Acupuncture for major depressive disorder: A review of the recommendations stated at clinical practice guidelines |
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| Institution: | 1. Independent Researcher, Chiclayo, Peru;2. Instituto de Evaluación de Tecnologías en Salud e Investigación - IETSI, EsSalud, Lima, Peru;3. Instituto Peruano de Orientación Psicológica, Lima, Peru;4. Universidad San Ignacio de Loyola, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Lima, Peru;5. Universidad Peruana Cayetano Heredia, CRONICAS Center of Excellence for Chronic Diseases, Lima, Peru;1. Institute of Acupuncture and Moxibustion of China Academy of Chinese Medical Sciences, Beijing 100700, China;2. Acupuncture and Moxibustion Hospital of China Academy of Chinese Medical Sciences, Beijing 100700;1. Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China;2. Acupuncture and Tuina School, Shaanxi University of Chinese Medicine, Xi’an, Shaanxi, China;3. Graduate school, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China;1. Center for the Study of Applied Psychology, Key Laboratory of Mental Health and Cognitive Science of Guangdong Province, School of Psychology, South China Normal University, Guangzhou, 510631, China;2. The Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, 510120, China;3. Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA;4. Hospital of Catholic University of Daegu, 3056-6 Daemyeong 4 Nam-gu, Daegu 705-718, South Korea;1. Institute of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;2. Tianjin Key Laboratory of Biomedical Materials, Institute of Biomedical Engineering, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300192, China;3. Infection Control Department, Shanxi Eye Hospital, Taiyuan 030002, China;1. School of Public Health, Lanzhou University, Lanzhou 730000, China;2. Evidence Based Social Science Research Center, Lanzhou University, Lanzhou 730000, China;3. Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, China;4. Evidence Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China;5. Chinese Medicine Faculty of Hong Kong Baptist University, Hong Kong;6. Gansu University of Chinese Medicine, Lanzhou 730000, China;7. The First Clinical Medical College, Lanzhou University, Lanzhou 730000, China |
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| Abstract: | BackgroundThe use of acupuncture to treat depression is not uncommon. However, recommendations regarding acupuncture issued by clinical practice guidelines (CPG) vary widely.ObjectiveTo describe the recommendations regarding acupuncture in CPGs for depression in adults, and to assess the methodology used to reach them.MethodsWe conducted a scoping review of CPGs for depression management in adults, which performed systematic reviews (SRs) to answer their review questions, were published between January 2014 and May 2018, and assessed the use of acupuncture as a review question. We limited out search to articles published in English/Spanish. We assessed the SRs quality using the “A MeaSurement Tool to Assess Systematic Reviews-2” (AMSTAR-2), and described how the recommendation regarding acupuncture was reached.FindingsWe found five CPGs that fulfilled our inclusion criteria: three from the US, one from Canada, and one from China. Four CPGs fulfilled between two and three items of AMSTAR-2, and one CPG fulfilled seven items. The methodology used to formulate the recommendations varied between CPGs. Regarding acupuncture use recommendations: three CPGs did not issue any recommendation (although one mentions that it should not be used), whilst two were in favor.DiscussionsThe lack of a clearly stated review question presented in the majority of CPGs prevents the reader from understanding what the CPG developing group was trying to answer. Moreover, the arguments presented to support a decision are usually not detailed enough. Therefore, the assessment of the recommendations was extremely difficult.Clinical implicationsGiven that the formulation of recommendations is not always reliable, clinicians should carefully read and assess the recommendations presented in CPGs before implementing them. |
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| Keywords: | Decision making Acupuncture Depression Clinical practice guideline |
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