessed within 12 weeks of randomization of the trial. The Cochrane risk of bias for the studies was assessed. Effects sizes were presented as a risk ratio, mean difference, or standardized mean difference with a 95% confidence intervals. Grading of Recommendations Assessment, Development and Evaluation approach was adopted to rate certainty of evidence. Of the 3,686 records screened, 28 randomized trials (2,216 participants) were included in this review. The types of acupuncture included manual acupuncture, dry needling, electroacupuncture, acupotomy, warm needle acupuncture, and fire needle acupuncture. All of the studies had an unclear or high risk of bias related to more than 1 domain. Significant benefits of acupuncture in terms of pain and shoulder function were observed in all comparisons, however, the proportion of improved participants was not described in 2 comparisons. There was substantial heterogeneity among meta-analyzed trials. No serious harm was observed. For primary outcomes, the overall certainty of evidence was very low. There was very low certainty of evidence for the benefits of acupuncture for patients with rotator cuff diseases. The safety of acupuncture remains unclear due to the incompleteness of reporting. Future well-designed randomized trials with transparent reporting are required.

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표/그림 (8)

표 Table 1. Primary and Secondary Outcomes.
표 Table 2. Electronic Databases Searched.
그림 Fig. 1. PRISMA flow diagram of study selection. CENTRAL, Cochrane Central Register of Controlled Trials; CINAHL, Cumulative Index to Nursing and Allied Health Literature; AMED, Allied and Complementary Medicine; PEDro, Physiotherapy Evidence Database; CAJ, China Academic Journal Full-text Database; KISS, Korean studies Information Service System; NDSL, National Digital Science Library; RISS, Research Information Sharing Service; KMBASE, Korean Medical Database; OASIS, Oriental Medicine Advanced Searching Integrated System; RCT, randomized controlled trial; RCD, rotator cuff disease; PRISMA, Preferred Reporting Items for Systematic Reviews and Meta-analyses.
표 Table 3. Characteristics of Acupuncture Treatments (N = 29).
그림 Fig. 2. Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
표 Table 4. Summary Characteristics of the Included Studies.
표 Table 4. (Continued).
표 Table 5. Efect Size of Reported Secondary Outcomes.

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