Journal of Evidence‐Based Medicine最新文献

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Acupuncture for knee osteoarthritis: A systematic review and meta-analysis 针灸治疗膝骨关节炎:一项系统综述和荟萃分析
IF 7.3 2区 医学
Journal of Evidence‐Based Medicine Pub Date : 2023-05-04 DOI: 10.1111/jebm.12532
Fan Mei, Minghong Yao, Yuning Wang, Yu Ma, Yanmei Liu, Mei Wu, Zhe Wang, Liyuan Feng, Kaiyan Hu, Bin Ma
{"title":"Acupuncture for knee osteoarthritis: A systematic review and meta-analysis","authors":"Fan Mei, Minghong Yao, Yuning Wang, Yu Ma, Yanmei Liu, Mei Wu, Zhe Wang, Liyuan Feng, Kaiyan Hu, Bin Ma","doi":"10.1111/jebm.12532","DOIUrl":"10.1111/jebm.12532","url":null,"abstract":"Knee osteoarthritis (KOA) is a degenerative disease in which articular cartilage and synovial fluid in the knee are lost, leading to lower limb disability, particularly in elderly individuals.1 While nonsteroidal anti-inflammatory drugs (NSAIDs) can improve the physical function of KOA patients, they pose a significant risk of gastrointestinal adverse events that hinder disease management.2 Acupuncture (AT) is one of the most common non-pharmacological therapies for the treatment of musculoskeletal disease-related symptoms.3 Although evidence supports the potential effectiveness of acupuncture in treating KOA-related symptoms, the findings are controversial.4 Therefore, we conducted a systematic review, quantitative analysis, and summary of existing evidence to investigate the safety and effectiveness of acupuncture for KOA.We compared the results to the minimal clinically important difference (MCID) framework to better inform health careproviders. This researchwas conducted as part of the acupuncture for knee osteoarthritis Rapid Recommendation Initiative. We conducted a comprehensive search across three Englishlanguage databases, four Chinese-language databases, and the registration platform. The eligible studies were categorized based on the following criteria: no treatment (including sham acupuncture, health education, and function rehabilitation) and usual care (including physiotherapy, NSAIDs, and glucosamine). We utilized the Cochrane Risk of Bias tool to assess the quality of studies, the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) to evaluate the certainty of results, and the Credibility of Effect Modification Analyses (ICEMAN)5 to appraise the credibility of subgroup inferences. Further details on the methodology used can be found in SupplementaryMaterial S1. Seventy-seven RCTswith a total of 9422 participants were included in the systematic review or qualitative synthesis, 33 articles were published in English, and 44 in Chinese. The risk of bias was overall unclear to high due to allocation concealment, blinding, and incomplete outcome data. Compared with no treatment, acupuncture showed a potentially positive effect on WOMAC total scores when measured at the end of treatment [MD −8.05, 95% CI (−10.14, −5.96), moderate certainty] and follow-up [MD −6.48, 95% CI (−10.11, −2.85), low certainty], which significantly exceeded the MCID (Table 1). At the end of treatment, the effect on decreasing WOMAC total score was statistically significantly greater in 4–8 weeks compared to less than 4 weeks or","PeriodicalId":16090,"journal":{"name":"Journal of Evidence‐Based Medicine","volume":null,"pages":null},"PeriodicalIF":7.3,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9792879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
An evaluation of reporting guidelines and Clinical Trial Registry requirements among anesthesiology journals 麻醉期刊报告指南和临床试验注册要求的评估
IF 7.3 2区 医学
Journal of Evidence‐Based Medicine Pub Date : 2023-04-27 DOI: 10.1111/jebm.12533
Chase Ladd, Mary C. Greenough, Arjun K. Reddy, Elizabeth Garrett, Alyssa Peterson, Aaron Pierce, David Wenger, Michael Moore, Matt Vassar
{"title":"An evaluation of reporting guidelines and Clinical Trial Registry requirements among anesthesiology journals","authors":"Chase Ladd, Mary C. Greenough, Arjun K. Reddy, Elizabeth Garrett, Alyssa Peterson, Aaron Pierce, David Wenger, Michael Moore, Matt Vassar","doi":"10.1111/jebm.12533","DOIUrl":"10.1111/jebm.12533","url":null,"abstract":"Randomized controlled trials (RCTs) are essential to evidence-based medicine, providing critical advancements in anesthesiology. 1 Land-mark RCTs have led to the routine use of capnography, ultrasound-guided regional anesthesia, and the novel paralytic reversal agent sugammadex. 1 However, the usefulness of RCT findings depends on theiraccuratereporting. 2 Poortrialreporting,orlackofreporting,fos-ters misleading conclusions and violates ethical obligations that can cause harm. Thus, ensuring accuracy and transparent RCT reporting is essential.","PeriodicalId":16090,"journal":{"name":"Journal of Evidence‐Based Medicine","volume":null,"pages":null},"PeriodicalIF":7.3,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9847785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early-stage predictors of deterioration among 3145 nonsevere SARS-CoV-2-infected people community-isolated in Wuhan, China: A combination of machine learning algorithms and competing risk survival analyses 中国武汉社区隔离的3145名非严重sars - cov -2感染者病情恶化的早期预测指标:机器学习算法和竞争风险生存分析的结合
