RT Journal Article
SR Electronic
T1 Methodological Review: Summary of Findings for Acupuncture as Treatment for Cancer Therapy-induced Xerostomia
JF In Vivo
JO In Vivo
FD International Institute of Anticancer Research
SP 2579
OP 2597
DO 10.21873/invivo.12993
VO 36
IS 6
A1 JUTTA HUBNER
A1 JENNIFER DORFLER
A1 MAREN FREUDING
A1 CHRISTOPHER ZAISER
A1 JENS BUNTZEL
A1 CHRISTIAN KEINKI
A1 LUKAS KÄSMANN
YR 2022
UL http://iv.iiarjournals.org/content/36/6/2579.abstract
AB Background/Aim: With a rapidly growing number of studies, systematic reviews (SRs) and meta-analyses (MAs) on acupuncture, the level of evidence seems to be high. Yet, traditional Chinese acupuncture is built on concepts which are not in accordance with science-based medicine. Accordingly, our aim was to critically assess the evidence presented in SRs and MAs on xerostomia induced by treatment of head and neck cancer with radiotherapy. Materials and Methods: In February 2022, a systematic search of five electronic databases (Embase, Cochrane, PsychInfo, CINAHL and Medline) was conducted to find SRs/MAs on acupuncture use against cancer-treatment induced xerostomia. We evaluated all SRs/MAs using the AMSTAR instrument, comparing the assessment of the individual studies included and the conclusions drawn by the authors. In case of heterogeneity between the SRs, we evaluated the controversial items of the assessments directly from the studies. Results: Finally, eight SRs/MAs were included. Most of them show methodological drawbacks in several domains of the AMSTAR instrument, which influences the credibility of the results. Conclusion: The evidence on the use of acupuncture as treatment for radiotherapy-induced xerostomia is low. Present SRs/MAs mainly summarize results of a few and mostly small studies. Even though the included studies greatly overlap, the quality of the presentation and interpretation of the authors differs greatly. Therefore, a high quality and conclusive summary of the present evidence on the use of acupuncture to treat radiotherapy induced xerostomia is still missing.