Electroacupuncture for Postoperative Urinary Retention: A Systematic Review and Meta‐Analysis

Zhong, Yajing; Zeng, Fanzhu; Li, Jiaying; Yang, Y B; Zhong, Shuxian; Song, Yang

doi:10.1155/2018/7612618

Cited by 6 publications

(15 citation statements)

References 43 publications

(89 reference statements)

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“…Chinese medicine classifies urinary retention as "retention of urine" and "gonorrhea" and cites pericystal vascular disease, neurological dysregulation, and toxic blockage of the bladder as important factors in triggering urinary retention [13][14][15]. Chinese medicine techniques such as acupuncture, acupressure, foot and umbilical therapy, and medicinal baths can effectively improve the blood circulation of the bladder vessels and provide anti-inflammatory and pain relief, laxative and diuretic effects, and relieve retention, which are of great value in clinical care [16,17].…”

Section: Introductionmentioning

confidence: 99%

Effect of Comprehensive Care Based on Appropriate Chinese Medicine Techniques on Urinary Retention and Bladder Function Recovery after Total Hysterectomy in Patients with Cervical Cancer

Lü

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To investigate the effect of comprehensive care based on appropriate Chinese medicine techniques on urinary retention and bladder function recovery after total hysterectomy in patients with cervical cancer. Methods. A total of 148 cases admitted after radical hysterectomy for cervical cancer from January 2019 to early September 2019 were used as the observation sample and were divided into control and experimental groups based on a randomized double-blind method. There were 74 cases each. The control group was given comprehensive care, and the experimental group was given comprehensive care based on appropriate Chinese medicine techniques. The intervention period was 2 weeks after surgery. The recovery rate of bladder function and the occurrence of urinary retention were compared between the two groups, and the duration of postoperative retention of urinary catheter, the amount of residual urine, and the feeling of urination were counted. Results. The experimental group had better urinary catheter retention time, time to first spontaneous voiding, time to get out of bed, and time to anal discharge than the control group; the experimental group had a higher rate of good bladder function recovery than the control group and better bladder recovery time, residual urine volume, and incidence of urinary retention than the control group; the patients in the experimental group had better UDI-6 scores. Conclusion. The implementation of comprehensive care based on appropriate Chinese medicine techniques can relieve patients’ difficulty in urination and improve their quality of life.

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Section: Introductionmentioning

confidence: 99%

Effect of Comprehensive Care Based on Appropriate Chinese Medicine Techniques on Urinary Retention and Bladder Function Recovery after Total Hysterectomy in Patients with Cervical Cancer

Lü

et al. 2022

Computational and Mathematical Methods in Medicine

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“…These SRs/MAs were published between 2014 and 2021, with 6 [ 18 – 23 ] published after 2017. Three of the SRs/MAs [ 18 – 20 ] were in English, and the remaining five [ 21 – 25 ] were in Chinese. The number of RCTs included in the SRs/MAs ranged from 9 to 15, and the total number of subjects included in each SR/MA ranged from 579 to 1,577.…”

Section: Resultsmentioning

confidence: 99%

“…The interventions for the control group were CM, SA, RT, and placebo, and the treatments for the intervention group were electroacupuncture (EA) and manual acupuncture (MA) or EA or MA in combination with the treatments received by the control group. In terms of the quality assessment for inclusion in RCTs, the Cochrane criteria was used for four SRs/MAs [ 18 – 20 , 23 ] and the Jadad scale was used for four SRs/MAs [ 21 , 22 , 24 , 25 ].…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the methodological quality of the included SRs/MAs, all were considered to be of very low quality because more than one key item was missing from the SRs/MAs included in the quality assessment. Methodological quality limitations come from the following items: Items 2 (Only 2 SRs/MAs [ 19 , 20 ] registered the research protocol), Item 4 (None of the SR/MA performed a comprehensive literature search), Item 7 (None of the SR/MA provided studies excluded from the list), and Item 10 (None of the SR/MA reported the funding of RCTs included in SRs/MAs). The evaluation details of the included SRs/MAs on the AMSTAR-2 are shown in Table 4 .…”

Section: Resultsmentioning

confidence: 99%

“…Details of outcomes included in SRs/MAs are shown in Table 8 , and 2 SRs/MAs [ 19 , 20 ] provide narrative reviews that regard acupuncture as a safe treatment option. It can be seen that acupuncture is effective and safe for the treatment of female SUI.…”