IF 7.3 2区 医学
Journal of Evidence‐Based Medicine Pub Date : 2023-04-26 DOI: 10.1111/jebm.12529
Kaiyuan Min, Zhenshun Cheng, Jiangfeng Liu, Yanhong Fang, Weichen Wang, Yehong Yang, Pascal Geldsetzer, Till Bärnighausen, Juntao Yang, Depei Liu, Simiao Chen, Chen Wang
{"title":"Early-stage predictors of deterioration among 3145 nonsevere SARS-CoV-2-infected people community-isolated in Wuhan, China: A combination of machine learning algorithms and competing risk survival analyses","authors":"Kaiyuan Min,&nbsp;Zhenshun Cheng,&nbsp;Jiangfeng Liu,&nbsp;Yanhong Fang,&nbsp;Weichen Wang,&nbsp;Yehong Yang,&nbsp;Pascal Geldsetzer,&nbsp;Till Bärnighausen,&nbsp;Juntao Yang,&nbsp;Depei Liu,&nbsp;Simiao Chen,&nbsp;Chen Wang","doi":"10.1111/jebm.12529","DOIUrl":"10.1111/jebm.12529","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine which early-stage variables best predicted the deterioration of coronavirus disease 2019 (COVID-19) among community-isolated people infected with severe acute respiratory syndrome coronavirus 2 and to test the performance of prediction using only inexpensive-to-measure variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Medical records of 3145 people isolated in two Fangcang shelter hospitals (large-scale community isolation centers) from February to March 2020 were accessed. Two complementary methods—machine learning algorithms and competing risk survival analyses—were used to test potential predictors, including age, gender, severity upon admission, symptoms (general symptoms, respiratory symptoms, and gastrointestinal symptoms), computed tomography (CT) signs, and comorbid chronic diseases. All variables were measured upon (or shortly after) admission. The outcome was deterioration versus recovery of COVID-19.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>More than a quarter of the 3145 people did not present any symptoms, while one-third ended isolation due to deterioration. Machine learning models identified moderate severity upon admission, old age, and CT ground-glass opacity as the most important predictors of deterioration. Removing CT signs did not degrade the performance of models. Competing risk models identified age ≥ 35 years, male gender, moderate severity upon admission, cough, expectoration, CT patchy opacity, CT consolidation, comorbid diabetes, and comorbid cardiovascular or cerebrovascular diseases as significant predictors of deterioration, while a stuffy or runny nose as a predictor of recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Early-stage prediction of COVID-19 deterioration can be made with inexpensive-to-measure variables, such as demographic characteristics, severity upon admission, observable symptoms, and self-reported comorbid diseases, among asymptomatic people and mildly to moderately symptomatic patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16090,"journal":{"name":"Journal of Evidence‐Based Medicine","volume":null,"pages":null},"PeriodicalIF":7.3,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jebm.12529","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9783757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Cost-effectiveness of COVID-19 vaccination: A systematic review COVID-19疫苗接种的成本效益:系统评价
IF 7.3 2区 医学
Journal of Evidence‐Based Medicine Pub Date : 2023-04-26 DOI: 10.1111/jebm.12525
Yaqun Fu, Jingyu Zhao, Peien Han, Jiawei Zhang, Quan Wang, Qingbo Wang, Xia Wei, Li Yang, Tao Ren, Siyan Zhan, Liming Li
