Skip to main content

Advertisement

Log in

Impact evaluation of CONSORT and STRICTA guidelines on reporting quality for randomized controlled trials of acupuncture conducted in China

  • Original Article
  • Published:
Chinese Journal of Integrative Medicine Aims and scope Submit manuscript

Abstract

Objective

To evaluate and compare the reports' qualities of acupuncture randomized controlled trials (RCTs) conducted in China before and after the implementation of two guidelines, i.e., the Consolidated Standards of Reporting Trials (CONSORT) statement and the Standards for Reporting Interventions in Controlled Trials of Acupuncture (STRICTA).

Methods

Proportions of studies that reported CONSORT and STRICTA items were compared for the years before and after implementation of these two guidelines. In addition, the total score of each item's reporting were calculated and reported differences during different date ranges were compared.

Results

For CONSORT items (maximum score 8), there was evidence of a slight improvement in reporting between 1994–1995 and 1999–2000 combined (2.5±0.6) and 2004–2005 and 2009–2010 combined (3.0±0.9; difference 0.4, 95% confidence interval, 0.3 to 0.6, P<0.01). For STRICTA items (maximum score 17), there was evidence that a slight improvement in reporting between 1994–1995 and 1999–2000 combined (8.6±2.1) and 2004–2005 and 2009–2010 combined (10.1±1.8; difference 1.5, 95% confidence interval, 1.1 to 1.9, P<0.01).

Conclusion

Quality of reporting for RCTs of acupuncture treatment conducted in China have generally improved since the introduction of the STRICTA and CONSORT guidelines.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Smith C, Crowther CA, Grant SJ. Acupuncture for induction of labour. Cochrane Database Syst Rev 2004.

    Google Scholar 

  2. Wang Y, Liu ZS, Peng WN, Zhao J, Liu BY. Acupuncture for stress urinary incontinence in adults. Cochrane Database Syst Rev 2013;7.

    Google Scholar 

  3. Langevin HM, Churchill DL, Cipolla MJ. Mechanical signaling through connective tissue: a mechanism for the therapeutic effect of acupuncture. FASEB J 2001;15:2275–2282.

    Article  CAS  PubMed  Google Scholar 

  4. Ernst E, Pittler MH, Wider B, Boddy K. Acupuncture: its evidence-base is changing. Am J Chin Med 2007;35:21–25.

    Article  CAS  PubMed  Google Scholar 

  5. Lee A, Copas JB, Henmi M, Gin T, Chung RC. Publication bias affected the estimate of postoperative nausea in an acupoint stimulation systematic review. J Clin Epidemiol 2006;59:980–983.

    Article  PubMed  Google Scholar 

  6. Chen W, Yang GY, Liu B, Manheimer E, Liu JP. Manual acupuncture for treatment of diabetic peripheral neuropathy: a systematic review of randomized controlled trials. PLoS One 2013;8:e73764.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Vickers A, Goyal N, Harland R, Rees R. Do certain countries produce only positive results? A systematic review of controlled trials. Control Clin Trials 1998;19:159–166.

    Article  CAS  PubMed  Google Scholar 

  8. He J, Du L, Liu G, Fu J, He X, Yu J, et al. Quality assessment of reporting of randomization, allocation concealment, and blinding in traditional Chinese medicine RCTs: a review of 3159 RCTs identified from 260 systematic reviews. Trials 2011;12:122.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Schulz KF, Altman DG, Moher D. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. J Clin Epidemiol 2010;63:834–840.

    Article  PubMed  Google Scholar 

  10. MacPherson H, Altman DG, Hammerschlag R, Li YP, Wu TX, White A, et al. Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. PLoS Med 2010;7:e1000261.

    Article  PubMed  PubMed Central  Google Scholar 

  11. MacPherson H, White A, Cummings M, Jobst K, Rose K, Niemtzow R. Standards for reporting interventions in controlled trials of acupuncture: the STRICTA recommendations. STandards for Reporting Interventions in Controlled Trails of Acupuncture. Acupunct Med 2002;20:22–25.

    PubMed  Google Scholar 

  12. MacPherson H, White A, Cummings M, Jobst K, Rose K, Niemtzow R. Standards for reporting interventions in controlled trials of acupuncture: the STRICTA recommendations. Complement Ther Med 2001;9:246–249.

