AI Article Synopsis

  • Acute exacerbations in COPD lead to frequent hospitalizations and increased mortality, making effective symptom control crucial for patients.
  • Acupoint application (AA), a method from traditional Chinese medicine, is being investigated for its potential benefits in managing COPD, but its effectiveness remains uncertain.
  • This systematic review and meta-analysis will evaluate the efficacy and safety of AA combined with standard western medicine treatments for COPD patients during stable stages, with findings aimed at contributing to medical knowledge and practices in the field.

Article Abstract

Background: Acute exacerbation is a primary cause of repeated hospitalization and death in chronic obstructive pulmonary disease (COPD) patients. Therefore, how to control the symptoms of COPD at stable stage and reduce the number of acute exacerbation is a hot spot of medical research. Acupoint application (AA) is a significant part of external treatment of traditional Chinese medicine (TCM), Previous researches have reported that AA can be applied to the treatment of COPD. Nevertheless, its effectiveness is still inconclusive. This systematic review (SR) and meta-analysis is designed to appraise its effectiveness and safety for the treatment of patients with COPD.

Methods: Eight databases will be systematically retrieved from their inceptions to February 2021. Inclusion criteria are randomized control trials of AA combined with routine western medicine interventions in the treatment of COPD at stable stage. The primary outcomes we focus on comprise clinical effective rate, TCM symptom score, quality of life, dyspnea, exercise capacity, lung function, frequency of acute exacerbation, adverse events. The research screening, data extraction, and risk of bias assessment will be conducted by 2 individuals independently, and divergence will be adjudicated by a third senior investigator. The Stata 13.1 software will be used for meta-analysis. The confidence of evidence will be classified adopting grading of recommendations assessment, development and evaluation (GRADE) algorithm and methodological quality of this SR will be assessed using assessment of multiple systematic reviews-2 (AMSTAR-2) tool.

Results: This SR will provide evidence-based medical proof for the treatment of COPD at stable stage by AA combined with conventional western medicine interventions. The findings of this SR will be presented at relevant conferences and submitted for peer-review publication.

Conclusions: The findings of this SR will provide up-todated summary proof for evaluating the effectiveness and safety of AA for COPD.

Registration Number: INPLASY 202140080.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8104243PMC
http://dx.doi.org/10.1097/MD.0000000000025802DOI Listing

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