Acupuncture and related acupoint therapies for smoking cessation: An umbrella review and updated meta-analysis.

Autor: Zhang YY; College of Acupuncture-Moxibustion and Tuina, Shaanxi University of Chinese Medicine, Xianyang, China.; Key Laboratory of Acupuncture and Medicine in Shaanxi Province, Xianyang, China.; Centre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China., Su YZ; Centre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China., Tian ZY; Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, China., Liang SB; Clinical Study Center, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China., Liu YJ; College of Acupuncture-Moxibustion and Tuina, Shaanxi University of Chinese Medicine, Xianyang, China., Li YF; Centre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China., Qiao HF; College of Acupuncture-Moxibustion and Tuina, Shaanxi University of Chinese Medicine, Xianyang, China.; Key Laboratory of Acupuncture and Medicine in Shaanxi Province, Xianyang, China., Robinson N; Centre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.; Institute of Health and Social Care, London South Bank University, London, United Kingdom., Liu JP; Centre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Jazyk: angličtina
Zdroj: Tobacco induced diseases [Tob Induc Dis] 2024 Apr 18; Vol. 22. Date of Electronic Publication: 2024 Apr 18 (Print Publication: 2024).
DOI: 10.18332/tid/186147
Abstrakt: Introduction: Acupuncture and related acupoint therapies have been widely used for smoking cessation. Some relevant systematic reviews (SRs) have been published. There is a need to summarize and update the evidence to inform practice and decision-making.
Methods: Eight databases were searched from their inception to December 2023. SRs, any randomized controlled trials (RCTs) comparing acupuncture therapies with sham acupuncture, pharmacotherapy, behavioral therapy, or no treatment, were included. The primary outcome was the abstinence rate. AMSTAR-2 was employed to assess the quality of SRs. An updated meta-analysis was conducted based on SRs and RCTs. Data were synthesized using risk ratios (RR) with 95% confidence intervals (CIs). The GRADE approach was employed to assess the certainty of the updated evidence.
Results: Thirteen SRs and 20 RCTs outside of the SRs were identified. The SRs were of low or very low quality by AMSTAR-2. Sixteen (80%) RCTs were at high risk of performance bias. Eight acupuncture and related acupoint therapies were involved. The short-term (≤6 months) abstinence rate outcome was summarized as follows. Most SRs suggested that filiform needle acupuncture or acupressure had a better effect than sham acupuncture, but the findings were inconsistent. The updated meta-analysis also suggested that filiform needle acupuncture was more effective than sham acupuncture (RR=1.44; 95% CI: 1.02-2.02; I 2 = 66%; low certainty; 9 RCTs, n=1358). Filiform needle acupuncture combined with acupressure was comparable to nicotine patches (RR=0.99; 95% CI: 0.74-1.32; low certainty; 6 RCTs, n= 524). Acupressure was superior to counseling (RR=1.46; 95% CI: 1.14-1.87; I 2 =5%; low certainty; 8 RCTs, n=595). No serious adverse events were reported in these SRs or RCTs.
Conclusions: Low certainty evidence suggests that filiform needle acupuncture and auricular acupressure appear to be safe and effective in achieving short-term smoking cessation. However, long-term follow-up data are needed.
Competing Interests: The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none was reported.
(© 2024 Zhang Y.Y. et al.)
Databáze: MEDLINE
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