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Acupuncture for treatment of insomnia: An overview of systematic reviews
Affiliation:1. School of Public Health, Lanzhou University, Lanzhou 730000, China;2. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, 730000, China;3. Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou, 730000, China;4. Gansu Provincial Maternity and Child Care Hospital, 143 North Road Qilihe District, Lanzhou, 730000, China;1. Department of Pediatric Oncology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02215, USA;2. Boston Medical Center, Boston University School of Medicine, 1 Boston Medical Center Place, Boston, MA 02218, USA;3. Division of Pulmonary, Critical Care, and Sleep Medicine, Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA;1. Department of Neuroscience, Psychiatry, Uppsala University, SE-751 85 Uppsala, Sweden;2. Department of Medical Sciences, Lung, Allergy and Sleep Research, Uppsala University, SE-751 85 Uppsala, Sweden;3. Department of Clinical Neuroscience, Center for Psychiatry Research, Karolinska Institutet, Norra Stationsgatan 69, SE-113 64 Stockholm, Sweden;1. Complementary Integrative Medicine Program, Mayo Clinic, Rochester, MN;2. Division of General Internal Medicine, Mayo Clinic, Rochester, MN;1. Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China;2. Chinese Evidence-based Medicine Center and CREAT Group, West China Hospital, Sichuan University, Chengdu, Sichuan, China;3. Graduate School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
Abstract:PurposeTo evaluate the reliability of the methodological quality and outcome measures of systematic review (SR) /meta-analysis (MA) of acupuncture for insomnia.MethodsWe conducted a comprehensive literature search for SRs with MAs in seven international and Chinese databases. Two reviewers independently extracted data and assessed the methodological quality of the reviews according to the Assessing the Methodological Quality of Systematic Reviews 2 (AMSTAR-2), the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) was used to rate the quality of evidence.ResultsThirty-four reviews were included. The AMSTAR-2 score showed that most of the included studies were of low methodological quality and included only two high-quality literatures. The lowest score were the item 10 (all the studies didn't report on the sources of funding for the studies included in the review), item 7(32 studies didn't provide a list of excluded studies and justify the exclusions) and item 3 (27 studies didn't explain their selection of the study designs for inclusion in the review).ConclusionMost of the reviews included suggested that the acupuncture group was more effective than the control group in the treatment of insomnia, but the methodological quality of most of the studies and the quality of evidence were low.
Keywords:Acupuncture  Insomnia  Overview
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