Objective To overview the systematic reviews of dominant diseases of acupuncture in clinical efficacy.Methods PubMed, The Cochrane Library, Web of Science, CNKI, CBM, VIP and WanFang Data databases were electronically searched to collect systematic reviews or meta-analyses of dominant diseases of acupuncture in clinical efficacy from inception to December 2020. Two reviewers independently screened literature, extracted data and assessed the quality of the included studies. Then, Excel 2010 and VOS viewer were used for data analysis.Results A total of 263 systematic reviews were included. Acupuncture techniques involved electroacupuncture (n=29), point thread-embedding (n=25), dermal needle (n=15), acupoint injection (n=12), spoon needle (n=12), fire needle (n=8), laser (n=8), intradermal needle (n=5), filiform needle (n=4), pricking blood therapy (n=2) and round-sharp needle (n=1). A total of 94 kinds of diseases were identified, and their total effective rate ranged from 4% (bladder cancer) to 98% (bladder stones, renal colic), 72 kinds of which were above 85%.Conclusions Acupuncture is currently widely used in clinical practice. Based on the clinical effectiveness evidence, this study finally identifies 94 types of dominant diseases. However, the total sample size and total effective rate vary considerably, and the types of acupuncture are not yet specified in this study, which requires to be focused in future research.
LI Xiuxia, GUO Kangle, SHANG Xue, E Fenfen, YANG Chaoqun, WANG Yan, CHEN Nan, LI Yanfei, WANG Shizhong, NIU Junqiang, WANG Yongfeng, YANG Kehu. Dominant diseases of acupuncture in clinical efficacy: an overview of systematic reviews. Chinese Journal of Evidence-Based Medicine, 2021, 21(6): 703-709. doi: 10.7507/1672-2531.202102050