1. Acupoint application therapy for diarrhea-predominant irritable bowel syndrome: a protocol for systematic review and network meta-analysis
- Author
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Yin, Xinwei, Ouyang, Minhua, Li, Shaowei, Ou, Rui, Chen, Zhihuang, Wei, Song, Huang, Huai, and Liu, Dandan
- Subjects
Advanced and Specialized Nursing ,Anesthesiology and Pain Medicine - Abstract
Background: Irritable bowel syndrome (IBS) is a chronic functional gastrointestinal disease, of which diarrhea-predominant irritable bowel syndrome (IBS-D) is a common subtype. In China, acupoint application therapy is widely used as an effective complementary therapy for IBS-D treatment. For clinical management, currently acupoint application is usually combined with other therapies (including acupuncture, moxibustion, Chinese herbal medicine and western medicine, etc.) for treating IBS-D; however, to date, evidence demonstrating the most effective options for treating different manifestations of IBS-D is insufficient. Therefore, this protocol proposes a systematic review and network meta-analysis (NMA) for evaluating the effectiveness of acupoint application and its combination therapies in terms of preventing the onset of IBS-D. Objective: To analyze the medication rules and mechanism of action concerning patented CHF in the intervention of SS, and to provide review findings which serve as an add-on reference for treating patients with SS. Methods: Four English electronic databases (PubMed, Web of Science, the Cochrane Library, and EMBASE) and four Chinese databases (CNKI, CQVIP, WanFang, and CBM) from their inception onwards will be searched for published and unpublished randomized controlled trials (RCTs), in an effort to evaluate the efficacy and safety of acupoint application therapy and its combination therapies for patients with IBS-D. Stata version 14.0 software packages will be used for meta-analysis. A Bayesian NMA will be performed using the R version 4.0.2 and Aggregate Data Drug Information System (ADDIS version 1.16.8) software packages. Bias risk will be accessed via Cochrane Collaboration’s risk of bias test; more specifically, publication bias will be evaluated using Egger’s test and funnel plots. The probabilities of interventions of each preventive intervention for various outcomes will be calculated, clustered and ranked using the cumulative ranking curve method. The GRADE method will be used to assess the certainty of evidence from NMA outcomes. Results: The results of this study will be submitted to, reviewed by, and, following appropriate revisions, published in peer-reviewed periodical journals. Conclusion: This study aims at revealing the clinical efficacy of acupoint application therapy and its combined therapy in the treatment of IBS-D, and may provide an evidence-based basis for identifying the best acupoint application program.
- Published
- 2022