An overview of systematic reviews on Tuina from 2013 to 2017_Chinese Journal of Evidence-Based Medicine

Authors：

ZHANG Xiatian ¹ , HU Yeyin ¹ , ZHANG Xiaoyu ¹ , CHEN Heqing ¹ , WANG Xiaoli ¹ , LI Xinyi ¹ , HUANG Yusi ¹ , LIN Yiyi ¹ , SHANG Hongcai ¹ , BIANG Zhaoxiang ² ,  TIAN Guihua ¹

1. Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing, 100700, P.R.China;
2. School of Chinese Medicine of HongKong Baptist University, HongKong, 999077, P.R.China;

Corresponding?author：

TIAN Guihua, Email: rosetgh@163.com

Keywords：

Tuina; Bibliometrics; Overview of systematic reviews; AMSTAR 2 tool

DOI：

10.7507/1672-2531.201806062

Video：

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Objectives To conduct an overview of systematic reviews (SRs) on Tuina from 2013 to 2017, and to explore recent research improvements on Tuina.Methods PubMed, Web of Science, The Cochrane Library, SpringerLink e-book database, CNKI, VIP, WanFang Data and CBM databases were searched to collect SRs including randomized controlled clinical trials on Tuina from January 1^st, 2013 to December 31^st, 2017. Two reviewers independently screened literature, extracted data, and used AMSTAR 2 tool and PRISMA statement to assess methodology quality and reporting quality of included studies, respectively. The R 3.4.3 software was used to analyze data.Results A total of 8 SRs studies were included in the overview. The studied diseases involved radiculopathy cervical spondylotic, myelopathy cervical spondylotic, constipation, child anorexia, child diarrhea and external humeral epicondylitis. The results of above SRs showed that massage might be superior to other interventions in clinical efficacy, curative effects or total effective rate. However, due to the low quality of included studies of SRs, further evidence from high-quality clinical studies is required to verify above conclusions. For the results of AMSTAR 2 assessment, all 8 SRs were rated as very low quality. The quantity of items accomplished for each SR ranged from 7 to 13, 2 SRs had low methodological quality (percentage of accomplishment or partial accomplishment <50.0%) and 6 SRs with high methodological quality (percentage of accomplishment or partial accomplishment ≥50.0%). All 8 SRs did not report item 2 "Whether to declare research methods", item 10 "Whether reports have included funding sources for each study" and item 11 "Whether reports used the correct statistical method". The results of PRISMA assessment showed that all SR had good quality of reporting. The accomplished items number of each SR ranged from 22 to 26. However, there were defects in item 5(0), item 16(25.0%) and item 23(25.0%). All SRs did not report item 5 "Whether to declare research program".Conclusions This study finds that Tuina has supportive evidence-based medical evidence for treating anorexia, cervical spondylosis and other diseases, however, the SRs of Tuina are yet needed to be improved in terms of standardized degree. Therefore, establishing a reporting consolidated standard for evidence-based medicine on Tuina in order to improve the quality of clinical studies so as to provide clinicians with high-quality evidence is the focus of our further research.

Citation： ZHANG Xiatian, HU Yeyin, ZHANG Xiaoyu, CHEN Heqing, WANG Xiaoli, LI Xinyi, HUANG Yusi, LIN Yiyi, SHANG Hongcai, BIANG Zhaoxiang, TIAN Guihua. An overview of systematic reviews on Tuina from 2013 to 2017. Chinese Journal of Evidence-Based Medicine, 2019, 19(3): 361-367. doi: 10.7507/1672-2531.201806062 Copy

