Acupuncture plus moxibustion for herpes zoster: A systematic review and meta-analysis of randomized controlled trials

Coyle, Meaghan; Liang, Haiying; Wang, Kaiyi; Zhang, Anthony Lin; Guo, Xinfeng; Lu, Chuanjian; Xue, Charlie Changli

doi:10.1111/dth.12468

Cited by 25 publications

(35 citation statements)

References 30 publications

(72 reference statements)

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“…A cross-sectional study investigated that the pain was the top acupuncture indications and was nearly half of the clinical problem acupuncturists encountered in the US clinics [6]. Acupuncture was reported for the treatment of HZ [7][8][9][10], which showed that it relieves pain of HZ, shortens the healing of the rash, and reduces the occurrence of postherpetic neuralgia (PHN). But no studies have evaluated the reporting quality of these papers.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Reporting Quality in Randomised Controlled Trials of Acupuncture for Acute Herpes Zoster by the CONSORT Statement and STRICTA Guidelines

Qian

Zeng

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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Objective. To explore the methods for improving the reporting quality of randomised controlled trials (RCTs) on acupuncture through evaluating the reporting quality in RCTs of acupuncture for acute herpes zoster by the CONSORT statement and STRICTA guidelines. Methods. English and Chinese databases were searched from database creation until October 2018 and updated to July 2019. The basic characteristics and methodological quality of the literatures included were evaluated based on the CONSORT statement and the STRICTA guidelines. Descriptive statistical analysis was used in this study. The agreement between the two researchers of all items was calculated by Cohen’s kappa statistics. Results. A total of 40 RCTs were included. Based on the CONSORT statement, items “Background,” “Randomised” in the title or abstract,” “Statistical methods,” and “Outcomes and estimation” were good reporting, with positive rates >80%. However, the quality of reporting in items “Sample size,” “Allocation concealment,” “Implementation,” “Blinding,” “Flow chart,” “Intent-to-treat analysis,” “Ancillary analyses,” and “Clinical Trials Register” was very poor, with positive rates <10%. Based on the STRICTA guidelines, good reporting existed in items “Acupuncture rational,” “Points used,” “Needle stimulation,” “Needle retention time,” “Course of treatment,” “Control intervention,” and “Treatment frequency,” with positive ratings >80%. The reporting quality of items “Numbers of needles inserted,” “Depth of insertion,” “Responses elicited,” and “Practitioner background” was lower, with positive rates <50%. The agreement of most items was judged as moderate, substantial, or good.Conclusion. The reporting quality of RCTs in acupuncture for acute HZ is generally inadequate. It is necessary that researchers and journal editors learn and raise the adoption of the CONSORT statement and STRICTA guidelines to enhance the reporting quality of the RCTs in acupuncture.

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Section: Introductionmentioning

confidence: 99%

Evaluation of Reporting Quality in Randomised Controlled Trials of Acupuncture for Acute Herpes Zoster by the CONSORT Statement and STRICTA Guidelines

Qian

Zeng

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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“…Furthermore, the cumulative medical cost is high for such treatments on this disease, and patients are not fully satisfied even with the curative effect. With all these downsides of conventional drug therapies, it is said to believe complementary and alternative medicine such as acupuncture may give better results with less side effects and reduce medical costs to treat HZ infection [3,4]..…”

Section: Introductionmentioning

confidence: 99%

Fire needle plus cupping for acute herpes zoster: study protocol for a randomized controlled trial

