雷达图多元评价针刺治疗腰椎间盘突出症的系统评价/Meta分析

Multiple evaluation of radar plot on acupuncture for lumbar disc herniation:a systematic review/meta-analysis

背景:目前国内外在通过雷达图对针刺治疗腰椎间盘突出症的系统评价/Meta再评价分析其质量证据等方面的研究报道较少,不足以为临床决策提供参考。目的:运用雷达图多元评价思维定性定量再评价针刺治疗腰椎间盘突出症的系统评价/Meta分析,为更多的临床实践与医学研究提供可视化、科学化的决策手段。方法:运用计算机检索国内外8大中英文数据库,收集针刺治疗腰椎间盘突出症的系统评价/Meta分析资料,检索时间为从数据库建库至2019年8月。从发表年份、研究类型、AMSTAR 2方法学质量评分、PRISMA报告学质量评分、同质性及发表偏倚风险等6个方面多元评价文献质量,计算其秩数平均分。通过运用GRADE证据质量评价工具对所有纳入文献的结局指标进行质量分级。采用Excel2013绘制并优化雷达图以供数据的直观分析。结果与结论:共纳入11篇合格文献,根据对雷达图数据提取,结果显示所有纳入文献的质量秩数平均得分为6.95分。主要存在项目注册、结构式摘要、检索策略、排除文献清单、发表偏倚等方面的问题。GRADE证据质量评分偏低,以极低质量为主。针刺治疗腰椎间盘突出症的系统评价/Meta分析文献质量不高,且需从方法学质量和报告学质量方面着手,不断加强以期进一步提高文献质量。雷达标绘图作为一种图形评价手段,能够直观简洁地展现所需数据的分布情况。

BACKGROUND: At present, there are few reports on systematic evaluation/meta reevaluation of acupuncturefor lumbar disc herniation through radar plot in and outside China, which are insufficient to provide references forclinical decision-making.OBJECTIVE: To evaluate systematic reviews/meta-analysis of acupuncture in the treatment of lumbar disc herniation qualitatively andquantitatively by using the multiple evaluation thinking of radar plot so as to provide visual and scientific decision-making means for clinicalpractice and medical research.METHODS: Computer retrieval was performed in eight Chinese and English databases to collect data of systematic reviews/meta-analysis ofacupuncture in the treatment of lumbar disc herniation. The retrieval time was from database establishment to August 2019. Moreover, themultiple evaluations were carried out from six dimensions, including publiscation year, research type, A Measurement Tool to Assess systematicReviews (AMSTAR) 2 methodological quality score, Preferred Reporting Items for Systematic Reviews and Meta-Analys is (PRISMA) qualityscore, homogeneous, and publication bias risk so as to calculate average rank score. The quality of all included outcome indicators was gradedusing GRADE evidence quality assessment tools. Excel 2013 was used to draw and optimize the radar plot for intuitive analysis.RESULTS AND CONCLUSION: A total of 11 qualified studies were included. According to data extraction, the radar plot showed that theincluded 11 articles scored 6.95 in the quality of the average rank. Some issues were found such as item registration, structured abstract,search strategy, exclusion literature list, and publication bias. Grading of recommendations assessment, development and evaluation(GRADE) evidence quality scores are low, with very low quality as the main reason. The literature quality of systematic reviews/meta-analysisof acupuncture in the treatment of lumbar disc herniation was not high. The methodological quality and reporting quality should be improvedand continuously strengthened in order to further improve the quality of literature. As a visual and effective method of graphic evaluation, theradar plot can show the distribution of required data intuitively and concisely.