Korean Journal of Acupuncture

Society for Meridian and Acupoint (경락경혈학회)
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A Systematic Review on the Reporting Quality of Acupuncture Treatment for Carpal Tunnel Syndrome

손목터널증후군에 사용된 침 치료 보고의 질 평가

  • Hyun, Ji-Yoon (Department of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Shin, Joo-eun (Department of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Im, Chae-Jeong (Department of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Park, Ji-Yeun (Department of Korean Medicine, College of Korean Medicine, Daejeon University)
  • 현지윤 (대전대학교 한의과대학 한의학과) ;
  • 신주은 (대전대학교 한의과대학 한의학과) ;
  • 임채정 (대전대학교 한의과대학 한의학과) ;
  • 박지연 (대전대학교 한의과대학 한의학과)
  • Received : 2020.08.19
  • Accepted : 2020.09.09
  • Published : 2020.09.27
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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.

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References

  1. Viera AJ. Management of Carpal Tunnel Syndrome. Am Fam Physician. 2003 ; 68(2) : 265-72.
  2. De Angelis R, Salaffi F, Filippucci E, Grassi W. [Carpal tunnel syndrome treatment]. Reumatismo. 2006 ; 58(1) : 5-10.
  3. Padua L, Coraci D, Erra C, Pazzaglia C, Paolasso I, Loreti C, et al. Carpal tunnel syndrome: clinical features, diagnosis, and management. Lancet Neurol. 2016 ; 15(12) : 1273-84. https://doi.org/10.1016/S1474-4422(16)30231-9
  4. Kim HR, Oh J. Carpal Tunnel Syndrome. Korean J Med. 2016 ; 91(3): 267-72. https://doi.org/10.3904/kjm.2016.91.3.267
  5. Chen S, Wang S, Rong P, Wang J, Qiao L, Feng X, et al. Acupuncture for visceral pain: neural substrates and potential mechanisms. Evid Based Complement Alternat Med. 2014 ; 2014 : 609594. https://doi.org/10.1155/2014/609594
  6. Sim H, Shin BC, Lee MS, Jung A, Lee H, Ernst E. Acupuncture for carpal tunnel syndrome: a systematic review of randomized controlled trials. J Pain. 2011 ; 12(3) : 307-14. https://doi.org/10.1016/j.jpain.2010.08.006
  7. Maeda Y, Kim H, Kettner N, Kim J, Cina S, Malatesta C, et al. Rewiring the primary somatosensory cortex in carpal tunnel syndrome with acupuncture. Brain. 2017 ; 140(4) : 914-27. https://doi.org/10.1093/brain/awx015
  8. Chung VC, Wong SY, Kung K, Zee CY, Leung WN, Chong KC, et al. Electroacupuncture and wrist splinting for carpal tunnel syndrome: a randomised trial. Hong Kong Med J. 2017 ; 23 Suppl 2(3) : 28-31.
  9. Choi GH, Wieland LS, Lee H, Sim H, Lee MS, Shin BC. Acupuncture and related interventions for the treatment of symptoms associated with carpal tunnel syndrome. Cochrane Database Syst Rev. 2018 ; 12(12) : CD011215. https://doi.org/10.1002/14651858.CD011215.pub2
  10. Yao E, Gerritz PK, Henricson E, Abresch T, Kim J, Han J, et al. Randomized controlled trial comparing acupuncture with placebo acupuncture for the treatment of carpal tunnel syndrome. PM R. 2012 ; 4(5) : 367-73. https://doi.org/10.1016/j.pmrj.2012.01.008
  11. MacPherson H, Altman DG, Hammerschlag R, Youping L, Taixiang W, White A, et al. Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): Extending the CONSORT Statement. PLoS Med. 2010 ; 7(6) : e1000261. https://doi.org/10.1371/journal.pmed.1000261
  12. Lee IS, Cheon S, Park JY. A Review on Reporting Quality of Acupuncture Intervention for Visceral Pain: Assessment with STRICTA. Korean J Acupunct. 2019 ; 36(1) : 19-35. https://doi.org/10.14406/acu.2019.003
  13. Lee HS, Cha SJ, Park HJ, Seo JC, Park JBJ, Lee HJ. Revised Standards for Reporting Interventions in Clinical Trials of Acupuncture(STRICTA) : Extending the CONSORT Statement. Korean J Acupunct. 2010 ; 27(3) : 1-23.
