运用雷达图对针灸治疗原发性骨质疏松症的系统评价再评价

Acupuncture therapy on primary osteoporosis based on radar plot: an overview of systematic reviews

目的对针灸治疗原发性骨质疏松症的系统评价/Meta分析的方法学质量和报告质量进行再评价。方法计算机检索PubMed、EMbase、The Cochrane Library、CBM、WanFang Data、CNKI和VIP数据库,收集针灸治疗原发性骨质疏松症的系统评价/Meta分析,检索时限均从建库至2018年7月。由2位评价员独立筛选文献、提取资料并评价纳入系统评价的质量。采用AMSTAR工具和PRISMA评价量表评价系统评价的方法学质量和报告质量,同时对同质性及发表偏倚风险进行评价。结果共纳入11个系统评价/Meta分析,雷达图多元评价显示,所有纳入文献的质量秩平均得分为7.68分。主要存在多数研究没有项目注册、检索策略不完善、资料存在选择偏倚等问题。结论针灸治疗原发性骨质疏松症的系统评价/Meta分析文献质量不高,需进一步加强系统评价的方法学质量和报告质量。

Objective To overview the reporting and methodology quality of systematic reviews/meta-analysis on acupuncture in the treatment of primary osteoporosis(POP). Methods PubMed, EMbase, The Cochrane Library, CBM,WanFang Data, CNKI and VIP databases were electronically searched to collect systematic reviews/meta-analysis on acupuncture in the treatment of POP from inception to July 2018. Two reviewers independently screened literature,extracted data, and assessed the quality of systematic reviews. A Measurement Tool to Assess Systematic Reviews(AMSTAR) methodological quality score and Preferred Reporting Items for Systematic Reviews and Meta-Analysis(PRISMA) were used to assess the methodological quality and reporting quality of the systematic reviews, along with the risk of homogeneity and publication bias. Results A total of 11 systematic reviews/meta-analysis were included and multiple evaluations of the radar plot showed that the quality average rank scored 7.68. The major problems in studies were lack of items registration, imperfect search strategies and selection bias and so on. Conclusion The quality of systematic reviews/meta-analysis of acupuncture in the treatment of POP is insufficient, indicating that the methodological and reporting quality of systematic reviews should be further strengthened.