Quality of reporting on randomized controlled trials of acupuncture for stroke rehabilitation

BMC Complementary and Alternative Medicine

Liming Lu²  Xun Zhuang¹  Jun He¹  Lixing Zhuang¹ 

[1] Department of Acupuncture, First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510405, China;Faculty of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China

关键词: STRICTA;    The CONSORT statement;    Stroke rehabilitation;    Randomized controlled trials (RCTs);    Quality of reporting;    Acupuncture;   

Others  :  1220169
DOI  :  10.1186/1472-6882-14-151

 received in 2013-08-06, accepted in 2014-04-25,  发布年份 2014

【 摘 要 】

Background

Results from clinical studies on acupuncture for stroke rehabilitation are contradictory. The reason for the inconsistent findings especially lie in the transparency and accuracy of randomized controlled trials (RCTs) reports. This study aims to analyze the quality of reporting and its correlates in RCTs on acupuncture for stroke rehabilitation.

Methods

Quality of reporting for included papers was assessed against a subset of criteria adapted from the CONSORT 2010 statement and STRICTA. An overall quality score (OQS) and a combined key methodological index score (MIS) was calculated for each trial. Then, factors associated with OQS and MIS were identified.

Results

A total of 15 RCTs were included in full text. The median OQS based on the CONSORT statement and STRICTA was 8 and 12, respectively. The significant predictors for CONSORT OQS was funding source, for STRICTA was year of publication. With regard to the MIS, no variable was associated with improved methodological quality.

Conclusions

Our study found that the overall quality of reporting on RCTs of acupuncture for stroke rehabilitation was general or good. But some items’ reporting was found where information was insufficient or inadequate in most studies which needed substantial improvement.