  14. Wood L, Egger M, Gluud LL, Schulz KF, Jüni P, Altman DG, et al. Empirical evidence of bias in treatment effect estimates in controlled trials with different interventions and outcomes: metaepidemiological study. BMJ. 2008 ; 336(7644) : 601-5. https://doi.org/10.1136/bmj.39465.451748.AD
  15. Moroz A, Freed B, Tiedemann L, Bang H, Howell M, Park JJ. Blinding Measured: A Systematic Review of Randomized Controlled Trials of Acupuncture. Evid Based Complement Alternat Med. 2013 ; 2013 : 708251. https://doi.org/10.1155/2013/708251
  16. Higgins JPT, Altman DG, Gotzsche PC, Juni P, Moher D, Oxman AD, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ. 2011 ; 343 : d5928. https://doi.org/10.1136/bmj.d5928
  17. Chung VCH, Ho RST, Liu S, Chong MKC, Leung AWN, Yip BHK, et al. Electroacupuncture and splinting versus splinting alone to treat carpal tunnel syndrome: a randomized controlled trial. CMAJ. 2016 ; 188(12) : 867-75. https://doi.org/10.1503/cmaj.151003
  18. Hadianfard M, Bazrafshan E, Momeninejad H, Jahani N. Efficacies of Acupuncture and Anti-inflammatory Treatment for Carpal Tunnel Syndrome. J Acupunct Meridian Stud. 2015 ; 8(5) : 229-35. https://doi.org/10.1016/j.jams.2014.11.005
  19. Ural FG, Öztürk GT. The Acupuncture Effect on Median Nerve Morphology in Patients with Carpal Tunnel Syndrome: An Ultrasonographic Study. Evid Based Complement Alternat Med. 2017 ; 2017 : 7420648. https://doi.org/10.1155/2017/7420648
  20. Khosrawi S, Moghtaderi A, Haghighat S. Acupuncture in treatment of carpal tunnel syndrome: A randomized controlled trial study. J Res Med Sci. 2012 ; 17(1) : 1-7.
  21. Yang CP, Wang NH, Li TC, Hsieh CL, Chang HH, Hwang KL, et al. A randomized clinical trial of acupuncture versus oral steroids for carpal tunnel syndrome: a long-term follow-up. J Pain. 2011 ; 12(2) : 272-9. https://doi.org/10.1016/j.jpain.2010.09.001
  22. Maeda Y, Kettner N, Lee J, Kim J, Cina S, Malatesta C, et al. Acupuncture-evoked response in somatosensory and prefrontal cortices predicts immediate pain reduction in carpal tunnel syndrome. Evid Based Complement Alternat Med. 2013 ; 2013: 795906. https://doi.org/10.1155/2013/795906
  23. Schulz KF, Altman DG, Moher D. CONSORT 2010 Statement: Updated guidelines for reporting parallel group randomised trials. Journal of Clinical Epidemiology. 2010 ; 63(8) : 834-40. https://doi.org/10.1016/j.jclinepi.2010.02.005
  24. Handbook of Standard Acupoints. Seoul: Hansol medical book Co. 2018.
  25. Park CJ, Lee SR. The Effect of Acupuncture at PC7(Daereung) on EEG in Normal Human Subject. Korean J Acupunct. 2010 ; 27(2) : 141-57.
  26. Shin HH, Choi WS, Yoo J, Kwon KM, Kim MS, Kim SJ, et al. Effect of Magnetic Acupuncture Attachment on PC6 (Neiguan) on Autonomic Nervous System. Korean J Fam Pract. 2018 ; 8(4) : 499-503. https://doi.org/10.21215/kjfp.2018.8.4.499
  27. Choi J, Jun JH, Kang BK, Kim KH, Lee MS. Endorsement for improving the quality of reports on randomized controlled trials of traditional medicine journals in Korea: a systematic review. Trials. 2014 ; 15 : 429. https://doi.org/10.1186/1745-6215-15-429
  28. Lee HS, Park HL, Lee SJ, Shin BC, Choi JY, Lee MS. Scalp acupuncture for Parkinson's disease: a systematic review of randomized controlled trials. Chin J Integr Med. 2013 ; 19(4) : 297-306. https://doi.org/10.1007/s11655-013-1431-9
  29. Vase L, Baram S, Takakura N, Takayama M, Yajima H, Kawase A, et al. Can Acupuncture Treatment Be Double-Blinded? An Evaluation of Double-Blind Acupuncture Treatment of Postoperative Pain. PLoS One 2015 ; 10(3): e0119612. https://doi.org/10.1371/journal.pone. 0119612