与有关的治疗与癌症相关的失眠:系统性审查和元分析的概述
Zining Guo1, Yuting Wang1, Wenhao Liu1
1South China Research Center for Acupuncture and Moxibustion, Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, China.
Complementary therapies in medicine
|August 11, 2024
概括
针对慢性前列腺炎/慢性骨盆疼痛综合征 (CP/CPPS) 的针的系统性审查显示了潜在的益处,但存在方法上的缺陷和偏见的高风险. 需要进一步的高级别证据来确认有效性并提高报告质量.
科学领域:
- 综合医学是一个整体的医学.
- 基于证据的医学基于证据的医学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 关于治疗慢性前列腺炎/慢性骨盆疼痛综合征 (CP/CPPS) 针的系统评价和元分析 (SRs/MAs) 的数量越来越多.
- 有争议的结果和不清楚的证据可信度需要全面的评估.
- 需要对现有的SRs/MAs对针对CP/CPPS进行批判性评估.
研究的目的:
- 批判性地评估有关针治疗SR/MAs中CP/CPPS疗效的证据.
- 确定现有SRs/MAs中的潜在问题和方法缺陷.
- 进行探索性分析以了解当前的证据环境.
主要方法:
- 搜索了八个数据库,搜索了CP/CPPS针随机对照试验中的SR/MA.
- 使用AMSTAR-2,ROBIS和GRADE评估了方法质量,偏差风险和证据质量.
- 使用GROOVE工具计算正确覆盖面积 (CCA),并进行了探索性元分析.
主要成果:
- 包括10个SRs/MAs,揭示了大多数的重大方法缺陷和偏差高风险.
- 证据的整体质量较低,重叠程度很高,表明审查过多.
- 探索性分析表明针对CP/CPPS的潜在有效性,但由于偏见,必须谨慎解释结果.
结论:
- 目前关于针治疗中CP/CPPS的证据由于方法上的弱点而缺乏可信性.
- 改进方法,偏见风险评估和报告是至关重要的.
- 需要高层次的证据来确定针对CP/CPPS的有效性和安全性.
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