Section: Resultsmentioning

confidence: 99%

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A Critical Overview of Systematic Reviews and Meta-Analyses of Acupuncture for Female Stress Urinary Incontinence

Shi

Zhao

Cui

et al. 2022

Pain Research and Management

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Objectives. As a urinary dysfunction disorder, stress urinary incontinence (SUI) is more common in women than in men. Acupuncture, a traditional minimally invasive technique, has potential efficacy in the treatment of SUI. The purpose of this overview is to critically assess the available evidence on acupuncture for the treatment of SUI in women. Methods. Two researchers searched seven databases for systematic reviews (SRs)/meta-analyses (MAs) of randomized controlled trials (RCTs) on acupuncture for SUI. Two researchers assessed the included SRs/MAs using the Assessment of Multiple Systematic Reviews 2 (AMSTAR-2), the Risk of Bias in Systematic (ROBIS) scale, the list of Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. Results. Eight published SRs/MAs were included in our overview. According to the results of the AMSTAR-2 assessment, all SRs/MAs were of very low quality. According to the ROBIS evaluation results, no SR/MA was assessed as low risk of bias. According to the results of the PRISMA checklist assessment, no SR/MA was fully reported on the checklist. According to GRADE, a total of 27 outcomes extracted from the included SRs/MAs were evaluated, and only 1 was rated as high quality. Conclusions. Acupuncture may be an effective and safe complementary treatment for SUI in women. However, further standard and comprehensive SRs/MAs and RCTs are needed to provide an evidence-based medical rationale for this.

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Use of Acupuncture for Adult Health Conditions, 2013 to 2021

et al. 2022

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ImportanceAcupuncture is a popular treatment that has been advocated for dozens of adult health conditions and has a vast evidence base.ObjectiveTo map the systematic reviews, conclusions, and certainty or quality of evidence for outcomes of acupuncture as a treatment for adult health conditions.Evidence ReviewComputerized search of PubMed and 4 other databases from 2013 to 2021. Systematic reviews of acupuncture (whole body, auricular, or electroacupuncture) for adult health conditions that formally rated the certainty, quality, or strength of evidence for conclusions. Studies of acupressure, fire acupuncture, laser acupuncture, or traditional Chinese medicine without mention of acupuncture were excluded. Health condition, number of included studies, type of acupuncture, type of comparison group, conclusions, and certainty or quality of evidence. Reviews with at least 1 conclusion rated as high-certainty evidence, reviews with at least 1 conclusion rated as moderate-certainty evidence, and reviews with all conclusions rated as low- or very low-certainty evidence; full list of all conclusions and certainty of evidence.FindingsA total of 434 systematic reviews of acupuncture for adult health conditions were found; of these, 127 reviews used a formal method to rate certainty or quality of evidence of their conclusions, and 82 reviews were mapped, covering 56 health conditions. Across these, there were 4 conclusions that were rated as high-certainty evidence, and 31 conclusions that were rated as moderate-certainty evidence. All remaining conclusions (&gt;60) were rated as low- or very low-certainty evidence. Approximately 10% of conclusions rated as high or moderate-certainty were that acupuncture was no better than the comparator treatment, and approximately 75% of high- or moderate-certainty evidence conclusions were about acupuncture compared with a sham or no treatment.Conclusions and RelevanceDespite a vast number of randomized trials, systematic reviews of acupuncture for adult health conditions have rated only a minority of conclusions as high- or moderate-certainty evidence, and most of these were about comparisons with sham treatment or had conclusions of no benefit of acupuncture. Conclusions with moderate or high-certainty evidence that acupuncture is superior to other active therapies were rare.

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Electroacupuncture for Postoperative Urinary Retention: A Systematic Review and Meta‐Analysis

Cited by 6 publications

References 43 publications

Effect of Comprehensive Care Based on Appropriate Chinese Medicine Techniques on Urinary Retention and Bladder Function Recovery after Total Hysterectomy in Patients with Cervical Cancer

Effect of Comprehensive Care Based on Appropriate Chinese Medicine Techniques on Urinary Retention and Bladder Function Recovery after Total Hysterectomy in Patients with Cervical Cancer

A Critical Overview of Systematic Reviews and Meta-Analyses of Acupuncture for Female Stress Urinary Incontinence

Use of Acupuncture for Adult Health Conditions, 2013 to 2021

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