基于雷达图评价针刀治疗腰椎间盘突出症文献质量:系统评价再评价
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国家重点研发计划项目(2021YFC1712801);国家中医药管理局专科专病循证能力提升项目(2019XZZX-GK005)


Evaluation of Literature Quality of Acupotomy for Lumbar Disc Herniation Based on Radar Graph:An Overview of Systematic Reviews
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    目的:采用雷达图综合评价针刀治疗腰椎间盘突出症的系统评价/Meta分析文献质量,为Meta分析和临床治疗方案的制定提供参考依据。方法:计算机检索数据库以获得全面的文献,以“发表年份”“纳入的研究类型”“AMSTAR-2评分”“PRISMA评分”“发表偏倚的检验”“同质性高低”6个维度计算文献秩数,最终绘制雷达图以多元评价文献。结果:最终纳入9篇文献,各维度的平均分值分别为5.22、6.78、5.22、5.67、8.11、8.11。雷达图直观显示,2018年、2016年发表的2篇文献秩数最大,雷达图面积较大;2010年发表的1篇文献秩数最小,雷达图面积较小。结论:纳入的文献秩数和在27~52之间,秩数越高其文献参考意义也越大。导致文献质量差异的主要原因为未对研究预先制定计划,文献检索和筛选不规范,未阐述纳入研究类型的原因,纳入研究的偏倚风险考虑不当,未提及可能的利益冲突等,上述问题导致文献秩数较低,参考意义次之。尽管所纳入的Meta分析均显示针刀的总有效率优于其他疗法(均P<0.05),但文献质量较低,仍须今后的高质量证据来证实针刀是否比其他疗法更为有效。

    Abstract:

    To comprehensively evaluate the literature quality of systematic reviews/Meta analysis on acupotomy in the treatment of lumbar disc herniation by radar graph,so as to provide reference for Meta analysis and development of clinical treatment scheme.Methods:The database was searched by computer to obtain comprehensive literature.The rank of articles was calculated from the six dimensions of “year of publication”“type of included studies”“AMSTAR-2 score”“PRISMA score”“test of publication bias” and “homogeneity”,and finally the radar graph was made for multiple evaluation of articles.Results:Nine articles were included,and the average scores of the six dimensions were 5.22,6.78,5.22,5.67,8.11,and 8.11,respectively.The radar chart showed that the ranks two papers published in 2018 and 2016 were the highest,and the radar graph areas were large; the rank of one paper published in 2010 was the lowest,and the radar graph area was small.Conclusion:The ranks of included papers ranged from 27 to 52,and the higher the rank,the greater the reference significance of the paper.Main reasons for the different quality of literature are that there is no advance plan for the research,the literature retrieval and screening are not standardized,the reasons for the types of included studies are not explained,the bias risk of included studies is not properly considered,and the possible conflict of interest is not mentioned.The above problems lead to low ranks and poor reference significance.Although the meta-analysis showed that the total effective rate of acupotomy was better than that of other treatments(P<0.05),the quality of literature was poor,and high-quality evidence is still needed to confirm whether Acupotomy is more effective than other treatments.

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石明鹏,王思乂,丛林,李绍军,顾铭钰,陈一恒,庄明辉,银河,于杰,朱立国,李振华.基于雷达图评价针刀治疗腰椎间盘突出症文献质量:系统评价再评价[J].世界中医药,2023,(03).

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  • 收稿日期:2021-05-17
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  • 在线发布日期: 2023-04-11
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