{"title":"Cost-effectiveness of COVID-19 vaccination: A systematic review","authors":"Yaqun Fu,&nbsp;Jingyu Zhao,&nbsp;Peien Han,&nbsp;Jiawei Zhang,&nbsp;Quan Wang,&nbsp;Qingbo Wang,&nbsp;Xia Wei,&nbsp;Li Yang,&nbsp;Tao Ren,&nbsp;Siyan Zhan,&nbsp;Liming Li","doi":"10.1111/jebm.12525","DOIUrl":"10.1111/jebm.12525","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The COVID-19 vaccination strategy has been widely used to protect population health worldwide. This study aims to summarize the cost-effectiveness evidence of economic evaluation of COVID-19 vaccination strategies to provide evidence supporting the usage of COVID-19 vaccination, especially where the supply of COVID-19 vaccine is limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic literature review was performed by searching both English and Chinese databases, including PubMed, Embase, Science Direct, Web of Science, Medline, Scopus, and CNKI. Articles published from January 1, 2020 to August 1, 2022 (PROSPERO registration number: CRD42022355442).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 1035 papers identified, a total of 28 English studies that met the preset criteria were included. COVID-19 vaccination and booster vaccination were cost-effective or cost-saving regardless of the vaccine type; vaccine efficacy, vaccine price, vaccine supply or prioritization, and vaccination pace were the influential factors of cost-effectiveness among different population groups. When supply is adequate, mass vaccination should be encouraged, while when supply is inadequate, prioritizing the high risk and the elderly is more cost-effective.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>COVID-19 vaccination strategies are economically favorable in a wide range of countries and population groups, and further research on suitable strategies for booster COVID-19 vaccination is needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16090,"journal":{"name":"Journal of Evidence‐Based Medicine","volume":null,"pages":null},"PeriodicalIF":7.3,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jebm.12525","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9794013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Traditional Chinese medicine for frozen shoulder: An evidence-based guideline 中药治疗肩周炎:循证指南
IF 7.3 2区 医学
Journal of Evidence‐Based Medicine Pub Date : 2023-04-05 DOI: 10.1111/jebm.12530
Xiaokuan Qin, Kai Sun, Yingfang Ao, Jianping Liu, Mei Wang, Qiang Deng, Weihong Zhong, Jun liu, Shaoqiu Sun, Xiangdi Liu, Bin Shi, Xuefeng Guan, Shuangqing Du, Jun Zou, Chengliang Wu, Feng Chen, Yigong Fang, Xiaoyan Nie, Wen Mo, Jiayi Guo, Yili Zhang, Yan Dong, Xu Wei, Liguo Zhu
{"title":"Traditional Chinese medicine for frozen shoulder: An evidence-based guideline","authors":"Xiaokuan Qin,&nbsp;Kai Sun,&nbsp;Yingfang Ao,&nbsp;Jianping Liu,&nbsp;Mei Wang,&nbsp;Qiang Deng,&nbsp;Weihong Zhong,&nbsp;Jun liu,&nbsp;Shaoqiu Sun,&nbsp;Xiangdi Liu,&nbsp;Bin Shi,&nbsp;Xuefeng Guan,&nbsp;Shuangqing Du,&nbsp;Jun Zou,&nbsp;Chengliang Wu,&nbsp;Feng Chen,&nbsp;Yigong Fang,&nbsp;Xiaoyan Nie,&nbsp;Wen Mo,&nbsp;Jiayi Guo,&nbsp;Yili Zhang,&nbsp;Yan Dong,&nbsp;Xu Wei,&nbsp;Liguo Zhu","doi":"10.1111/jebm.12530","DOIUrl":"10.1111/jebm.12530","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Frozen shoulder is a common disorder that can lead to long-lasting impairment in shoulder-related daily activities. Traditional Chinese medicine (TCM) has played an important role in the effort to manage frozen shoulder.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>We aimed to develop an evidence-based guideline for treating frozen shoulder with traditional Chinese medicine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Study design</h3>\u0000 \u0000 <p>Evidence-based guideline.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We developed this guideline based on internationally recognized and accepted guideline standards. The guideline development group used the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to rate the certainty of evidence and the strength of recommendations. The benefits and harms, resources, accessibility, and other factors were fully taken into account, and the GRADE grid method was used to reach consensus on all recommendations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We established a multidisciplinary guideline development panel. Based on a systematic literature search and a face-to-face meeting, nine clinical questions were identified. Finally, twelve recommendations were reached by consensus, comprehensively considering the balance of benefits and harms, certainty of evidence, costs, clinical feasibility, accessibility, and clinical acceptability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This guideline panel made twelve recommendations, which covered the use of manual therapy, acupuncture, needle knife, Cheezheng Xiaotong plaster, Gutong plaster, exercise therapy and integrated TCM and Western medicine, such as combined modalities and corticosteroid injections. Most of them were weakly recommended or consensus based. The users of this guideline are most likely to be clinicians and health administrators.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16090,"journal":{"name":"Journal of Evidence‐Based Medicine","volume":null,"pages":null},"PeriodicalIF":7.3,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jebm.12530","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10166243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reporting quality and risk of bias of Cochrane individual participant data meta-analyses: A cross-sectional study Cochrane个体参与者数据荟萃分析的报告质量和偏倚风险:一项横断面研究