Zhang

Liang

et al. 2020

Trials

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Background: Acute herpes zoster (AHZ) is a common skin disease caused by invasion of the varicella zoster virus into the ganglia and skin, and the severe pain is the most complaint, which can seriously disturb the normal life of patients. Fire needle plus cupping is a special acupuncture treatment, which is widely used to treat AHZ for its better analgesic effect in China although it has not been fully verified by rigorous randomized controlled trial (RCT). Methods/design: To test the effect, a three-arm randomized parallel controlled trial protocol has been designed. A total of 105 AHZ patients suffering pain will be randomly divided into three groups in an equal proportion. The interventions are fire needle plus cupping (FC) in group A, famciclovir plus gabapentin (FG) in group B, and fire needle plus cupping plus famciclovir (FCF) in group C. The length for the trial is set for a week time frame. Precisely speaking, the A group (FC) is to carry out 1 treatment per day for the total of 7 treatment sessions within 1 week period. On the other hand, the B group (FG) will take drugs orally three times a day within the trial 1 week. Meanwhile, with its combination element, the C group (FCF) is due to undertake both treatments and drugs as prescribed for A and B groups within the trial week. As an intra-trial arrangement, analgesic medication will be carefully administered for temporary pain release if the sudden intolerable pain appeared. For the primary outcome, this study is due to apply visual analogue scale to identify pain intensity relief. As the secondary outcomes are concerned, this study is aiming to focus on the issues related to changes in substance P and beta-endorphin concentrations in peripheral plasma, as well as those issues of analgesic needs, side effects, symptoms, and physical signs including pain classification, local itching, burning sensation, fever, local lymphadenopathy, skin lesion area, blisters, herpes clusters, vesicular traits, ulcers, and pimples; all these are taken into account for evaluation. For the final stage, the participants are to be followed up for postherpetic neuralgia. Discussion: The results of this trial aim to provide sufficient evidence on FC treatment over both FG and FCF treatments. It will then give a credible alternative treatment to cut down acute pain and to cure AHZ infection.

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“…With all these downsides of conventional drug therapies, it is said to believe complementary and alternative medicine such as acupuncture may give better results with less side effects and reduce medical costs to treat HZ infection. [3][4] .…”

Section: Introductionmentioning

confidence: 99%

Fire needle plus cupping for acute herpes zoster: Study protocol for a randomised controlled trial

Zhang¹,

Liang

Li³

et al. 2020

Preprint

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BackgroundAcute herpes zoster (AHZ) is a common skin disease caused by invasion of the varicella-zoster virus into the ganglia and skin, and the severe pain is the most complaint, which can seriously disturb the normal life of patients. Fire needle plus cupping is a special acupuncture treatment, which is widely used to treat AHZ for its better analgesic effect in China although it has not been fully verified by rigorous randomized controlled trial (RCT). Methods/ Design To test the effect, a three-arm randomized parallel controlled trial protocol has been designed. 105 AHZ patients suffering pain will be randomly divided into three groups in an equal proportion. The interventions are fire needle plus cupping (FC) in group A , famciclovir plus gabapentin (FG) in group B and fire needle plus cupping plus famciclovir (FCF) in Group C. The length for the trial is set for a week time frame. Precisely speaking, the A group (FC ) is to carry out 1 treatment per day for the total of 7 treatment sessions within 1 week period, On the other hand, the B group (FG) will take drugs orally three times a day within the trial 1 week . Meanwhile, with its combination element, the C group (FCF) is due to undertake both treatments and drugs as prescribed for A and B groups within the trial week. As an intra-trial arrangement, analgesics medication will be carefully administered for temporary pain release if the sudden intolerable pain appeared. For the primary outcome, this study is due to apply visual analogue scale to identify pain intensity relief. As the secondary outcomes are concerned, this study is aiming to focus on the issues related to changes in substance P and beta-endorphin concentrations in peripheral plasma, as well as those issues of analgesic needs, side effects, symptoms and physical signs including pain classification, local itching, burning sensation, fever, local lymphadenopathy, skin lesion area, blisters, herpes clusters, vesicular traits, ulcers, and pimples; and all these are taking into account for evaluation. For the final stage, the participants are due to be followed up for postherpetic neuralgia. Discussion: The results of this trial aim to provide sufficient evidence on FC treatment over both FG and FCF treatments. It will then give a credible alternative treatment to cut down acute pain and to cure AHZ infection. Trial registration: The registration number is ChiCTR1800015372. Registered on 28 March 2018.

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Acupuncture plus moxibustion for herpes zoster: A systematic review and meta-analysis of randomized controlled trials

Cited by 25 publications

References 30 publications

Evaluation of Reporting Quality in Randomised Controlled Trials of Acupuncture for Acute Herpes Zoster by the CONSORT Statement and STRICTA Guidelines

Evaluation of Reporting Quality in Randomised Controlled Trials of Acupuncture for Acute Herpes Zoster by the CONSORT Statement and STRICTA Guidelines

Fire needle plus cupping for acute herpes zoster: study protocol for a randomized controlled trial

Fire needle plus cupping for acute herpes zoster: Study protocol for a randomised controlled trial

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