    Article  CAS  PubMed  Google Scholar 

  13. Prady SL, Richmond SJ, Morton VM, MacPherson H. A systematic evaluation of the impact of STRICTA and CONSORT recommendations on quality of reporting for acupuncture trials. PLoS One 2008;3:e1577.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Moher D, Jones A, Lepage L, Group C. Use of the CONSORT statement and quality of reports of randomized trials. JAMA 2001;285:1992–1995.

    Article  CAS  PubMed  Google Scholar 

  15. Zhang Y, Peng W, Clarke J, Liu Z. Acupuncture for uterine fibroids. Cochrane Database Syst Rev 2010;1.

    Google Scholar 

  16. Devereaux PJ, Manns BJ, Ghali WA, Quan H, Guyatt GH. The reporting of methodological factors in randomized controlled trials and the association with a journal policy to promote adherence to the Consolidated Standards of Reporting Trials (CONSORT) checklist. Control Clin Trials 2002;23:380–388.

    Article  CAS  PubMed  Google Scholar 

  17. Mills EJ, Wu P, Gagnier J, Devereaux PJ. The quality of randomized trial reporting in leading medical journals since the revised CONSORT statement. Contemp Clin Trials 2005;26:480–487.

    Article  PubMed  Google Scholar 

  18. Mills E, Wu P, Gagnier J, Heels-Ansdell D, Montori VM. An analysis of general medical and specialist journals that endorse CONSORT found that reporting was not enforced consistently. J Clin Epidemiol 2005;58:662–667.

    Article  PubMed  Google Scholar 

  19. Kjaergard LL, Villumsen J, Gluud C. Reported methodologic quality and discrepancies between large and small randomized trials in meta-analyses. Ann Intern Med 2001;135:982–989.

    Article  CAS  PubMed  Google Scholar 

  20. Moher D, Jones A, Lepage L. Use of the CONSORT statement and quality of reports of randomized trials: a comparative before-and-after evaluation. JAMA 2001;285:1992–1995.

    Article  CAS  PubMed  Google Scholar 

  21. Plint AC, Moher D, Morrison A, Schulz K, Altman DG, Hill C, et al. Does the CONSORT checklist improve the quality of reports of randomised controlled trials? A systematic review. Med J Aust 2006;185:263–267.

    PubMed  Google Scholar 

  22. Lu L, Liao M, Zeng J, He J. Quality of reporting and its correlates among randomized controlled trials on acupuncture for cancer pain: application of the CONSORT 2010 Statement and STRICTA. Expert Rev Anticancer Ther 2013;13:489–498.

    Article  CAS  PubMed  Google Scholar 

  23. Linde K, Jonas WB, Melchart D, Willich S. The methodological quality of randomized controlled trials of homeopathy. herbal medicines and acupuncture. Int J Epidemiol 2001;30:526–531.

    CAS  PubMed  Google Scholar 

  24. Partsinevelou A, Zintzaras E. Quality of reporting of randomized controlled trials in polycystic ovary syndrome. Trials 2009;10:106.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Xiao L, Shang HC, Wang JY, Hu J, Xiong J. Assessing the quality of reports about randomized controlled trials of acupuncture treatment on mild cognitive impairment. PLoS One 2011;6:e16922.

    Article  CAS  Google Scholar 

Download references

Acknowledgments

The funder had no further role in the study design, data collection, analysis and interpretation of data, writing of the report, or decision to submit the paper for publication. The authors would like to express sincere thanks to our colleagues, staff of Guangzhou University of Chinese Medicine and its First Affiliated Hospital for their support.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jun He.

Additional information

Supported by National Natural Science Foundation for Distinguished Young Scholars of China (No. 81303069)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lu, Lm., He, J., Zeng, Jc. et al. Impact evaluation of CONSORT and STRICTA guidelines on reporting quality for randomized controlled trials of acupuncture conducted in China. Chin. J. Integr. Med. 23, 10–17 (2017). https://doi.org/10.1007/s11655-016-2451-z

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11655-016-2451-z

Keywords

Navigation