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Article: Acupuncture for overactive bladder in adults: a systematic review and meta-analysis

TitleAcupuncture for overactive bladder in adults: a systematic review and meta-analysis
Authors
Keywordsacupuncture
systematic review
overactive bladder syndrome
randomized controlled trial
meta-analysis
Issue Date2019
PublisherBMJ Group. The Journal's web site is located at http://aim.bmj.com
Citation
Acupuncture in Medicine, 2019, v. 37, p. 321-331 How to Cite?
AbstractBackground: Overactive bladder is prevalent in adults over 40 years of age and its prevalence increases with age. The use of acupuncture in adults with overactive bladder is increasing globally. However, its effectiveness/efficacy and safety have not yet been confirmed. Objective: To determine the effectiveness/efficacy and safety of acupuncture and to identify the pattern of commonly used traditional acupuncture points in the management of overactive bladder in adults. Methods: Ten electronic English and Chinese language databases were systematically searched and two English together with four Chinese journals relevant to acupuncture were manually searched in libraries for randomised controlled trials (RCTs) of acupuncture for overactive bladder in adults from their inception to March 2017. The Cochrane risk of bias tool was used to assess the methodological quality of the RCTs. RevMan v.5.3 software was employed for data analysis. Results: Seven eligible trials involving 695 participants were included. Meta-analysis showed that acupuncture was comparable to drugs (tolterodine tartrate/solifenacin) in the reduction of micturition episodes over 24 hours (pooled standardised mean difference (SMD) 0.36, 95% CI −0.23 to 0.95; I2=83%), increase in voided volume of each micturition episode (pooled SMD −0.15, 95% CI −0.36 to 0.05; I2=0%), and reduction of overactive bladder symptom score (pooled SMD −0.23, 95% CI −1.30 to 0.85; I2=91%). In addition, acupuncture was not significantly different compared with placebo in the reduction of overactive bladder symptom score (pooled SMD −2.36, 95% CI −5.64 to 0.93; I2=97%). No serious adverse events were reported. Conclusions: No significant differences in effectiveness or efficacy were found between acupuncture and drug or between verum and sham acupuncture, respectively. Further high-quality studies are required.
Persistent Identifierhttp://hdl.handle.net/10722/287368
ISSN
2023 Impact Factor: 2.4
2023 SCImago Journal Rankings: 0.465
ISI Accession Number ID
Errata

 

DC FieldValueLanguage
dc.contributor.authorMak, TC-
dc.contributor.authorChen, HY-
dc.contributor.authorCho, WC-
dc.date.accessioned2020-09-22T03:00:00Z-
dc.date.available2020-09-22T03:00:00Z-
dc.date.issued2019-
dc.identifier.citationAcupuncture in Medicine, 2019, v. 37, p. 321-331-
dc.identifier.issn0964-5284-
dc.identifier.urihttp://hdl.handle.net/10722/287368-
dc.description.abstractBackground: Overactive bladder is prevalent in adults over 40 years of age and its prevalence increases with age. The use of acupuncture in adults with overactive bladder is increasing globally. However, its effectiveness/efficacy and safety have not yet been confirmed. Objective: To determine the effectiveness/efficacy and safety of acupuncture and to identify the pattern of commonly used traditional acupuncture points in the management of overactive bladder in adults. Methods: Ten electronic English and Chinese language databases were systematically searched and two English together with four Chinese journals relevant to acupuncture were manually searched in libraries for randomised controlled trials (RCTs) of acupuncture for overactive bladder in adults from their inception to March 2017. The Cochrane risk of bias tool was used to assess the methodological quality of the RCTs. RevMan v.5.3 software was employed for data analysis. Results: Seven eligible trials involving 695 participants were included. Meta-analysis showed that acupuncture was comparable to drugs (tolterodine tartrate/solifenacin) in the reduction of micturition episodes over 24 hours (pooled standardised mean difference (SMD) 0.36, 95% CI −0.23 to 0.95; I2=83%), increase in voided volume of each micturition episode (pooled SMD −0.15, 95% CI −0.36 to 0.05; I2=0%), and reduction of overactive bladder symptom score (pooled SMD −0.23, 95% CI −1.30 to 0.85; I2=91%). In addition, acupuncture was not significantly different compared with placebo in the reduction of overactive bladder symptom score (pooled SMD −2.36, 95% CI −5.64 to 0.93; I2=97%). No serious adverse events were reported. Conclusions: No significant differences in effectiveness or efficacy were found between acupuncture and drug or between verum and sham acupuncture, respectively. Further high-quality studies are required.-
dc.languageeng-
dc.publisherBMJ Group. The Journal's web site is located at http://aim.bmj.com-
dc.relation.ispartofAcupuncture in Medicine-
dc.rightsAcupuncture in Medicine. Copyright © BMJ Group.-
dc.rightsThis article has been accepted for publication in [Journal, Year] following peer review, and the Version of Record can be accessed online at [insert full DOI eg. http://dx.doi.org/10.1136/xxxxx]. [© Authors (or their employer(s)) OR © BMJ Publishing Group Ltd ( for assignments of BMJ Case Reports)] <year>-
dc.subjectacupuncture-
dc.subjectsystematic review-
dc.subjectoveractive bladder syndrome-
dc.subjectrandomized controlled trial-
dc.subjectmeta-analysis-
dc.titleAcupuncture for overactive bladder in adults: a systematic review and meta-analysis-
dc.typeArticle-
dc.identifier.emailChen, HY: haiyong@hku.hk-
dc.identifier.authorityChen, HY=rp01923-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1136/acupmed-2017-011528-
dc.identifier.pmid31433197-
dc.identifier.scopuseid_2-s2.0-85071522078-
dc.identifier.hkuros314536-
dc.identifier.volume37-
dc.identifier.spage321-
dc.identifier.epage331-
dc.identifier.isiWOS:000505578100001-
dc.publisher.placeUnited Kingdom-
dc.relation.erratumdoi:10.1177/0964528419878114-
dc.identifier.issnl0964-5284-

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