Abstract
ObjectiveTo evaluate the reports' qualities which are about randomized controlled trials (RCTs) of acupuncture treatment on Mild Cognitive Impairment (MIC).MethodsNine databases including the Cochrane Central Register of Controlled Trials (CENTRAL,2010), PUBMED (1984-5/2010), EMbase (1984-5/2010), MEDLINE (1984-5/2010), CINAL (1984-5/2010), China National Knowledge Infrastructure (CNKI, 1980-5/2010), China Biomedicine Database disc (CBMdisc, 1980-5/2010), VIP (a full text issues database of China, 1989-5/2010) were searched systematically. Hand search for further references was conducted. Language was limited to Chinese and English. We identified 14 RCTs that used acupuncture as an intervention and assessed the quality of these reports against the Consolidated Standards for Reporting of Trials (CONSORT) statement and Standards for Reporting Interventions in Controlled Trials of Acupuncture (STRICTA).ResultsIn regard to the items in the CONSORT statement, 13(92.86%) RCTs described baseline demographic and clinical characteristics in each group. 7 (50.0%) mentioned the method of generating the random sequence, only 2 (14.3%) RCTs had adequate allocation concealment. No RCTs used blinding. RCTs reported the sample size calculation. In regard to the items in STRICTA, 10 (71.43%) mentioned the depths of insertion, 6 (42.86%) reported acupuncture response, 11 (78.57%) mentioned the technique of acupuncture, 12 (85.71%) recorded the time, and only 3 (21.43%) RCTs reported the numbers of needles inserted. No RCTs reported the background of the acupuncture practitioners and professional title of practitioners.ConclusionThe reporting quality of RCTs of acupuncture for mild cognitive impairment was moderate to low. The CONSORT statement and STRICTA should be used to standardize the reporting of RCTs of acupuncture in future.
Highlights
Mild Cognitive Impairment is a clinical state with disease characteristics between normal aging and mild dementia
At present, randomized controlled trials (RCTs) is generally considered as the best design plan to verify the efficacy of intervention measures for it boasts rigorous design and scientific methods
It contributes to ensure high-quality systematic reviews, health technology assessment reports, and a variety of other reports for decision analysis, which meets the top requirements of evidence-based medical research [3]we have adopted the internationally recognized standards for trial reporting [4] and the international standards for clinical trials of acupuncture interventions (STRICTA) [5] to evaluate the quality of reports of randomized controlled trials of acupuncture treatment for mild cognitive impairment in order to shed light on its further improvement
Summary
Mild Cognitive Impairment (mild cognitive disorder) is a clinical state with disease characteristics between normal aging and mild dementia. At present, randomized controlled trials (RCTs) is generally considered as the best design plan to verify the efficacy of intervention measures for it boasts rigorous design and scientific methods It contributes to ensure high-quality systematic reviews, health technology assessment reports, and a variety of other reports for decision analysis, which meets the top requirements of evidence-based medical research [3]we have adopted the internationally recognized standards for trial reporting (the CONSORT statement) [4] and the international standards for clinical trials of acupuncture interventions (STRICTA) [5] to evaluate the quality of reports of randomized controlled trials of acupuncture treatment for mild cognitive impairment in order to shed light on its further improvement. They are methods of blinding, participant flow and recruitment (0%), implementation of randomization (7.14%), description of allocation concealment (14.29%), adverse events of acupuncture (21.43%) and outcomes of ancillary analyses (28.57%)
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