Massage therapy on lumbar disc herniation performed by radar plot: an overview of systematic reviews

doi:10.3969/j.issn.2095-4344.1237

Abstract

Abstract:

BACKGROUND: There have been a number of systematic reviews/meta-analysis of massage in the treatment of lumbar disc herniation at domestic and overseas, but the quality of the studies varies.

OBJECTIVE: To evaluate the study quality of systematic reviews/meta-analysis of massage in the treatment of lumbar disc herniation based on evaluation of radar plot, thus providing the high-quality evidence reference for clinical practice.

METHODS: Databases of CNKI, CBM, VIP, WanFang, PubMed, EMBASE and the Cochrane Library were searched from inception to November 2018 for the systematic reviews/meta-analysis of massage in the treatment of lumbar disc herniation. Two reviewers independently screened literature and extracted data. All studies were evaluated in aspects of publication year, design type, homogeneity, publication bias, AMSTAR methodological quality score and PRISMA quality score. Optimized radar plots were drawn on Excel 2010 and Adobe Illustrator CC.

RESULTS AND CONCLUSION: (1) Five systematic reviews and three meta-analyses were enrolled, and the quality of the average rank scored 5.75. Of which, the research type, homogeneity, and publication bias had higher evaluation scores, and the publication year, the AMSTAR scale and PRISMA scale scores are lower. (2) In summary, a part of studies about systematic reviews/meta-analysis of massage in the treatment of lumbar disc herniation are good and rigorous. However, quality of some studies is poor. It is recommended to refer to the AMSTAR scale and PRISMA scale for reporting, and strictly control the design type, homogeneity, and publication bias to improve report integrity.

Key words: radar plot, massage, lumbar disc herniation, overview of systematic review, quality evaluation, meta-analysis, homogeneity, publication bias, the National Natural Science Foundation of China

CLC Number:

R459.9

Huang Fan, Zhao Siyi, Di Anqi, Yang Yunying, Zeng Haiting, Wen Junmao, Fan Zhiyong, Guo Rusong, Wu Shan. Massage therapy on lumbar disc herniation performed by radar plot: an overview of systematic reviews[J]. Chinese Journal of Tissue Engineering Research, 2019, 23(20): 3195-3200.

Figures/Tables 4

2.5 雷达图多元评价条目 2.5.1 发表年份此次研究将2018年发表文献秩数定为9。在纳入研究的8篇文献中[14-21]，发表时间最早的2篇为2010年[16，20]；最晚的1篇为2015年[18]；期间2012年无纳入，2011年1篇[19]、2013年2篇[14，17]、2014年2篇[15，21]。 2.5.2 研究类型 ①经典的系统评价/Meta分析；②随机对照试验；③其他类型的系统评价/Meta分析，如队列研究、病例-对照研究、诊断性试验的系统评价/Meta分析。 2.5.3 同质性此次研究所纳入的8篇文献中[14-21]，除周诚恩等[14]、李林等[16]、李洪亮等[21]研究同质性较低，其余同质性均较高[15，17-20]。周诚恩等[14]、李林等[16]同质性较低的原因在于治疗组与对照组设计方法不一而将数据进行合并分析，如周诚恩等[14]对照组采用牵引、药物、针灸等方法进行合并分析，未加以区分，造成临床异质性。 2.5.4 发表偏倚纳入文献中多数均采用漏斗图形式发表偏倚报道[14，16-18，20]，仅有3项未发表偏倚研究[15，19，21]，其中阎博华等[19]、李洪亮等[21]说明未发表偏倚研究的原因为纳入的研究较少。 2.6 雷达图多元评价 2.6.1 图形直观分析　从覆盖面积上看，王艳国等[17]、杨威等[18]和王芃等[20]的面积较大；卜江慧等[15]和李洪亮等[21]的面积较小。从花瓣长度上看，王艳国等[17]、杨威等[18]、王芃[20]仅有1瓣短瓣；周诚恩等[14]、卜江慧等[15]、李林等[16]有2瓣短瓣；阎博华等[19]有3瓣短瓣；李洪亮等[21]有4瓣短瓣。从花瓣平均长度上看，周诚恩等[14]和李林等[16]的较为平均，说明差异性较小；王艳国等[17]和阎博华等[19]的较不平均，说明差异性较大，见图3。 2.6.2 综合评价结论综合分析各项研究的秩数平均分，并结合直观的雷达图，此次研究中王艳国等[17]文献质量最好，其次为杨威等[18]、周诚恩等[14]、王芃[20]，各方面得分较为均衡。文献质量较差的是卜江慧等[15]、李林等[16]、阎博华等[19]和李洪亮等[21]，各方面得分相差较大，见图3。 "

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