Analysis on the outcomes in randomized controlled trials of perimenopausal syndrome treated with acupuncture and moxibustion
Chao CHEN(陈超)a, Yan-ke AI (艾艳珂)b,*, Bao-yan LIU (刘保延)c, Li-yun HE (何丽云)b
a Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China (中国中医科学院中医基础理论研究所, 北京100700, 中国)
b Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China (中国中医科学院中医临床基础医学研究所, 北京100700, 中国)
c China Academy of Chinese Medical Sciences, Beijing 100700, China (中国中医科学院, 北京100700, 中国)
Objective: To search systematically the application situation of the outcomes in the randomized controlled trials (RCTs) of perimenopausal syndrome treated with acupuncture and moxibustion so as to provide the foundation for the core outcome set in treatment of periomenopausal syndrome with acupuncture and moxibustion.
Methods: The articles of RTCs on perimenopausal syndrome treated with acupuncture and moxibustion were searched by computer in China National knowledge Infrastructure (CNKI), Wanfang Data Knowledge Service Platform (Wanfang), VIP Chinese Journal Service Platform (VIP), Pubmed, Excerpt medica database (Embase) and Cochrane central register of controlled trials (CENTRAL) databases from January 1, 2010 to December 31, 2020. Two reviewers screened the articles, extracted data and analyzed the application of outcomes in the eligible trials independently.
Results: A total of 9391 articles were retrieved initially and 79 articles of them were eligible, including 43 articles in English and 36 articles in Chinese. 115 outcomes were involved totally and collected according to 7 outcome domains, of which, the effective rate was the outcome with the highest use frequency. 35 articles reported adverse events and 17 articles reported the effect in followup.
Conclusion: At present, the outcomes of RCTs on perimenopausal syndrome in treatment with acupuncture and moxibustion are big in divergence, absent in normalization and lack of indicators for long-term prognosis and in economics, as well as have the issues on the incomplete reports on the differentiation between the primary and the secondary outcomes, safety indicators and followup outcomes. It needs to construct the core outcome sets in line with the characteristics of acupuncture-moxibustion discipline so as to improve the quality of clinical trials of acupuncture and moxibustion.
Randomized controlled trial