Acupuncture for recurrent urinary tract infection in women: a systematic review and meta‐analysis
Background Increasing antibiotic resistance has motivated interest in non‐antibiotic prophylaxis of recurrent urinary tract infections (rUTI). Objectives To conduct a systematic review of the current state of evidence of acupuncture for uncomplicated rUTI in women. Search strategy Nine databases (Pu...
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| Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 2020-11, Vol.127 (12), p.1459-1468 |
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| container_title | BJOG : an international journal of obstetrics and gynaecology |
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| creator | Qin, X Coyle, ME Yang, L Liang, J Wang, K Guo, X Zhang, AL Mao, W Lu, C Xue, CC Liu, X |
| description | Background
Increasing antibiotic resistance has motivated interest in non‐antibiotic prophylaxis of recurrent urinary tract infections (rUTI).
Objectives
To conduct a systematic review of the current state of evidence of acupuncture for uncomplicated rUTI in women.
Search strategy
Nine databases (PubMed, Embase, CENTRAL, CINAHL, AMED, CBM, CNKI, CQVIP, Wanfang) were searched from inception to February 2019.
Selection criteria
Randomised controlled trials (RCTs) evaluating the effects of acupuncture and related therapies for prophylaxis or treatment of uncomplicated rUTI in women were included.
Data collection and analysis
Risk of bias was assessed, and the quality and strength of evidence evaluated using the GRADE framework. Results were reported as risk ratios (RR) for dichotomous outcomes or mean differences (MD) for continuous outcomes, with 95% confidence intervals (CI).
Main results
Five RCTs involving 341 participants were included. Methodological quality of studies and strength of the evidence were low to moderate. The chance of achieving a composite cure with acupuncture therapies was greater than that with antibiotics (three studies, 170 participants, RR 1.92, 95% CI 1.31‐2.81, I2 = 38%). The risk of UTI recurrence was lower with acupuncture than with no treatment (two studies, 135 participants, RR 0.39, 95% CI 0.26–0.58, I2 = 0%) and sham acupuncture (one study, 53 participants, RR 0.45, 95% CI 0.22–0.92).
Conclusions
Acupuncture appeared to be beneficial for treatment and prophylaxis of rUTIs, noting the limitations of the current evidence. Given the growing challenge of antibiotic resistance, there is a need for high‐quality RCTs of non‐pharmacological interventions such as acupuncture.
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This review found that acupuncture may improve treatment and prevent recurrence of urinary tract infection in women.
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This review found that acupuncture may improve treatment and prevent recurrence of urinary tract infection in women. |
| doi_str_mv | 10.1111/1471-0528.16315 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2403037528</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2403037528</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3715-8da2f17cad7d35da93acc4a11bb643f0ea7478b711870efdb3c34085ccffb2123</originalsourceid><addsrcrecordid>eNqFkL9OHDEQh60oKMAldbrIUpo0C56197ykAxQI6KRroLa83rFktOu9-A-n63iEPGOeJD7uoKBhmhlZ3_w0_gj5CuwESp2CkFCxpm5PYM6h-UCOXl8-Ps-sYrxuD8lxjA-Mwbxm_BM55LVg80bCETHnJq-yNykHpHYKNKDJIaBPNAfnddjQFLRJ1HmLJrnJl4mupxH9T6pp3MSEo07OlMVHh2uqfU9HTPrf01_t9bCJLn4mB1YPEb_s-4zcX_26u_xdLZbXN5fni8pwCU3V9rq2II3uZc-bXp9xbYzQAF03F9wy1FLItpMArWRo-44bLljbGGNtV0PNZ-THLncVpj8ZY1KjiwaHQXucclTl05xxWdwU9Psb9GHKody7pcSZaETNoFCnO8qEKcaAVq2CG4sTBUxt_autbbW1rZ79l41v-9zcjdi_8i_CC9DsgLUbcPNenrq4Xe6C_wP525EO</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2449454201</pqid></control><display><type>article</type><title>Acupuncture for recurrent urinary tract infection in women: a systematic review and meta‐analysis</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><creator>Qin, X ; Coyle, ME ; Yang, L ; Liang, J ; Wang, K ; Guo, X ; Zhang, AL ; Mao, W ; Lu, C ; Xue, CC ; Liu, X</creator><creatorcontrib>Qin, X ; Coyle, ME ; Yang, L ; Liang, J ; Wang, K ; Guo, X ; Zhang, AL ; Mao, W ; Lu, C ; Xue, CC ; Liu, X</creatorcontrib><description>Background
Increasing antibiotic resistance has motivated interest in non‐antibiotic prophylaxis of recurrent urinary tract infections (rUTI).