【 授权许可】

   
2014 Zhuang et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Mathers CD, Boerma T, Ma Fat D: Global and regional causes of death. Br Med Bull 2009, 92:7-32.
• [2]Liu L, Wang D, Wong KS, Wang Y: Stroke and stroke care in China: huge burden, significant workload, and a national priority. Stroke 2011, 42(12):3651-3654.
• [3]American Heart Association: Update at-a-Glance, Heart Disease and Stroke Statistics. Dallas: Am Heart Assoc 2009, 2009:14-16.
• [4]American Heart Association: Update, Heart Disease and Stroke Statistics. Dallas: Am Heart Assoc 2004, 2004:13-17.
• [5]Barnes PM, Bloom B, Nahin RL: Complementary and alternative medicine use among adults and children: United States. 2007. Nati Health Stat Report 2008, 10(12):1-23.
• [6]Sze FK, Wong E, Or KK, Woo J: Does acupuncture improve motor recovery after stroke? A meta-analysis of randomized controlled trials. Stroke 2002, 33(11):2604-2619.
• [7]Park J, Hopwood V, White AR, Ernst E: Effectiveness of acupuncture for stroke: a systematic review. J Neurol 2001, 248(7):558-563.
• [8]Kong JC, Lee MS, Shin BC, Song YS, Ernst E: Acupuncttire for functional recovery after stroke: a systematic review of sham-controlled randomized clinical trials. CMAJ 2010, 182(16):1723-1729.
• [9]Wu HM, Tang JL, Lin XP, Lau J, Leung PC, Woo J, Li YP: Acupuncture for stroke rehabilitation (Review). Library: The Cochrane; 2009. doi:10.1002/14651858.CD004131.pub2
• [10]Pei J, Sun L, Chen R, Zhu T, Qian Y, Yuan D: The effect of electro-acupuncture on motor function recovery in patients with acute cerebral infarction: a randomly controlled trial. J Tradit Chin Med 2001, 21(4):270-272.
• [11]Sällström S, Kjendahl A, Osten PE, Stanghelle JK, Borchgrevink CF: Acupuncture therapy in stroke during the subacute phase. A randomized controlled trial [Article in Norwegian]. Tidsskr Nor Laegeforen 1995, 115(23):2884-2887.
• [12]Si QM, Wu GC, Cao XD: Effects of electroacupuncture on acute cerebral infarction. Acupunct Electrother Res 1998, 23(2):117-124.
• [13]Wu P, Mills E, Moher D, Seely D: Acupuncture in poststroke rehabilitation: a systematic review and meta-analysis of randomized trials. Stroke 2010, 41(4):el71-el79.
• [14]Begg C, Cho M, Eastwood S, Horton R, Moher D, Olkin I, Pitkin R, Rennie D, Schulz KF, Simel D, Stroup DF: Improving the quality of reporting of randomized controlled trials. The CONSORT statement JAMA 1996, 276(8):637-639.
• [15]MacPherson H, Altman DG, Hammerschlag R: Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): Extending the CONSORT statement. J Evid Based Med 2010, 3(3):140-155.
• [16]Hugh M, Altman DG, Hammerschlag R, Hammerschlag R, Li YP, Wu TX, White A, Moher D: Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. Zhong Xi Yi Jie He Xue Bao 2010, 8(9):804-818.
• [17]Asplund K, Tuomilehto J, Stegmayr B, Wester PO, Tunstall-Pedoe H: Diagnostic criteria and quality control of the registration of stroke events in the MONICA project. Acta Med Scand Suppl 1988, 728:26-39.
• [18]Tulder MW VA, Cherkin DC, Berman B, Lao L, Koes BW: Acupuncture for low back pain. Cochrane Database Syst Rev 2000., 2CD001351
• [19]Swedish Collaboration on Sensory Stimulation in Stroke: Sensory stimulation after stroke: a randomized controlled trial. Cerebrovasc Dis 1999, 9(Suppl 1):28.
• [20]Moher D, Hopewell S, Schulz KF, Montori V, Gøtzsche PC, Devereaux PJ, Elbourne D, Egger M, Altman DG: CONSORT 2010 Explanation and Elaboration: updated guidelines for reporting parallel group randomised trials. BMJ 2010, 340:c869.
• [21]Baer H: The emergence of integrative medicine in Australia: the growing interest of biomedicine and nursing in complementary medicine in a southern developed society. Med Anthropol Q 2008, 22(1):52-66.
• [22]Prady SL, Richmond SJ, Morton VM, Macpherson H: A systematic evaluation of the impact of STRICTA and CONSORT recommendations on quality of reporting for acupuncture trials. PLoS One 2008, 3(2):e1577.
• [23]Asher GN, Motsinger-Reif AA, Jonas DE, Viera AJ: Quality of reporting on randomised controlled trials of auriculotherapy for pain. Acupunct Med 2011, 29(2):122-126.
• [24]Hammerschlag R, Milley R, Colbert A, Weih J, Yohalem-Ilsley B, Mist S, Aickin M: Randomized Controlled Trials of Acupuncture (1997–2007): An Assessment of Reporting Quality with a CONSORT- and STRICTA-Based Instrument. Evid Based Complement Alternat Med 2011. doi:10.1155/2011/183910
• [25]Wang G, Mao B, Xiong ZY, Fan T, Chen XD, Wang L, Liu GJ, Liu J, Guo J, Chang J, Wu TX, Li TQ, CONSORT Group for Traditional Chinese Medicine: The quality of reporting of randomized controlled trials of traditional Chinese medicine: a survey of 13 randomly selected journals from mainland China. Clin Ther 2007, 29(7):1456-1467.
• [26]Wang L, Li Y, Li J, Zhang M, Xu L, Yuan W, Wang G, Hopewell S: Quality of reporting of trial abstracts needs to be improved: using the CONSORT for abstracts to assess the four leading Chinese medical journals of traditional Chinese medicine. Trials 2010, 11:75. doi:10.1186/1745-6215-11-75 BioMed Central Full Text
• [27]Toulmonde M, Bellera C, Mathoulin-Pelissier S, Debled M, Bui B, Italiano A: Quality of randomized controlled trials reporting in the treatment of sarcomas. J Clin Oncol 2011, 29(9):1204-1209.