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손목터널증후군에 사용된 침 치료 보고의 질 평가

A Systematic Review on the Reporting Quality of Acupuncture Treatment for Carpal Tunnel Syndrome

경락경혈학회지 2020년 37권 3호 p.131 ~ 144
현지윤, 신주은, 임채정, 박지연,
소속 상세정보
현지윤 ( Hyun Ji-Yoon ) - Daejeon University College of Korean Medicine Department of Korean Medicine
신주은 ( Shin Joo-Eun ) - Daejeon University College of Korean Medicine Department of Korean Medicine
임채정 ( Im Chae-Jeong ) - Daejeon University College of Korean Medicine Department of Korean Medicine
박지연 ( Park Ji-Yeun ) - Daejeon University College of Korean Medicine Department of Korean Medicine

Abstract


Objectives: : The aim of this study is to analyze the details of acupuncture treatment methods and the reporting quality of acupuncture on Carpal Tunnel Syndrome (CTS).

Methods : Search was conducted in Pubmed, EMBASE, and Cochrane Library for acupuncture studies on CTS. The reporting quality of acupuncture treatment was assessed using the following guidelines: Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) for analyzing the method of acupuncture treatment, Consolidated Standards of Reporting Trials (CONSORT) for analyzing study design and study process, and Risk of Bias (ROB) for analyzing bias. The number of reported items was calculated and evaluated as a proportion. The reported proportion of each study was classified into three grades: Grade A (% score ≥75), Grade B (50≤ % score <75), and Grade C (% score <50).

Results : A total of 9 Randomized Controlled Trials (RCTs) were included in this study. All trials reported 12 items (66.67%) on average in STRICTA guidelines. Five studies were conducted with manual acupuncture and 3 studies were conducted with electroacupuncture. PC7 (Daereung) was most frequently used to treat CTS. In STRICTA guideline evaluation, 3 studies were classified as Grade A, 5 studies were classified as Grade B, and 1 study was classified as Grade C. In the CONSORT statement assessment, all trials reported an average of 20.56 items. Of the 9 RCTs, 6 studies were classified as Grade B and 3 studies were classified as Grade C. In ROB assessment, most studies showed a low (63.49%) or unclear (26.98%) risk of bias. The selective reporting bias and the incomplete outcome data bias were found to have the lowest risk of bias, and the allocation concealment of selection bias was found to have the most unclear risk of bias.

Conclusions : Recent acupuncture studies on CTS showed moderate reporting quality. However, more detailed reports on acupuncture are still needed to establish more solid evidence of acupuncture treatment.

키워드

Carpal tunnel syndrome; acupuncture; STRICTA guideline; CONSORT statement, risk of bias assessment; systematic review

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