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Evaluating influential factors of acupuncture for tension-type headache: A protocol for systematic review and meta-analysis

BACKGROUND: Acupuncture has been recommended for the treatment of tension-type headache (TTH). However inconsistent findings on the efficacy of acupuncture impacts on the uptake of this effective therapy for TTH. This systematic review aims to 1) Evaluate the efficacy of acupuncture for TTH; and 2)...

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Autores principales: Hao, Xinyu, Shi, Yang, Zhu, Jun, Wang, Jing, Zheng, Qianhua, Xue, Charlie Changli, Li, Ying, Zheng, Zhen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7668429/
https://www.ncbi.nlm.nih.gov/pubmed/33181682
http://dx.doi.org/10.1097/MD.0000000000023118
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author Hao, Xinyu
Shi, Yang
Zhu, Jun
Wang, Jing
Zheng, Qianhua
Xue, Charlie Changli
Li, Ying
Zheng, Zhen
author_facet Hao, Xinyu
Shi, Yang
Zhu, Jun
Wang, Jing
Zheng, Qianhua
Xue, Charlie Changli
Li, Ying
Zheng, Zhen
author_sort Hao, Xinyu
collection PubMed
description BACKGROUND: Acupuncture has been recommended for the treatment of tension-type headache (TTH). However inconsistent findings on the efficacy of acupuncture impacts on the uptake of this effective therapy for TTH. This systematic review aims to 1) Evaluate the efficacy of acupuncture for TTH; and 2) Clarify the factors contributing to conflicting findings through conducting a meta-analysis and meta-regression of randomized controlled trials. METHODS: Comprehensive literature search will be performed on PubMed, EMBASE, CINAHL, ProQuest, Cochrane Central Register of Controlled Trials, Acubriefs, ScienceDirect, Scopus, AMED, and 4 leading Chinese databases of the China National Knowledge Infrastructure, China Science and Technology Journal Database, Wanfang Data, and CBM (SinoMed). We will include Randomized controlled Trials or controlled trials of patients with TTH that compared acupuncture with sham interventions. The primary outcome is the number of days on headache (within 4 weeks) at the end of the treatment and follow-ups. Secondary outcomes include intensity of pain, frequency of attack, and the adverse effects resulting from the intervention. We will use pre-defined sub-group analysis and meta-regression to explore the influential factors of acupuncture effects. Heterogeneity assessment will be performed before carrying out meta-analysis, whereas the subgroup analyses and meta-regression will be used in verifying the possible factors of heterogeneity when significant heterogeneity detected. RESULTS: Review Manager 5.3 software will be used for meta-analysis. The synthesis will be performed by generating forest plots. Meta-regression will be used to understand influential factors for acupuncture in patients with TTH. CONCLUSION: By utilizing techniques of meta-regression, this study will provide evidence toward to a more focused understanding of influential factors for acupuncture in patients with TTH. This systematic review will provide quality evidence for the optimization of acupuncture therapeutic regimen. It will facilitate the development of clinical practice guideline on acupuncture for TTH.
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spelling pubmed-76684292020-11-17 Evaluating influential factors of acupuncture for tension-type headache: A protocol for systematic review and meta-analysis Hao, Xinyu Shi, Yang Zhu, Jun Wang, Jing Zheng, Qianhua Xue, Charlie Changli Li, Ying Zheng, Zhen Medicine (Baltimore) 3800 BACKGROUND: Acupuncture has been recommended for the treatment of tension-type headache (TTH). However inconsistent findings on the efficacy of acupuncture impacts on the uptake of this effective therapy for TTH. This systematic review aims to 1) Evaluate the efficacy of acupuncture for TTH; and 2) Clarify the factors contributing to conflicting findings through conducting a meta-analysis and meta-regression of randomized controlled trials. METHODS: Comprehensive literature search will be performed on PubMed, EMBASE, CINAHL, ProQuest, Cochrane Central Register of Controlled Trials, Acubriefs, ScienceDirect, Scopus, AMED, and 4 leading Chinese databases of the China National Knowledge Infrastructure, China Science and Technology Journal Database, Wanfang Data, and CBM (SinoMed). We will include Randomized controlled Trials or controlled trials of patients with TTH that compared acupuncture with sham interventions. The primary outcome is the number of days on headache (within 4 weeks) at the end of the treatment and follow-ups. Secondary outcomes include intensity of pain, frequency of attack, and the adverse effects resulting from the intervention. We will use pre-defined sub-group analysis and meta-regression to explore the influential factors of acupuncture effects. Heterogeneity assessment will be performed before carrying out meta-analysis, whereas the subgroup analyses and meta-regression will be used in verifying the possible factors of heterogeneity when significant heterogeneity detected. RESULTS: Review Manager 5.3 software will be used for meta-analysis. The synthesis will be performed by generating forest plots. Meta-regression will be used to understand influential factors for acupuncture in patients with TTH. CONCLUSION: By utilizing techniques of meta-regression, this study will provide evidence toward to a more focused understanding of influential factors for acupuncture in patients with TTH. This systematic review will provide quality evidence for the optimization of acupuncture therapeutic regimen. It will facilitate the development of clinical practice guideline on acupuncture for TTH. Lippincott Williams & Wilkins 2020-11-13 /pmc/articles/PMC7668429/ /pubmed/33181682 http://dx.doi.org/10.1097/MD.0000000000023118 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 3800
Hao, Xinyu
Shi, Yang
Zhu, Jun
Wang, Jing
Zheng, Qianhua
Xue, Charlie Changli
Li, Ying
Zheng, Zhen
Evaluating influential factors of acupuncture for tension-type headache: A protocol for systematic review and meta-analysis
title Evaluating influential factors of acupuncture for tension-type headache: A protocol for systematic review and meta-analysis
title_full Evaluating influential factors of acupuncture for tension-type headache: A protocol for systematic review and meta-analysis
title_fullStr Evaluating influential factors of acupuncture for tension-type headache: A protocol for systematic review and meta-analysis
title_full_unstemmed Evaluating influential factors of acupuncture for tension-type headache: A protocol for systematic review and meta-analysis
title_short Evaluating influential factors of acupuncture for tension-type headache: A protocol for systematic review and meta-analysis
title_sort evaluating influential factors of acupuncture for tension-type headache: a protocol for systematic review and meta-analysis
topic 3800
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7668429/
https://www.ncbi.nlm.nih.gov/pubmed/33181682
http://dx.doi.org/10.1097/MD.0000000000023118
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