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2.	張明妍, 楊豐文, 李越, 等. 《中國中西醫結合雜志》刊載中醫藥隨機對照試驗報告質量的研究. 中國循證醫學雜志, 2017, 17(3): 357-363.
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4.	王家瑩, 王俊峰, 承詩琪, 等. 中醫藥系統評價/Meta 分析 19 年發展及現狀分析. 中醫雜志, 2017, 58(11): 919-925.
5.	朱國苗, 房敏, 孫武權, 等. 循證醫學在提高推拿臨床研究質量中的應用. 按摩與康復醫學, 2007, 23(5): 2-3.
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9.	安光輝, 趙毅, 姚斐, 等. 脊柱推拿治療腰背及頸部疼痛的療效和安全性的系統評價再評價. 中國循證醫學雜志, 2015, 15(9): 1010-1017.
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12.	楊佳, 張瑞春, 王新軍. 推拿與牽引治療神經根型頸椎病的 Meta 分析. 環球中醫藥, 2013, 6(9): 641-648.
13.	張軍, 吳宗蔚, 馬篤軍, 等. 推拿治療便秘臨床研究文獻的 Meta 分析. 湖南中醫雜志, 2013, 29(3): 127-130.
14.	Qiao CX, Zhang XF, Cai XP. Evaluating the efficacy of tui na in treatment of childhood anorexia: a meta-analysis. Altern Ther Health Med, 2014, 20(5): 45-52.
15.	李娜. 小兒推拿治療小兒厭食癥的系統評價. 成都: 成都中醫藥大學, 2016.
16.	司夢冉, 蔡君豪, 王文奕, 等. 推拿與蒙脫石散治療小兒腹瀉效果比較的 Meta 分析. 中國醫藥導報, 2016, 13(19): 76-79.
17.	朱成林, 徐波, 李艷, 等. 推拿治療脊髓型頸椎病的系統評價. 陜西中醫學院學報, 2016, 39(2): 71-74.
18.	林強, 嚴雋陶. 手法治療肱骨外上髁炎文獻質量評價及 Meta 分析. 中醫藥導報, 2017, (21): 116-122.
19.	楊超, 魯夢倩, 于天源, 等. 推拿治療小兒厭食癥隨機對照試驗的系統評價和 Meta 分析. 中華中醫藥學刊, 2017, 35(5): 1161-1166.
20.	張方圓, 沈傲梅, 曾憲濤, 等. 系統評價方法學質量評價工具 AMSTAR 2 解讀. 中國循證心血管醫學雜志, 2018, 18(1): 14-18.
21.	David Moher, Alessandro Liberati, Jennifer Tetzlaff, et al. 系統綜述和薈萃分析優先報告的條目: PRISMA 聲明. 中西醫結合學報, 2009, 7(9): 889-896.
22.	Bj S, Ga HC, Lm B, et al. AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviews. J Clin Epidemiol, 2009, 62(10): 1013-1020.
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24.	王傳池, 胡鏡清, 江麗杰, 等. 中醫學與現代醫學整體論的差別. 中醫雜志, 2017, 58(5): 361-365.
25.	王永炎, 劉保延, 謝雁鳴. 應用循證醫學方法構建中醫臨床評價體系. 中國中醫基礎醫學雜志, 2003, 9(3): 17-23.
26.	陳倢, 梁偉雄. 中醫循證教學的現狀與思考. 中醫藥導報, 2015, 21(8): 105-107.
27.	陳書, 魏高文, 鄧思思, 等. 中醫專業本科生循證醫學教學體會及思考. 科教導刊(上旬刊), 2017, (10): 45-46.
28.	朱音, 周忞, 陸穎, 等. 中醫研究生循證醫學教學探索. 上海中醫藥大學學報, 2010, 24(5): 18-19.
29.	Cheng CW, Wu TX, Shang HC, et al. CONSORT extension for Chinese herbal medicine formulas 2017: recommendations, explanation, and elaboration. Ann Intern Med, 2017, 167(2): 112-121.
30.	Schulz KF, Altman DG, Moher D, et al. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMJ, 2010, 340(7748): 698-702.

