Development and validation of an index for evaluating the quality of acupuncture articles

Authors

  • David Gonçalves Nordon Colégio Brasileiro de Acupuntura (ABACO - CBA-SP) FCMS/PUC-SP
  • Reinaldo José Gianini FCMS/PUC-SP
  • Gisele Regina de Azevedo FCMS/PUC-SP

Keywords:

acupuncture, meta-analysis as topic, methodology, research.

Abstract

Introduction: results from acupuncture studies may be quite dissonant, from extremely to very little effective. Indexes and checklists are constantly used for evidence-based medicine in order to evaluate the quality of a trial. In spite of that, there is no data on an index developed for evaluating the acupuncture technique. Methods: a literature review was performed; the main items regarding the technique were chosen and a score was attributed to each, based on the Jadad Scale. The index was then evaluated by three experienced acupuncturist, who could suggest modifications and enhancements, and applied it in ten different articles. Their scores for each article and item were compared. Results: the index consists of 6 items, scoring from 0 to 13 in the first part, and 2 items, scoring from 0 to 8 in the second. The statistical comparison presented homogeneity in the total results and specifically in every question between evaluators. Discussion: the index showed to be easily applied and subjective only when previous knowledge from the evaluator is needed in certain items. However, when applied only according to what is informed in the article, even a non-specialist can use it. Conclusion: we created an index of acupuncture technique adequacy that may be used by specialists and non-specialists, with relative subjectivity that does not influence homogeneity in scoring by different evaluators.

Downloads

Download data is not yet available.

Author Biographies

David Gonçalves Nordon, Colégio Brasileiro de Acupuntura (ABACO - CBA-SP) FCMS/PUC-SP

Médico pela FCMS/PUC-SP. Acupunturista e Shiatsuterapeuta pelo Colégio Brasileiro de Acupuntura

Reinaldo José Gianini, FCMS/PUC-SP

Professor do Depto. de Medicina FCMS/PUC-SP

Gisele Regina de Azevedo, FCMS/PUC-SP

Professora do Depto. de Ciências Fisiológicas FCMS/PUC-SP

References

Cook DJ, Mulrow CD, Haynes RB. Systematic reviews: synthesis of best evidence for clinical decisions. Ann Intern Med. 1997; 126:376-80.

Fletcher RH, Fletcher SW, Wagner EH. Epidemiologia clínica: elementos essenciais. 3ª ed. Porto Alegre: Artes Médicas; 1996.

Jüni P, Altman DG, Egger M. Assessing the quality of controlled clinical trials. BMJ. 2001; 323:42-6.

Moher D, Pham AJ, Cook DJ, Jadad AR, Moher M, Tugwell P, et al. Does the quality of reports of randomized trials affect estimates of intervention efficacy reported in meta-analysis? Lancet. 1998; 352:609-13.

Stener-Victorin E, Waldenström U, Wikland M, Nilsson L, Hägelund L, Lundeberg T. Electro-acupuncture as a peroperative analgesic method and its effects on implantation rate and neuropeptide Y concentrations in follicular fluid. Hum Reprod. 2003; 8(7):1454-60.

Stener-Victorin E, Waldenström U, Nilsson L, Wikland M, Jansen PO. A prospective randomized study of electro-acupuncture versus alfentanil as anaesthesia during oocyte aspiration in in-vitro fertilization. Hum Reprod. 1999: 14(10):2480-4.

Shihong Z, Ming L, Kjell A, Lin L. Acupuncture for acute stroke. Cochrane Database Syst Rev. 2005; (2):CD003317.

Birch S. Systematic reviews of acupuncture – are there problems with these? Clin Acupunct Oriental Med. 2001; 2:17-22.

Wang G, Mao B, Xiong ZY, Fan T, Chen XD, Wang, L et al. 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):1456-67.

Moher D, Jadad AR, Nichol G, Pernman M, Tugwell P, Walsh S. Assessing the quality of randomized controlled trials: an annotated bibliography of scales and checklists. Control Clin Trials. 1995; 16:62-73.