Objectives
To conduct a systematic review of the current state of evidence of acupuncture for uncomplicated rUTI in women.
Search strategy
Nine databases (PubMed, Embase, CENTRAL, CINAHL, AMED, CBM, CNKI, CQVIP, Wanfang) were searched from inception to February 2019.
Selection criteria
Randomised controlled trials (RCTs) evaluating the effects of acupuncture and related therapies for prophylaxis or treatment of uncomplicated rUTI in women were included.
Data collection and analysis
Risk of bias was assessed, and the quality and strength of evidence evaluated using the GRADE framework. Results were reported as risk ratios (RR) for dichotomous outcomes or mean differences (MD) for continuous outcomes, with 95% confidence intervals (CI).
Main results
Five RCTs involving 341 participants were included. Methodological quality of studies and strength of the evidence were low to moderate. The chance of achieving a composite cure with acupuncture therapies was greater than that with antibiotics (three studies, 170 participants, RR 1.92, 95% CI 1.31‐2.81, I2 = 38%). The risk of UTI recurrence was lower with acupuncture than with no treatment (two studies, 135 participants, RR 0.39, 95% CI 0.26–0.58, I2 = 0%) and sham acupuncture (one study, 53 participants, RR 0.45, 95% CI 0.22–0.92).
Conclusions
Acupuncture appeared to be beneficial for treatment and prophylaxis of rUTIs, noting the limitations of the current evidence. Given the growing challenge of antibiotic resistance, there is a need for high‐quality RCTs of non‐pharmacological interventions such as acupuncture.
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This review found that acupuncture may improve treatment and prevent recurrence of urinary tract infection in women.
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This review found that acupuncture may improve treatment and prevent recurrence of urinary tract infection in women.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.16315</identifier><identifier>PMID: 32406571</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Acupuncture ; Acupuncture Therapy ; Antibiotic resistance ; Antibiotics ; Drug resistance ; Female ; Humans ; Meta-analysis ; Prophylaxis ; Randomized Controlled Trials as Topic ; Recurrence ; Recurrent infection ; recurrent urinary tract infection ; Reviews ; Systematic review ; treatment ; Urinary tract ; Urinary tract diseases ; Urinary tract infections ; Urinary Tract Infections - therapy ; Urogenital system ; Womens health</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2020-11, Vol.127 (12), p.1459-1468</ispartof><rights>2020 Royal College of Obstetricians and Gynaecologists</rights><rights>2020 Royal College of Obstetricians and Gynaecologists.</rights><rights>Copyright © 2020 Royal College of Obstetricians and Gynaecologists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3715-8da2f17cad7d35da93acc4a11bb643f0ea7478b711870efdb3c34085ccffb2123</citedby><cites>FETCH-LOGICAL-c3715-8da2f17cad7d35da93acc4a11bb643f0ea7478b711870efdb3c34085ccffb2123</cites><orcidid>0000-0002-9445-5326</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1471-0528.16315$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1471-0528.16315$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32406571$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Qin, X</creatorcontrib><creatorcontrib>Coyle, ME</creatorcontrib><creatorcontrib>Yang, L</creatorcontrib><creatorcontrib>Liang, J</creatorcontrib><creatorcontrib>Wang, K</creatorcontrib><creatorcontrib>Guo, X</creatorcontrib><creatorcontrib>Zhang, AL</creatorcontrib><creatorcontrib>Mao, W</creatorcontrib><creatorcontrib>Lu, C</creatorcontrib><creatorcontrib>Xue, CC</creatorcontrib><creatorcontrib>Liu, X</creatorcontrib><title>Acupuncture for recurrent urinary tract infection in women: a systematic review and meta‐analysis</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Background
Increasing antibiotic resistance has motivated interest in non‐antibiotic prophylaxis of recurrent urinary tract infections (rUTI).
Objectives
To conduct a systematic review of the current state of evidence of acupuncture for uncomplicated rUTI in women.
Search strategy
Nine databases (PubMed, Embase, CENTRAL, CINAHL, AMED, CBM, CNKI, CQVIP, Wanfang) were searched from inception to February 2019.
