Different Acupuncture Therapies for Allergic Rhinitis: Overview of Systematic Reviews and Network Meta-Analysis
Joint Authors
Zhang, Jinhuan
Huang, Xingxian
Chen, Yirong
Hu, Liyu
Lan, Kai
Yu, Haibo
Zhang, Yanying
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-18, 18 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-04-23
Country of Publication
Egypt
No. of Pages
18
Main Subjects
Abstract EN
Objective.
To evaluate the quality of methodologies used in previous systematic reviews (SRs) and compare efficacy of different acupuncture therapies for allergic rhinitis.
Methods.
Seven electronic databases were searched for systematic reviews (SRs) performed on different acupuncture therapies for allergic rhinitis from inception to 15 November 2019.
The AMSTAR2 instrument was employed to assess the methodological quality of included SRs.
Eligible randomized controlled trials (RCTs) were selected from the included systematic reviews.
We also included recent RCTs published by 15 November 2019.
Cochrane risk of bias tool was utilized to determine risk of bias of the included RCTs.
Pairwise meta-analyses were performed using the random-effects model.
Network meta-analysis of the included RCTs was carried out using frequentist framework.
Results.
We identified 2 SRs with low quality and 18 SRs with very low quality, both of which contained 33 eligible RCTs (n = 3769).
Most of these studies had unclear risk of bias.
On the basis of ranking probability, NMA analysis showed that acupuncture at the sphenopalatine ganglion acupoint (OR: 1.31, 95% CI 1.07 to 1.61) had the highest probability of improving global allergic rhinitis symptoms, followed by San-Fu-Tie (OR: 1.17, 95% CI 1.08 to 1.27), manual acupuncture (OR:1.15, 95% CI 1.07 to 1.24) compared with conventional western medicine treatment.
Moreover, direct comparison of the follow-up period showed that the clinical outcomes of acupuncture and related therapies at three-month (OR:1.34, 95% CI 1.17 to 1.55), six-month (OR: 1.31, 95% CI 1.10 to 1.57), and twelve-month (OR: 1.30, 95%CI 1.11 to 1.53) follow-up were better than those of traditional western medicine.
Conclusion.
These results indicate that for patients with allergic rhinitis who are unresponsive to conventional western medicine or cannot tolerate the side effects, acupuncture at the sphenopalatine ganglion acupoint is an effective alternative therapy.
Further studies are advocated to deeply explore methodological quality of SRs by incorporating high-quality RCTs.
American Psychological Association (APA)
Zhang, Jinhuan& Zhang, Yanying& Huang, Xingxian& Lan, Kai& Hu, Liyu& Chen, Yirong…[et al.]. 2020. Different Acupuncture Therapies for Allergic Rhinitis: Overview of Systematic Reviews and Network Meta-Analysis. Evidence-Based Complementary and Alternative Medicine،Vol. 2020, no. 2020, pp.1-18.
https://search.emarefa.net/detail/BIM-1157521
Modern Language Association (MLA)
Zhang, Jinhuan…[et al.]. Different Acupuncture Therapies for Allergic Rhinitis: Overview of Systematic Reviews and Network Meta-Analysis. Evidence-Based Complementary and Alternative Medicine No. 2020 (2020), pp.1-18.
https://search.emarefa.net/detail/BIM-1157521
American Medical Association (AMA)
Zhang, Jinhuan& Zhang, Yanying& Huang, Xingxian& Lan, Kai& Hu, Liyu& Chen, Yirong…[et al.]. Different Acupuncture Therapies for Allergic Rhinitis: Overview of Systematic Reviews and Network Meta-Analysis. Evidence-Based Complementary and Alternative Medicine. 2020. Vol. 2020, no. 2020, pp.1-18.
https://search.emarefa.net/detail/BIM-1157521
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1157521