IF 7.3 2区 医学
Journal of Evidence‐Based Medicine Pub Date : 2023-04-05 DOI: 10.1111/jebm.12521
Ming Liu, Ya Gao, Kelu Yang, Yitong Cai, Jianguo Xu, Dingmei Dai, Shuilin Wu, Junhua Zhang, Jinhui Tian
{"title":"Reporting quality and risk of bias of Cochrane individual participant data meta-analyses: A cross-sectional study","authors":"Ming Liu,&nbsp;Ya Gao,&nbsp;Kelu Yang,&nbsp;Yitong Cai,&nbsp;Jianguo Xu,&nbsp;Dingmei Dai,&nbsp;Shuilin Wu,&nbsp;Junhua Zhang,&nbsp;Jinhui Tian","doi":"10.1111/jebm.12521","DOIUrl":"10.1111/jebm.12521","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to assess the reporting quality and risk of bias of Cochrane individual participant data meta-analyses (IPD-MAs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched the Cochrane Library and identified the Cochrane IPD-MAs. We used the Preferred Reporting Items for Systematic Review and Meta-Analyses of individual participant data (PRISMA-IPD) assessed the reporting quality of included Cochrane IPD- MAs, and the Risk Of Bias In Systematic reviews (ROBIS) tool was used to assess the risk of bias. We performed stratified and correlation analyses to explore factors affecting the quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-six Cochrane IPD-MAs were included in our study. Twenty-six Cochrane IPD-MAs (56.5%) had statistical or epidemiological authors involved, and 31 (67.4%) contained only IPD data. Thirty-five studies (76.1%) did not report whether they used 1-stage or 2-stage methods, and forty (87.0%) did not report the statistical techniques used for missing participant data. We found that the entire compliance reported PRISMA-IPD items of Cochrane IPD-MAs published after 2015 (<i>n</i> = 18; Mean ± SD: 26.61 ± 2.75) was higher than those studies published in 2015 and before (<i>n</i> = 28; Mean ± SD: 22.61 ± 4.73), the difference was statistically significant (<i>p</i> = 0.002). A strong positive correlation was found between the fully reported PRISMA-IPD items and fully accordance ROBIS items (Spearman's: <i>ρ</i> = 0.653, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The quality of Cochrane IPD-MAs is not high, especially in the reporting of statistical methods. There was room for further improvement in IPD retrieval, IPD integrity and statistical analyses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16090,"journal":{"name":"Journal of Evidence‐Based Medicine","volume":null,"pages":null},"PeriodicalIF":7.3,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10148553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acupuncture for treatment of knee osteoarthritis: A clinical practice guideline 针灸治疗膝骨关节炎:临床实践指南
IF 7.3 2区 医学
Journal of Evidence‐Based Medicine Pub Date : 2023-03-31 DOI: 10.1111/jebm.12526
Xiaochao Luo, Jiali Liu, Qianrui Li, Jiping Zhao, Qiukui Hao, Ling Zhao, Yemeng Chen, Pengbin Yin, Ling Li, Fanrong Liang, Xin Sun
{"title":"Acupuncture for treatment of knee osteoarthritis: A clinical practice guideline","authors":"Xiaochao Luo,&nbsp;Jiali Liu,&nbsp;Qianrui Li,&nbsp;Jiping Zhao,&nbsp;Qiukui Hao,&nbsp;Ling Zhao,&nbsp;Yemeng Chen,&nbsp;Pengbin Yin,&nbsp;Ling Li,&nbsp;Fanrong Liang,&nbsp;Xin Sun","doi":"10.1111/jebm.12526","DOIUrl":"10.1111/jebm.12526","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical question</h3>\u0000 \u0000 <p>Is acupuncture effective in treating knee osteoarthritis (KOA)?