Birch S. Clinical research on acupuncture: part 2. Controlled clinical trials, an overview of their methods. J Altern Complement Med. 2004; 10(3):481-98.

Birch S. Issues to consider in determining an adequate treatment in a clinical trial of acupuncture. Complement Ther Med. 1997; 5:8-12.

Claraco AE, Fargas-Bablak A, Hanna SE. The reporting of clinical acupunture research: what do clinicians need to know? J Altern Complement Med. 2003; 9(1):143-9.

Hammerschlag R. Methodological and ethical issues in clinical trials of acupuncture. J Altern Complement Med. 1998; 4(2):159-71.

Hopwood V, Lewith G. Acupuncture trials and methodological considerations. Clin Acupunct Oriental Med. 2003; 3:192-9.

Bensky D, O'Connor J; Shanghai College of Traditional Medicine. Acupuntura: um texto compreensível. São Paulo: Roca; 1996.

Maciocia G. Os Fundamentos da medicina chinesa: um texto abrangente para acupunturistas e fitoterapeutas. 2ª ed. São Paulo: Roca; 2007.

Maciocia G. Diagnóstico na medicina chinesa. São Paulo: Roca; 2005.

Maciocia G. Diagnóstico pela língua na medicina chinesa. São Paulo: Roca; 2003.

Ross J. Zang Fu: sistemas de órgãos e vísceras da medicina tradicional chinesa: funções, inter-relações e padrões de desarmonia na teoria e na prática. São Paulo: Roca; 1994.

Yamamura Y. Acupuntura tradicional: a arte de inserir. São Paulo: Roca; 1993.

Asghar AUR, Green G, Lythgoe MF, Lewith G, MacPherson H. Acupuncture needling sensation: the neural correlates of deqi using fMRI. Brain Res. 2010; 1315:111-8.

Bäcker M, Hammes MG, Valet M, Deppe M, Conrad B, Tölle TR, et al. Different modes of manual acupuncture stimulation differentially modulate cerebral blood flow velocity, arterial blood pressure and heart rate in human subjects. Neurosci Lett. 2002; 333:203-6.

Hamza MA, Ghoname EA, White PF, Craig WF, Ahmed HE, Gajraj NM, et al. Effect of the duration of electrical stimulation on the analgesic response in patients with low back pain. Anesthesiology. 1999; 91:1622-7.

Kong J, MA L, Gollub RL, Wei J, Yang X, Li D, et al. A pilot study of functional magnetic resonance imaging of the brain during manual and electroacupuncture stimulation of acupuncture point LI-4 Hegu) in normal subjects reveals differential brain activation between methods. J Altern Complement Med. 2002; 8(4):411-9.

MacPherson H, Green G, Nevado A, Lythgoe MF, Lewith G, Devlin R, et al. Brain imaging of acupuncture: comparing superficial with deep needling. Neurosci Lett. 2008; 434:144-9.

Napadow V, Dhond R, Park K, Kim J, Makris N, Kwong KK, et al. Time-variant fMRI activity in the brainstem and higher structures in response to acupuncture. Neuroimage. 2009; 47:289-301.

Zhang WT, Zhen J, Luo F, Zhang L, Zeng YW, Han JS. Evidence from brain imaging with fMRI supporting functional specificity of acupoints in humans. Neurosci Lett. 2004; 354:50-3.

Jadad AR, Moore A, Carrol D, Jenkinson C, Reynolds DJM, Cavaghan DJ, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996; 17:1-12.

Published

2012-06-27

How to Cite

1.
Nordon DG, Gianini RJ, Azevedo GR de. Development and validation of an index for evaluating the quality of acupuncture articles. Rev. Fac. Ciênc. Méd. Sorocaba [Internet]. 2012Jun.27 [cited 2024Aug.16];14(2):59-63. Available from: https://revistas.pucsp.br/index.php/RFCMS/article/view/8277

Issue

Section

Original Article