AcuTrials

Tian Jiu Therapy for the Treatment of Asthma in Adult Patients: A Meta-Analysis

Item

Title

Tian Jiu Therapy for the Treatment of Asthma in Adult Patients: A Meta-Analysis

Journal Publication

Journal of Alternative & Complementary Medicine

Date

2015

volume

21(4)

pages

200-207

Research Type

Systematic Review

Keywords

ASTHMA -- Treatment
LUNGS -- Physiology
IMMUNE system -- Physiology
ALTERNATIVE medicine
CONFIDENCE intervals
INFORMATION storage & retrieval systems -- Medical care
INFORMATION storage & retrieval systems -- Medicine
ONLINE information services
PROBABILITY theory
SYSTEMATIC reviews (Medical research)
EVIDENCE-based medicine
PROFESSIONAL practice
RANDOMIZED controlled trials
TREATMENT effectiveness
DATA analysis -- Software
DESCRIPTIVE statistics

Abstract

Objectives: To review and evaluate the efficacy and safety of tian jiu therapy on san fu tian for adults with asthma. Methods: A literature search through August 31, 2013, was done to identify comparative studies evaluating effective rate, pulmonary function, immune response, recurrence rate, quality of life, and adverse events. The Cochrane Library, PubMed, EMBASE, and Chinese National Knowledge Infrastructure were searched; only randomized controlled trials with treatment groups using tian jiu therapy were included. Cochrane Collaboration's risk of bias tool and Review Manager software, version 5.2, were used for the data synthesis. Results: Six studies involving 657 patients were identified. tian jiu therapy was more effective than the control intervention (odds ratio [OR], 3.51; 95% confidence interval [CI], 2.05-6.00; p<0.00001; I2=18%). The treatment group had a bigger decrease in IgE level (standard mean difference [SMD], ?1.40; 95% CI, ?2.18 to ?0.63; p=0.0004; I2=85%) and Eosinophil (Eos) level (SMD, ?4.26; 95% CI, ?6.28 to ?2.23; p<0.00001; I2=91%) compared with the control group. Included studies had a high risk of bias. Few adverse effects were reported in the included studies, and no serious adverse responses occurred. Adverse effects did not result in any dropouts. Conclusions: All studies indicated that tian jiu therapy has a positive effect on adults with asthma and that it is relatively safe because of its noninvasive nature. However, the limitations of the research design of the existing studies resulted in high risk of bias. More randomized controlled trials of better methodologic quality are needed to further confirm efficacy and safety of this therapy.

pmid

Accession Number: 102104303; Source Information: Apr2015, Vol. 21 Issue 4, p200; Subject Term: ASTHMA -- Treatment; Subject Term: LUNGS -- Physiology; Subject Term: IMMUNE system -- Physiology; Subject Term: ACUPUNCTURE; Subject Term: ALTERNATIVE medicine; Subject Term: CONFIDENCE intervals; Subject Term: EOSINOPHILS; Subject Term: IMMUNOGLOBULINS; Subject Term: INFORMATION storage & retrieval systems -- Medical care; Subject Term: INFORMATION storage & retrieval systems -- Medicine; Subject Term: BOTANIC medicine; Subject Term: CHINESE medicine; Subject Term: MEDLINE; Subject Term: META-analysis; Subject Term: ONLINE information services; Subject Term: PROBABILITY theory; Subject Term: QUALITY of life; Subject Term: SYSTEMATIC reviews (Medical research); Subject Term: EVIDENCE-based medicine; Subject Term: DISEASE relapse; Subject Term: PROFESSIONAL practice; Subject Term: DATA analysis; Subject Term: RANDOMIZED controlled trials; Subject Term: TREATMENT effectiveness; Subject Term: RESEARCH bias; Subject Term: DATA analysis -- Software; Subject Term: DESCRIPTIVE statistics; Subject Term: ODDS ratio; Subject Term: EVALUATION; Subject Term: ; Geographic Subject: CHINA; Geographic Subject: ; Number of Pages: 8p; ; Document Type: Article;

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