Electroacupuncture for post-thoracotomy pain: A systematic review and meta-analysis.

<h4>Background</h4>Thoracotomy is an invasive surgical procedure that produces intense postoperative pain. Electroacupuncture has been used to induce analgesia in various situations, including after surgery. The aim of the following systematic review and meta-analysis was to evaluate the...

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Autores principales:	Sohyeon Park, Yee Ran Lyu, So Jung Park, Min Seok Oh, In Chul Jung, Eun-Jung Lee
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/585a5ec2c47a4186a8b6cae3852b7b7f
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spelling	oai:doaj.org-article:585a5ec2c47a4186a8b6cae3852b7b7f2021-12-02T20:09:38ZElectroacupuncture for post-thoracotomy pain: A systematic review and meta-analysis.1932-620310.1371/journal.pone.0254093https://doaj.org/article/585a5ec2c47a4186a8b6cae3852b7b7f2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254093https://doaj.org/toc/1932-6203<h4>Background</h4>Thoracotomy is an invasive surgical procedure that produces intense postoperative pain. Electroacupuncture has been used to induce analgesia in various situations, including after surgery. The aim of the following systematic review and meta-analysis was to evaluate the effect of electroacupuncture on post-thoracotomy pain.<h4>Methods</h4>The studies for the systematic review were searched using the following 9 databases: PubMed, Cochrane Library, EMBASE, MEDLINE Complete, Google Scholar, China National Knowledge Infrastructure (CNKI), Korean Medical Database (KMBASE), Koreanstudies Information Service System (KISS), and OASIS, without language restriction. Randomized controlled trials (RCTs) that met the inclusion criteria were selected. The quality assessment was performed using the Cochrane risk-of-bias tool, and RevMan 5.3 was used for meta-analysis. The review protocol is registered in the International Prospective Register of Systematic Reviews (PROSPERO) as CRD42019142157.<h4>Results</h4>Eleven randomized controlled trials were included in the systematic review. The meta-analysis was performed for two outcome measures: pain score 24 hours after surgery and total dose of opioid analgesics. A subgroup analysis was performed according to the control group: sham acupuncture and conventional analgesia group. Pain score 24 hours after surgery of electroacupuncture group showed a standard mean difference of -0.98 (95% CI: -1.62 to -0.35) compared to sham acupuncture. The standard mean difference was -0.94 (95% CI: -1.33 to -0.55) compared to conventional analgesia. The total dose of opioid analgesics of electroacupuncture group showed a standard mean difference values of -0.95 (95% CI: -1.42 to -0.47) compared to sham acupuncture. The standard mean difference was -1.96 (95% CI: -2.82 to -1.10) compared to conventional analgesia.<h4>Conclusion</h4>Current evidence suggests that electroacupuncture might provide useful pain relieving effect on post-thoracotomy patients. However, due to low quality and high heterogeneity of existing data, further rigorously designed studies should be performed to confirm the safety and efficacy.Sohyeon ParkYee Ran LyuSo Jung ParkMin Seok OhIn Chul JungEun-Jung LeePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254093 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sohyeon Park Yee Ran Lyu So Jung Park Min Seok Oh In Chul Jung Eun-Jung Lee Electroacupuncture for post-thoracotomy pain: A systematic review and meta-analysis.
description	<h4>Background</h4>Thoracotomy is an invasive surgical procedure that produces intense postoperative pain. Electroacupuncture has been used to induce analgesia in various situations, including after surgery. The aim of the following systematic review and meta-analysis was to evaluate the effect of electroacupuncture on post-thoracotomy pain.<h4>Methods</h4>The studies for the systematic review were searched using the following 9 databases: PubMed, Cochrane Library, EMBASE, MEDLINE Complete, Google Scholar, China National Knowledge Infrastructure (CNKI), Korean Medical Database (KMBASE), Koreanstudies Information Service System (KISS), and OASIS, without language restriction. Randomized controlled trials (RCTs) that met the inclusion criteria were selected. The quality assessment was performed using the Cochrane risk-of-bias tool, and RevMan 5.3 was used for meta-analysis. The review protocol is registered in the International Prospective Register of Systematic Reviews (PROSPERO) as CRD42019142157.<h4>Results</h4>Eleven randomized controlled trials were included in the systematic review. The meta-analysis was performed for two outcome measures: pain score 24 hours after surgery and total dose of opioid analgesics. A subgroup analysis was performed according to the control group: sham acupuncture and conventional analgesia group. Pain score 24 hours after surgery of electroacupuncture group showed a standard mean difference of -0.98 (95% CI: -1.62 to -0.35) compared to sham acupuncture. The standard mean difference was -0.94 (95% CI: -1.33 to -0.55) compared to conventional analgesia. The total dose of opioid analgesics of electroacupuncture group showed a standard mean difference values of -0.95 (95% CI: -1.42 to -0.47) compared to sham acupuncture. The standard mean difference was -1.96 (95% CI: -2.82 to -1.10) compared to conventional analgesia.<h4>Conclusion</h4>Current evidence suggests that electroacupuncture might provide useful pain relieving effect on post-thoracotomy patients. However, due to low quality and high heterogeneity of existing data, further rigorously designed studies should be performed to confirm the safety and efficacy.
format	article
author	Sohyeon Park Yee Ran Lyu So Jung Park Min Seok Oh In Chul Jung Eun-Jung Lee
author_facet	Sohyeon Park Yee Ran Lyu So Jung Park Min Seok Oh In Chul Jung Eun-Jung Lee
author_sort	Sohyeon Park
title	Electroacupuncture for post-thoracotomy pain: A systematic review and meta-analysis.
title_short	Electroacupuncture for post-thoracotomy pain: A systematic review and meta-analysis.
title_full	Electroacupuncture for post-thoracotomy pain: A systematic review and meta-analysis.
title_fullStr	Electroacupuncture for post-thoracotomy pain: A systematic review and meta-analysis.
title_full_unstemmed	Electroacupuncture for post-thoracotomy pain: A systematic review and meta-analysis.
title_sort	electroacupuncture for post-thoracotomy pain: a systematic review and meta-analysis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/585a5ec2c47a4186a8b6cae3852b7b7f
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Electroacupuncture for post-thoracotomy pain: A systematic review and meta-analysis.

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