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目的:运用雷达图评估中药内服治疗腰椎间盘突出症的系统评价/Meta分析的文献质量,为其临床应用提供科学、有效的证据。方法:计算机检索自建库起至2018年10月1日中国知网、维普网、万方数据、中国生物医学数据库、PubMed、Cochrane图书馆、Embase收录的中药内服治疗腰椎间盘突出症系统评价/Meta分析的文献,对符合标准的文献进行资料提取后,从雷达图的6个方面(出版年份、设计类型、AMSTAR方法学质量评价、PRISMA报告学质量评价、同质性、发表偏倚风险)评价文献质量,并计算其秩数平均分。同时,采用Excel 2010、Adobe Illustrator CC等软件绘制并优化雷达图。结果:共纳入6篇合格文献,6个方面的秩数平均分分别为3.83、4.67、3.83、3.67、6.00、4.67分,所有项目的秩数平均分为4.56分。雷达图评价结果显示,质量较高的有2篇,质量偏低的有1篇,存在的主要问题在资料的选择偏倚、纳入与排除标准、发表情况、局限性、项目注册等方面。结论:中药内服治疗腰椎间盘突出症的系统评价/Meta分析文献质量仍有较大的提升空间,主要从加强方法学质量和报告学质量入手;雷达图为直观有效的图形化评价方法,值得推广应用。
OBJECTIVE: To evaluate the literature quality of systematic reviews/Meta-analysis of oral administration of traditional Chinese medicine (TCM) in the treatment of lumbar disc herniation (LDH) using radar plot, and to provide scientific and effective evidence for clinical use of medicine. METHODS: Retrieving CNKI, VIP, Wanfang database, CBM, PubMed, Cochrane library and Embase during the establishement of database to Oct. 1st, 2018, the literatures about systematic reviews/Meta-analysis of oral administration of TCM in the treatment of LDH were collected. After data extraction of literatures met inclusion criteria, the quality literatures were evaluated from 6 aspects of radar plot (year of publication, design type, AMSTAR methodological quality evaluation, PRISMA reprot quality evaluation, homogeneous, publication bias risk). The average score of rank number was calculated. Moreover, Excel 2010, Adobe Illustrator CC and other software were used to draw and optimize the radar plot. RESULTS: A total of 6 qualified literatures were included; average score of rank number of 6 aspects were 3.83, 4.67, 3.83, 3.67, 6.00, 4.67, scoring 4.56 in average. Multivariate evaluation of radar plot showed that 2 studies had higher qualities and only 1 study had lower qualities relatively. However, problems could be found such as information selection bias, inclusion and exclusion criteria, publication situation, limitations, project registration. CONCLUSIONS: The literature quality of systematic review/Meta-analysis of oral administration of TCM in the treatment of LDH need to be improved, starting with strengthening methodological quality and reporting quality. Radar plot is a visual and effective method of graphic evaluation, which is worth popularizing and applying in the future.
中药内服腰椎间盘突出症系统评价Meta分析雷达图
Oral administration of traditional Chinese medicineLumbar disc herniationSystematic reviewMeta- analysisRadar plot
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