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Current practice</h3>\u0000 \u0000 <p>Although increasingly used in the clinical setting, acupuncture is not mentioned or weakly recommended in guidelines for the treatment of KOA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Recommendations</h3>\u0000 \u0000 <p>We suggest acupuncture rather than no treatment in adult KOA (weak recommendation, moderate certainty evidence), and acupuncture combined with nonsteroidal anti-inflammatory drugs (NSAIDs) rather than acupuncture alone when KOA symptoms are severe (weak recommendation, moderate certainty evidence), with duration of acupuncture for 4–8 weeks depending on KOA severity and treatment response (weak recommendation, moderate certainty evidence), and discussing with patients in shared decision-making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> How this guideline was created</h3>\u0000 \u0000 <p>This rapid recommendation was developed following the Making GRADE the Irresistible Choice (MAGIC) methodological framework. First, the clinical specialist identified the topic of recommendation and demand for evidence. Then the independent evidence synthesis group performed a systematic review to summarize available evidence and evaluate the evidence using the GRADE approach. Finally, the clinical specialist group produced recommendations for practice through a consensus procedure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> The evidence</h3>\u0000 \u0000 <p>The linked systematic review and meta-analysis included 9422 KOA patients, 61.1% of whom were women. The median mean age was 61.8 years. Compared with no treatment, acupuncture had beneficial effect on KOA in improving the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) total score (moderate certainty evidence), and WOMAC pain (very low certainty evidence), WOMAC stiffness (low certainty evidence), and WOMAC function (low certainty evidence) subscale scores. Compared with usual care, acupuncture improved WOMAC stiffness subscale score (moderate certainty evidence). Subgroup analyses showed different effects in the improvement of WOMAC total scores by different durations of acupuncture and whether acupuncture combined with NSAIDs, but no difference between manual acupuncture and electroacupuncture was found.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Understanding the recommendations</h3>\u0000 \u0000 <p>Compa","PeriodicalId":16090,"journal":{"name":"Journal of Evidence‐Based Medicine","volume":null,"pages":null},"PeriodicalIF":7.3,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jebm.12526","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9787080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Effects of inactivated COVID-19 vaccinations on the IVF/ICSI-ET live birth rate and pregnancy complication in a population of southern China: A retrospective cohort study COVID-19灭活疫苗对中国南方人群IVF/ICSI-ET活产率和妊娠并发症的影响:一项回顾性队列研究
IF 7.3 2区 医学
Journal of Evidence‐Based Medicine Pub Date : 2023-03-29 DOI: 10.1111/jebm.12528
Huaqing Ma, Ruotong Mao, Ruina Wang, Yingxiu Liang, Yueqi Jin, Hui Chen, Jing Cheng
{"title":"Effects of inactivated COVID-19 vaccinations on the IVF/ICSI-ET live birth rate and pregnancy complication in a population of southern China: A retrospective cohort study","authors":"Huaqing Ma,&nbsp;Ruotong Mao,&nbsp;Ruina Wang,&nbsp;Yingxiu Liang,&nbsp;Yueqi Jin,&nbsp;Hui Chen,&nbsp;Jing Cheng","doi":"10.1111/jebm.12528","DOIUrl":"10.1111/jebm.12528","url":null,"abstract":"<p>The devastating health impact of COVID-19 pandemic in early 2020 shortened the bench-to-clinic process of vaccine development from 10–20 years to ~10 months. The efficacy of such vaccines in preventing disease severity and mortality has been appreciated by both clinicians and end users. However, for infertile couples ready to undergo assisted reproductive technology, there is hesitation about vaccination due to the lack of comprehensive follow-up studies and clinical evidence on its safety during this procedure. Even the recommendations are not consistent between different fertility and obstetric societies. For example, the European Society of Human Reproduction and Embryology published a recommendation of at least a 2-month delay before starting assisted reproductive therapy after vaccination.<span><sup>1</sup></span> However, the American Society for Reproductive Medicine encourage women who are undergoing assisted reproductive quality to receive vaccination.<span><sup>2</sup></span></p><p>Acute respiratory syndrome coronavirus 2 (SARS-CoV-2) invades target host cells via angiotensin-converting enzyme 2 (ACE2) and transmembrane serine protease 2 (TMPRSS2) that are present in the reproductive system, such as the epithelium of the urogenital tract and endometrium. Thus, SARS-CoV-2 infection may affect endometrial regeneration, proliferation and, subsequently, fetal implantation.<span><sup>3</sup></span> The virus may also infect the placenta resulting in preeclampsia, miscarriage, fetal distress, and preterm birth.