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Electroacupuncture for Postoperative Urinary Retention: A Systematic Review and Meta-Analysis
Joint Authors
Song, Yang
Zhong, Yajing
Zeng, Fanzhu
Li, Jiaying
Yang, Yunhua
Zhong, Shuxian
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-17, 17 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-26
Country of Publication
Egypt
No. of Pages
17
Main Subjects
Abstract EN
Background.
This systematic review aimed at summarizing and evaluating the evidence from randomized controlled trials (RCTs) which used electroacupuncture (EA) to treat postoperative urinary retention (PUR).
Methods.
We searched thirteen databases electronically through April 2018 without language restrictions.
We included RCTs of women with PUR; other types of urinary retention or not-RCTs were excluded.
Two independent reviewers extracted studies’ characteristics, and disagreements were resolved by consensus.
Data were pooled and expressed as standard mean difference (SMD) for continuous outcomes and odds ratio (OR) for dichotomous outcomes, with 95% confidence interval (CI).
Results.
We found very low to moderate level of evidence that effects of less than or equal to a week were statistically significant: therapeutic effect improved (OR=4.21; 95%CI [3.04, 5.83]; P<0.00001), residual urine volume decreased (SMD=-13.24; 95%CI [-15.70, -10.78]; P<0.00001), bladder capacity increased (SMD=0.56; 95%CI [0.30, 0.83]; P<0.0001), and urinary flow rate improved (SMD=0.91; 95%CI [0.64, 1.18]; P<0.00001).
Effect over a week was statistically significant as well.
Therapeutic effect improved (OR=8.29; 95%CI [2.91, 24.25]; P<0.0001), residual urine volume decreased (SMD=-1.78; 95%CI [-2.66, -0.89]; P<0.0001), bladder capacity (SMD=0.92; 95%CI [0.61, 1.23]; P<0.00001) and urinary flow rate (SMD=1.69; 95%CI [0.59, 2.79]; P=0.003) increased, and first urination after surgery was earlier (SMD=-0.92; 95%CI [-1.37, -0.46]; P<0.0001), compared with physical exercise, medication, or no treatment.
Conclusion.
The efficacy and safety of EA on key outcomes in women with PUR are statistically significant, but the level of most evidence was very low or low.
More large-scale, long-term RCTs with rigorous methodological quality are needed.
American Psychological Association (APA)
Zhong, Yajing& Zeng, Fanzhu& Li, Jiaying& Yang, Yunhua& Zhong, Shuxian& Song, Yang. 2018. Electroacupuncture for Postoperative Urinary Retention: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine،Vol. 2018, no. 2018, pp.1-17.
https://search.emarefa.net/detail/BIM-1156252
Modern Language Association (MLA)
Zhong, Yajing…[et al.]. Electroacupuncture for Postoperative Urinary Retention: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine No. 2018 (2018), pp.1-17.
https://search.emarefa.net/detail/BIM-1156252
American Medical Association (AMA)
Zhong, Yajing& Zeng, Fanzhu& Li, Jiaying& Yang, Yunhua& Zhong, Shuxian& Song, Yang. Electroacupuncture for Postoperative Urinary Retention: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine. 2018. Vol. 2018, no. 2018, pp.1-17.
https://search.emarefa.net/detail/BIM-1156252
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156252