世界中医药

目的:系统再评价热敏灸防治性系统评价/Meta分析的方法学和报告质量,以期能够为临床治疗提供最佳依据。方法:利用计算机检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Embase、Cochrane Library等数据库,采用AMSTAR-2和PRISMA声明评价纳入文献的方法学和报告学质量。结果:共纳入22篇文献。其方法学质量不高,部分关键条目报告不充分或未报告,条目2、4均为部分符合,14篇(6364%)使用了合适的偏倚评估工具,9篇(4091%)在发现异质性的时候未分析其来源或作出任何处理;11篇(50%)用漏斗图的形式描述了发表偏倚。纳入文献报告不充分,均未进行系统注册和预先计划,3篇(1364%)详细描述了数据库的检索策略,12篇(5455%)在统计描述中描述了其他分析,均未说明预先制定,22篇(100%)均用表格形式描述了纳入文献的研究特征,9篇(4091%)在讨论中描述了系统评价结果的证据强度,以及与临床工作者的关联。结论:热敏灸防治性系统评价/Meta分析数量不断增长,临床疗效得到科学评价,但是方法学质量和报告质量有待进一步提高。同时也发现高质量原始研究偏少,需要大力开展高质量研究,以增强证据强度。

English Summary:

To perform an overview on the methodological and report quality in systematic reviews and Meta analyses of prevention and treatment of heat-sensitive moxibustion，so as to provide the best basis for clinical treatment.Methods:CNKI，Wanfang，VIP，Chinese biomedical literature database，PubMed，Embase，Cochrane Library and other databases were searched by computer.AMSTAR-2 and PRISMA statements were used to evaluate the methodological and report quality of the included papers.Results:A total of 22 papers were included.The methodological quality was not high，some key items were not reported adequately or not reported.Items 2 and 4 were partially qualified.There were 14 papers(6364%)using appropriate bias assessment tools，and 9 papers(4091%)without analyzing the source or doing anything when heterogeneity was found.There were 11(50%)papers describing publication bias in the form of funnel plots.Inadequate report was found in the papers，and they were not systematically registered or planned ahead.There were 3 papers(1364%)describing in detail the database retrieval strategy，and 12 papers(5455%)describing other analyses in the statistical description，without illustrating the set in advance.There were 22 papers(100%)describing the research characteristics of the included literature by forms，and 9 papers(4091%)describing the evidence strength of the systematic review's results and their correlation with clinical workers in the part of discussion.Conclusion:The quantity of systematic reviews / Meta analyses on the prevention and treatment of heat-sensitive moxibustion has been increasing，and the clinical efficacy has been scientifically evaluated，but the methodological quality and report quality need to be further improved.At the same time，it is also found that there are few high-quality original studies，so we need to vigorously carry out high-quality studies to enhance the strength of evidence.

查看全文查看/发表评论下载PDF阅读器