Recommendations for Acupuncture in Clinical Practice Guidelines of the National Guideline Clearingho

• 作 者: GUO Yao ZHAO Hong WANG Fang LI Si-nuo SUN Yu-xiu HAN Ming-juan LIU Bao-yan
• 机 构: College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan 430061, China;In
• 出 处: 中国结合医学杂志（英文版）
• 发表日期: 2017年11期
• 关键词: acupuncture clinical practice guidelines National Guideline Clearinghouse

Objective:To organize the clinical practice guidelines (CPGs) related to acupuncture included in the National Guideline Clearinghouse (NGC) to systematically summarize the diseases and disorders most commonly treated with acupuncture,the strength of recommendations for acupuncture and the quality of evidence.Methods:The NGC database was systematically searched for guidelines that included acupuncture as an intervention.Two independent reviewers studied the summaries and the full texts of the guidelines and included guidelines based on the inclusion and exclusion criteria.Thirty-nine guidelines were collected with 80 recommendations.The Appraisal of Guidelines for Research and Evaluation (AGREE) Ⅱ instrument was used to assess the quality of these guidelines.Results:Of the 80 recommendations on acupuncture,49 recommendations were clearly for acupuncture,25 recommendations were against acupuncture and 6 recommendations did not indicate any clear recommendations,37 recommendations were for painful diseases/disorders,and 12 recommendations were for non-painful diseases/disorders.Locomotor system disorders were the most common in the painful diseases/disorders category.Out of all the recommendations for acupuncture,most recommendations (87.76％) were weak in strength,and most of the evidence (40.84％) was of low quality.Conclusion:In the National Guideline Clearinghouse,the recommendations for acupuncture focus on painful diseases/disorders.The recommendations in the guidelines are not high in strength,and most of the evidence is moderate or low in quality.