针灸类系统综述与Meta分析存在的问题及对策探讨

Systematic review and meta-analysis of acupuncture and moxibustion:existing problems and countermeasures

针灸类系统综述及Meta分析普遍存在研究问题定义不清及方法学错误等问题。为进一步提高相关文献质量,本文结合针灸学特点,从PICOS(P:研究对象;I:干预措施;C:对照措施;O:结局指标;S:研究类型)框架探讨如何构建明确的研究问题,方法学上从文献检索、偏倚评价、结果的分析及解读、其他类型Meta分析的选择、方法学的更新五方面对存在的共性问题进行分析并探讨相关对策。

There are some common problems in the systematic review and meta-analysis on acupuncture-moxibustion,e.g.indistinct definition and errors in methodology.In order to further improve the quality of relevant literature,in association with the characteristics of acupuncture-moxibustion,based on the framework of PICOS(P:population,I:interventions,C:comparisons,O:outcomes,S:study designs),the paper explores how to construct specific research questions.In methodology,the paper analyzes the common problems from five aspects,including literature retrieval,bias assessment,analysis and interpretation of results,selection of other types of meta-analysis and the update of methodology.Based on the analysis above,the paper discusses the corresponding countermeasures.