Selection criteria
Randomised controlled trials (RCTs) evaluating the effects of acupuncture and related therapies for prophylaxis or treatment of uncomplicated rUTI in women were included.
Data collection and analysis
Risk of bias was assessed, and the quality and strength of evidence evaluated using the GRADE framework. Results were reported as risk ratios (RR) for dichotomous outcomes or mean differences (MD) for continuous outcomes, with 95% confidence intervals (CI).
Main results
Five RCTs involving 341 participants were included. Methodological quality of studies and strength of the evidence were low to moderate. The chance of achieving a composite cure with acupuncture therapies was greater than that with antibiotics (three studies, 170 participants, RR 1.92, 95% CI 1.31‐2.81, I2 = 38%). The risk of UTI recurrence was lower with acupuncture than with no treatment (two studies, 135 participants, RR 0.39, 95% CI 0.26–0.58, I2 = 0%) and sham acupuncture (one study, 53 participants, RR 0.45, 95% CI 0.22–0.92).
Conclusions
Acupuncture appeared to be beneficial for treatment and prophylaxis of rUTIs, noting the limitations of the current evidence. Given the growing challenge of antibiotic resistance, there is a need for high‐quality RCTs of non‐pharmacological interventions such as acupuncture.
Tweetable
This review found that acupuncture may improve treatment and prevent recurrence of urinary tract infection in women.
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This review found that acupuncture may improve treatment and prevent recurrence of urinary tract infection in women.</description><subject>Acupuncture</subject><subject>Acupuncture Therapy</subject><subject>Antibiotic resistance</subject><subject>Antibiotics</subject><subject>Drug resistance</subject><subject>Female</subject><subject>Humans</subject><subject>Meta-analysis</subject><subject>Prophylaxis</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Recurrence</subject><subject>Recurrent infection</subject><subject>recurrent urinary tract infection</subject><subject>Reviews</subject><subject>Systematic review</subject><subject>treatment</subject><subject>Urinary tract</subject><subject>Urinary tract diseases</subject><subject>Urinary tract infections</subject><subject>Urinary Tract Infections - therapy</subject><subject>Urogenital system</subject><subject>Womens health</subject><issn>1470-0328</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkL9OHDEQh60oKMAldbrIUpo0C56197ykAxQI6KRroLa83rFktOu9-A-n63iEPGOeJD7uoKBhmhlZ3_w0_gj5CuwESp2CkFCxpm5PYM6h-UCOXl8-Ps-sYrxuD8lxjA-Mwbxm_BM55LVg80bCETHnJq-yNykHpHYKNKDJIaBPNAfnddjQFLRJ1HmLJrnJl4mupxH9T6pp3MSEo07OlMVHh2uqfU9HTPrf01_t9bCJLn4mB1YPEb_s-4zcX_26u_xdLZbXN5fni8pwCU3V9rq2II3uZc-bXp9xbYzQAF03F9wy1FLItpMArWRo-44bLljbGGNtV0PNZ-THLncVpj8ZY1KjiwaHQXucclTl05xxWdwU9Psb9GHKody7pcSZaETNoFCnO8qEKcaAVq2CG4sTBUxt_autbbW1rZ79l41v-9zcjdi_8i_CC9DsgLUbcPNenrq4Xe6C_wP525EO</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Qin, X</creator><creator>Coyle, ME</creator><creator>Yang, L</creator><creator>Liang, J</creator><creator>Wang, K</creator><creator>Guo, X</creator><creator>Zhang, AL</creator><creator>Mao, W</creator><creator>Lu, C</creator><creator>Xue, CC</creator><creator>Liu, X</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9445-5326</orcidid></search><sort><creationdate>202011</creationdate><title>Acupuncture for recurrent urinary tract infection in women: a systematic review and meta‐analysis</title><author>Qin, X ; Coyle, ME ; Yang, L ; Liang, J ; Wang, K ; Guo, X ; Zhang, AL ; Mao, W ; Lu, C ; Xue, CC ; Liu, X</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3715-8da2f17cad7d35da93acc4a11bb643f0ea7478b711870efdb3c34085ccffb2123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acupuncture</topic><topic>Acupuncture Therapy</topic><topic>Antibiotic resistance</topic><topic>Antibiotics</topic><topic>Drug resistance</topic><topic>Female</topic><topic>Humans</topic><topic>Meta-analysis</topic><topic>Prophylaxis</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Recurrence</topic><topic>Recurrent infection</topic><topic>recurrent urinary tract infection</topic><topic>Reviews</topic><topic>Systematic review</topic><topic>treatment</topic><topic>Urinary tract</topic><topic>Urinary