1. 李幼平, 李靜, 孫鑫, 等. 循證醫學在中國的發展: 回顧與展望. 蘭州大學學報(醫學版), 2016, 42(1): 25-28.
2. 張明妍, 楊豐文, 李越, 等. 《中國中西醫結合雜志》刊載中醫藥隨機對照試驗報告質量的研究. 中國循證醫學雜志, 2017, 17(3): 357-363.
3. 毛兵, 王剛, 陳小東, 等. 《中國中西醫結合雜志》發表隨機對照試驗報告的質量評價. 中國循證醫學雜志, 2006, 6(4): 297-304.
4. 王家瑩, 王俊峰, 承詩琪, 等. 中醫藥系統評價/Meta 分析 19 年發展及現狀分析. 中醫雜志, 2017, 58(11): 919-925.
5. 朱國苗, 房敏, 孫武權, 等. 循證醫學在提高推拿臨床研究質量中的應用. 按摩與康復醫學, 2007, 23(5): 2-3.
6. 王軍, 劉艷, 譚曾德, 等. 中國現代推拿病譜的文獻研究概述. 中醫藥信息, 2011, 28(4): 151-153.
7. Wood L, Egger M, Gluud LL, et al. Empirical evidence of bias in treatment effect estimates in controlled trials with different interventions and outcomes: meta-epidemiological study. BMJ, 2008, 336(7644): 601.
8. 吳泰相, 劉關鍵. 隱蔽分組(分配隱藏)和盲法的概念、實施與報告. 中國循證醫學雜志, 2007, 7(3): 222-225.
9. 安光輝, 趙毅, 姚斐, 等. 脊柱推拿治療腰背及頸部疼痛的療效和安全性的系統評價再評價. 中國循證醫學雜志, 2015, 15(9): 1010-1017.
10. Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 2017, 358: j4008.
11. Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med, 2009, 6(7): e1000097.
12. 楊佳, 張瑞春, 王新軍. 推拿與牽引治療神經根型頸椎病的 Meta 分析. 環球中醫藥, 2013, 6(9): 641-648.
13. 張軍, 吳宗蔚, 馬篤軍, 等. 推拿治療便秘臨床研究文獻的 Meta 分析. 湖南中醫雜志, 2013, 29(3): 127-130.
14. Qiao CX, Zhang XF, Cai XP. Evaluating the efficacy of tui na in treatment of childhood anorexia: a meta-analysis. Altern Ther Health Med, 2014, 20(5): 45-52.
15. 李娜. 小兒推拿治療小兒厭食癥的系統評價. 成都: 成都中醫藥大學, 2016.
16. 司夢冉, 蔡君豪, 王文奕, 等. 推拿與蒙脫石散治療小兒腹瀉效果比較的 Meta 分析. 中國醫藥導報, 2016, 13(19): 76-79.
17. 朱成林, 徐波, 李艷, 等. 推拿治療脊髓型頸椎病的系統評價. 陜西中醫學院學報, 2016, 39(2): 71-74.
18. 林強, 嚴雋陶. 手法治療肱骨外上髁炎文獻質量評價及 Meta 分析. 中醫藥導報, 2017, (21): 116-122.
19. 楊超, 魯夢倩, 于天源, 等. 推拿治療小兒厭食癥隨機對照試驗的系統評價和 Meta 分析. 中華中醫藥學刊, 2017, 35(5): 1161-1166.
20. 張方圓, 沈傲梅, 曾憲濤, 等. 系統評價方法學質量評價工具 AMSTAR 2 解讀. 中國循證心血管醫學雜志, 2018, 18(1): 14-18.
21. David Moher, Alessandro Liberati, Jennifer Tetzlaff, et al. 系統綜述和薈萃分析優先報告的條目: PRISMA 聲明. 中西醫結合學報, 2009, 7(9): 889-896.
22. Bj S, Ga HC, Lm B, et al. AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviews. J Clin Epidemiol, 2009, 62(10): 1013-1020.
23. 羅智博, 張哲, 張會永, 等. 以系統論為指導構建中醫臨床療效評價指標體系. 中華中醫藥學刊, 2008, 26(2): 257-259.
24. 王傳池, 胡鏡清, 江麗杰, 等. 中醫學與現代醫學整體論的差別. 中醫雜志, 2017, 58(5): 361-365.
25. 王永炎, 劉保延, 謝雁鳴. 應用循證醫學方法構建中醫臨床評價體系. 中國中醫基礎醫學雜志, 2003, 9(3): 17-23.
26. 陳倢, 梁偉雄. 中醫循證教學的現狀與思考. 中醫藥導報, 2015, 21(8): 105-107.
27. 陳書, 魏高文, 鄧思思, 等. 中醫專業本科生循證醫學教學體會及思考. 科教導刊(上旬刊), 2017, (10): 45-46.
28. 朱音, 周忞, 陸穎, 等. 中醫研究生循證醫學教學探索. 上海中醫藥大學學報, 2010, 24(5): 18-19.
29. Cheng CW, Wu TX, Shang HC, et al. CONSORT extension for Chinese herbal medicine formulas 2017: recommendations, explanation, and elaboration. Ann Intern Med, 2017, 167(2): 112-121.
30. Schulz KF, Altman DG, Moher D, et al. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMJ, 2010, 340(7748): 698-702.

Chinese Journal of Evidence-Based Medicine

An overview of systematic reviews on Tuina from 2013 to 2017

Abstract Full text Figures/Tables Video References Cited by

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