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Acupuncture treatment of diabetic peripheral neuropathy: An overview of systematic reviews

WHAT IS KNOWN AND OBJECTIVE: To evaluate the clinical efficacy of acupuncture through a review and analysis of systematic reviews of acupuncture for the treatment of diabetic peripheral neuropathy. METHODS: Systematic reviews of acupuncture treatment for diabetic peripheral neuropathy were collected...

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Detalles Bibliográficos
Autores principales: Yu, Bin, Li, MengYuan, Huang, HaiPeng, Ma, ShiQi, Huang, Ke, Zhong, Zhen, Yu, Shuo, Zhang, LiYing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8247887/
https://www.ncbi.nlm.nih.gov/pubmed/33511675
http://dx.doi.org/10.1111/jcpt.13351
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author Yu, Bin
Li, MengYuan
Huang, HaiPeng
Ma, ShiQi
Huang, Ke
Zhong, Zhen
Yu, Shuo
Zhang, LiYing
author_facet Yu, Bin
Li, MengYuan
Huang, HaiPeng
Ma, ShiQi
Huang, Ke
Zhong, Zhen
Yu, Shuo
Zhang, LiYing
author_sort Yu, Bin
collection PubMed
description WHAT IS KNOWN AND OBJECTIVE: To evaluate the clinical efficacy of acupuncture through a review and analysis of systematic reviews of acupuncture for the treatment of diabetic peripheral neuropathy. METHODS: Systematic reviews of acupuncture treatment for diabetic peripheral neuropathy were collected by searching CNKI, VIP, Wanfang database, Chinese Biomedical Literature Database (CBM), PubMed, Web of Science and the Cochrane Library. The retrieval period was from the establishment of the database to February 14, 2020. After literature selection and extraction, included reports were evaluated in terms of the quality of the methodology and of the report using criteria from the AMSTAR2 scale and the PRISMA statement. RESULTS AND DISCUSSION: Eighty eight reviews were retrieved. The inclusion criteria were a published systematic evaluation/meta‐analysis/systematic review of acupuncture treatment for diabetic peripheral neuropathy, which included subjects meeting the diagnostic criteria for diabetic peripheral neuropathy, and which compared acupuncture treatment with non‐acupuncture treatment. After the inclusion criteria had been applied, 18 reviews were finally included. According to the PRISMA statement, 3 reports were relatively complete, 12 reports had certain defects, 3 reports had considerable information missing, and 18 reports had extremely low methodological quality according to the AMSTAR2 scale. Current evidence shows that acupuncture improves diabetic peripheral neuropathy and increases nerve conduction velocity. However, the methodological quality of the reviews is generally extremely low, and most of the reviews had certain defects, showing that there is still much room for improvement in terms of the methodology and quality of the research reports. WHAT IS NEW AND CONCLUSION: Acupuncture appears to have an effect on DPN, effectively improving nerve conduction and clinical symptoms. Although the methodological quality of the included studies was generally very low and defects were frequent, our study highlights areas where improvement in methodology is required. There is a need for further study of the pathogenesis of DPN, and for developing a unified standard for methods of acupuncture treatment, acupoint selection, and adverse reactions reporting. Traditional Chinese medical practices such as acupuncture should adopt an evidence‐based approach to provide greater confidence in their use.
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spelling pubmed-82478872021-07-02 Acupuncture treatment of diabetic peripheral neuropathy: An overview of systematic reviews Yu, Bin Li, MengYuan Huang, HaiPeng Ma, ShiQi Huang, Ke Zhong, Zhen Yu, Shuo Zhang, LiYing J Clin Pharm Ther Review Articles WHAT IS KNOWN AND OBJECTIVE: To evaluate the clinical efficacy of acupuncture through a review and analysis of systematic reviews of acupuncture for the treatment of diabetic peripheral neuropathy. METHODS: Systematic reviews of acupuncture treatment for diabetic peripheral neuropathy were collected by searching CNKI, VIP, Wanfang database, Chinese Biomedical Literature Database (CBM), PubMed, Web of Science and the Cochrane Library. The retrieval period was from the establishment of the database to February 14, 2020. After literature selection and extraction, included reports were evaluated in terms of the quality of the methodology and of the report using criteria from the AMSTAR2 scale and the PRISMA statement. RESULTS AND DISCUSSION: Eighty eight reviews were retrieved. The inclusion criteria were a published systematic evaluation/meta‐analysis/systematic review of acupuncture treatment for diabetic peripheral neuropathy, which included subjects meeting the diagnostic criteria for diabetic peripheral neuropathy, and which compared acupuncture treatment with non‐acupuncture treatment. After the inclusion criteria had been applied, 18 reviews were finally included. According to the PRISMA statement, 3 reports were relatively complete, 12 reports had certain defects, 3 reports had considerable information missing, and 18 reports had extremely low methodological quality according to the AMSTAR2 scale. Current evidence shows that acupuncture improves diabetic peripheral neuropathy and increases nerve conduction velocity. However, the methodological quality of the reviews is generally extremely low, and most of the reviews had certain defects, showing that there is still much room for improvement in terms of the methodology and quality of the research reports. WHAT IS NEW AND CONCLUSION: Acupuncture appears to have an effect on DPN, effectively improving nerve conduction and clinical symptoms. Although the methodological quality of the included studies was generally very low and defects were frequent, our study highlights areas where improvement in methodology is required. There is a need for further study of the pathogenesis of DPN, and for developing a unified standard for methods of acupuncture treatment, acupoint selection, and adverse reactions reporting. Traditional Chinese medical practices such as acupuncture should adopt an evidence‐based approach to provide greater confidence in their use. John Wiley and Sons Inc. 2021-01-28 2021-06 /pmc/articles/PMC8247887/ /pubmed/33511675 http://dx.doi.org/10.1111/jcpt.13351 Text en © 2021 The Authors. Journal of Clinical Pharmacy and Therapeutics published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Review Articles
Yu, Bin
Li, MengYuan
Huang, HaiPeng
Ma, ShiQi
Huang, Ke
Zhong, Zhen
Yu, Shuo
Zhang, LiYing
Acupuncture treatment of diabetic peripheral neuropathy: An overview of systematic reviews
title Acupuncture treatment of diabetic peripheral neuropathy: An overview of systematic reviews
title_full Acupuncture treatment of diabetic peripheral neuropathy: An overview of systematic reviews
title_fullStr Acupuncture treatment of diabetic peripheral neuropathy: An overview of systematic reviews
title_full_unstemmed Acupuncture treatment of diabetic peripheral neuropathy: An overview of systematic reviews
title_short Acupuncture treatment of diabetic peripheral neuropathy: An overview of systematic reviews
title_sort acupuncture treatment of diabetic peripheral neuropathy: an overview of systematic reviews
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8247887/
https://www.ncbi.nlm.nih.gov/pubmed/33511675
http://dx.doi.org/10.1111/jcpt.13351
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