tract diseases</topic><topic>Urinary tract infections</topic><topic>Urinary Tract Infections - therapy</topic><topic>Urogenital system</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Qin, X</creatorcontrib><creatorcontrib>Coyle, ME</creatorcontrib><creatorcontrib>Yang, L</creatorcontrib><creatorcontrib>Liang, J</creatorcontrib><creatorcontrib>Wang, K</creatorcontrib><creatorcontrib>Guo, X</creatorcontrib><creatorcontrib>Zhang, AL</creatorcontrib><creatorcontrib>Mao, W</creatorcontrib><creatorcontrib>Lu, C</creatorcontrib><creatorcontrib>Xue, CC</creatorcontrib><creatorcontrib>Liu, X</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Qin, X</au><au>Coyle, ME</au><au>Yang, L</au><au>Liang, J</au><au>Wang, K</au><au>Guo, X</au><au>Zhang, AL</au><au>Mao, W</au><au>Lu, C</au><au>Xue, CC</au><au>Liu, X</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acupuncture for recurrent urinary tract infection in women: a systematic review and meta‐analysis</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2020-11</date><risdate>2020</risdate><volume>127</volume><issue>12</issue><spage>1459</spage><epage>1468</epage><pages>1459-1468</pages><issn>1470-0328</issn><eissn>1471-0528</eissn><abstract>Background
Increasing antibiotic resistance has motivated interest in non‐antibiotic prophylaxis of recurrent urinary tract infections (rUTI).
Objectives
To conduct a systematic review of the current state of evidence of acupuncture for uncomplicated rUTI in women.
Search strategy
Nine databases (PubMed, Embase, CENTRAL, CINAHL, AMED, CBM, CNKI, CQVIP, Wanfang) were searched from inception to February 2019.
Selection criteria
Randomised controlled trials (RCTs) evaluating the effects of acupuncture and related therapies for prophylaxis or treatment of uncomplicated rUTI in women were included.
Data collection and analysis
Risk of bias was assessed, and the quality and strength of evidence evaluated using the GRADE framework. Results were reported as risk ratios (RR) for dichotomous outcomes or mean differences (MD) for continuous outcomes, with 95% confidence intervals (CI).
Main results
Five RCTs involving 341 participants were included. Methodological quality of studies and strength of the evidence were low to moderate. The chance of achieving a composite cure with acupuncture therapies was greater than that with antibiotics (three studies, 170 participants, RR 1.92, 95% CI 1.31‐2.81, I2 = 38%). The risk of UTI recurrence was lower with acupuncture than with no treatment (two studies, 135 participants, RR 0.39, 95% CI 0.26–0.58, I2 = 0%) and sham acupuncture (one study, 53 participants, RR 0.45, 95% CI 0.22–0.92).
Conclusions
Acupuncture appeared to be beneficial for treatment and prophylaxis of rUTIs, noting the limitations of the current evidence. Given the growing challenge of antibiotic resistance, there is a need for high‐quality RCTs of non‐pharmacological interventions such as acupuncture.
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This review found that acupuncture may improve treatment and prevent recurrence of urinary tract infection in women.
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This review found that acupuncture may improve treatment and prevent recurrence of urinary tract infection in women.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>32406571</pmid><doi>10.1111/1471-0528.16315</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-9445-5326</orcidid></addata></record> |
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| ispartof | BJOG : an international journal of obstetrics and gynaecology, 2020-11, Vol.127 (12), p.1459-1468 |
| issn | 1470-0328 1471-0528 |
| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Acupuncture Acupuncture Therapy Antibiotic resistance Antibiotics Drug resistance Female Humans Meta-analysis Prophylaxis Randomized Controlled Trials as Topic Recurrence Recurrent infection recurrent urinary tract infection Reviews Systematic review treatment Urinary tract Urinary tract diseases Urinary tract infections Urinary Tract Infections - therapy Urogenital system Womens health |
| title | Acupuncture for recurrent urinary tract infection in women: a systematic review and meta‐analysis |
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