<span><sup>4</sup></span> Vaccination remains the main strategy to reduce SARS-CoV2 transmission and prevent severe symptoms; however, there is a structural similarity between the spike protein of SARS-CoV-2 and human syncytidin-I related to placenta formation,<span><sup>5</sup></span> which may cause a cross-reaction between the anti-spike protein antibodies produced by the vaccine and human syncytidin-I leading to implantation failure or miscarriage. In China, two inactivated COVID-19 vaccines (CoronaVac (Sinovac Life Sciences) and Sinopharm vaccine (The Beijing Institute of Biological Products)) have been widely used and recognized by WHO, which contain viruses that have lost their ability to infect or replicate but can still induce immune responses. Most studies outside China have focused on mRNA vaccines due to their local availability,<span><sup>6-8</sup></span> which showed the safety amount infertile patients who require assisted reproductive technology. However, those studies did not include fetal growth, birth outcome and pregnancy complications. In addition, it is unclear whether the same applies to inactivated vaccines for such patients.</p><p>The research on the impact of COVID-19 vaccines on pregnancy outcomes in patients undergoing in vitro fertilization/intracytoplasmic sperm injection—embryo transfer (IVF/ICSI-ET) treatment is limited. One single-center study has investigated the effects of CoronaVac and Sinopharm va","PeriodicalId":16090,"journal":{"name":"Journal of Evidence‐Based Medicine","volume":null,"pages":null},"PeriodicalIF":7.3,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jebm.12528","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9845363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Rehabilitation journal editors recognize the need for interventions targeted to improve the completeness of reporting, but there is heterogeneity in terms of strategies actually adopted: A cross-sectional web-based survey 康复杂志的编辑认识到需要有针对性的干预措施,以提高报告的完整性,但在实际采用的策略方面存在异质性:一项基于网络的横断面调查
IF 7.3 2区 医学
Journal of Evidence‐Based Medicine Pub Date : 2023-03-29 DOI: 10.1111/jebm.12527
Tiziano Innocenti, Raymond Ostelo, Arianne Verhagen, Rafael Zambelli Pinto, Stefano Salvioli, Silvia Giagio, Alessandro Chiarotto
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引用次数: 0
ACURATE: A guide for reporting sham controls in trials using acupuncture 准确:针灸试验中假对照报告指南
IF 7.3 2区 医学
Journal of Evidence‐Based Medicine Pub Date : 2023-03-23 DOI: 10.1111/jebm.12524
Ye-Seul Lee, Song-Yi Kim, Hyangsook Lee, Younbyoung Chae, Myeong Soo Lee
{"title":"ACURATE: A guide for reporting sham controls in trials using acupuncture","authors":"Ye-Seul Lee,&nbsp;Song-Yi Kim,&nbsp;Hyangsook Lee,&nbsp;Younbyoung Chae,&nbsp;Myeong Soo Lee","doi":"10.1111/jebm.12524","DOIUrl":"10.1111/jebm.12524","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To promote better reporting quality regarding sham acupuncture in clinical trials for a precise appraisal of the adequacy of the sham acupuncture procedure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A three-stage online Delphi survey was conducted to a group of experts. Items with higher than 80% consensus from the initial checklist were selected as the final candidates. Further discussion among the working group was convened to preclude potential redundancy among the items.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 23 experts out of 35 (66%) responded to the Delphi process. The final checklist consists of 23 items in six categories: type of sham acupuncture, details of sham acupuncture manipulation, location of sham acupuncture, treatment regimen, practitioner, and protocol and settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This paper presents the Acupuncture Controls gUideline for Reporting humAn Trials and Experiments (ACURATE) checklist, an extension of The Consolidated Standards for Reporting of Trials (CONSORT) and to be used along with STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) when sham acupuncture needles are used in the study. This checklist focuses on a clear depiction of sham needling procedures to enhance replicability and enable a precise appraisal. We encourage researchers to use ACURATE in trials and reviews involving sham acupuncture to assist reporting sham acupuncture procedures and the related components.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16090,"journal":{"name":"Journal of Evidence‐Based Medicine","volume":null,"pages":null},"PeriodicalIF":7.3,"publicationDate":"2023-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jebm.12524","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9256756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
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