摘要
目的 运用雷达图多元评价针灸治疗脊髓损伤后神经源性膀胱系统评价/meta分析的质量及结果.方法 检索中国知识资源总库(CNKI)、中文科技期刊数据库(VIP)、中国学术期刊数据库(万方数据)、中国生物医学文献数据库(CBM)、PubMed、Embase、Cochrane Library建库至2023年9月2日针灸治疗脊髓损伤后神经源性膀胱系统评价/Meta分析相关文献.从发表年份、研究类型、同质性、发表偏倚风险、AMSTAR-2方法学质量、PRISMA报告质量6个维度进行多元评价.结果 共纳入12项系统评价/Meta分析,雷达图多元评价显示,纳入文献质量秩平均分为8.56分.多项研究存在同质性不高、异质性解释与讨论欠充分、检索不全面、项目方案未注册、资金利益冲突欠描述等问题.结论 针灸治疗脊髓损伤后神经源性膀胱的系统评价/Meta分析文献质量不高,今后需严格按照AMSTAR-2和PRISMA清单的标准提高系统评价的方法学质量和报告质量.
Abstract
Objective To evaluate the quality and results of system evaluation/Meta analysis of acupuncture and moxibustion treatment for neurogenic bladder after spinal cord injury with radar image.Methods The literature on systematic reviews and Meta-analysis of acupuncture and moxibustion treatment of neurogenic bladder after spinal cord injury was retrieved from CNKI,VIP,Wanfang Data,CBM,PubMed,Embase and Cochrane Library from the establishment of the databases to 2nd September 2023.Multiple evaluations were conducted from six dimensions:publication year,research type,homogeneity,publication bias risk,AMSTAR-2 methodological quality,and PRISMA report quality.Results A total of 12 systematic reviews and Meta-analyses were included,and the multivariate evaluation of radar plot showed that the average quality rank score of the included literature was 8.56 points.Most studies mainly had issues such as low homogeneity of inclusion in the original study,insufficient explanation and discussion of heterogeneity,incomplete retrieval,unregistered project plans,and lack of description of financial conflicts of interest.Conclusion The literature quality on systematic reviews and Meta-analysis of acupuncture and moxibustion treatment of neurogenic bladder after spinal cord injury is not high.In the future,it is necessary to improve the quality of methodology and report of systematic reviews in strict accordance with AMSTAR-2 and PRISMA list.