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EFFECT OF ACUPUNCTURE FOR URINARY RETENTION AFTER STROKE: A SYSTEMATIC REVIEW

Research output: Contribution to journalMeeting abstract

Mengyao Wang, Mei Han, M.S. Lee, M. Komori, Iain James Marshall, Yanzhong Wang

Original languageEnglish
Article numberAS30-017
Pages (from-to)543-543
Number of pages1
JournalEuropean Stroke Journal
Volume3
Issue number1_suppl
DOIs
Publication statusPublished - 16 May 2018
EventEuropean Stroke Organisation Conference 2018, Gothenburg, May 2018 - Gothenburg, Sweden
Duration: 16 May 201818 May 2018

King's Authors

Abstract

Background and Aims: To assess the effects and safety of acupuncture
for post-stroke urinary retention (UR).

Method: 18 mainstream databases and 16 clinical trials registries in four
different languages (English, Chinese, Korean, and Japanese) were
searched to identify published RCTs worldwide. RCTs comparing any
conventional treatment plus acupuncture versus the conventional treatment
alone were eligible for inclusion. The likelihood of bias was assessed
by using the Cochrane risk of bias tool. Two outcome measures, the cure
rate and response rate, were used to assess the effect of acupuncture
plus mainstream therapy over mainstream therapy alone. Meta-analysis
was performed using RevMan 5.3 software.

Results: 20 randomized clinical trials were included with 1322 participants.
Catheterization and urination training with acupuncture has a
favorable effect on UR than without acupuncture (cure rate: relative
risk (RR) from 1.61 [1.20, 2.18] to 1.76 [1.24, 2.50] by two different
assessment criteria, and response rate: RR from 1.18 [1.03, 1.35] to
1.34 [1.16, 1.56] by two different assessment criteria). Acupuncture
also has a favorable effect on UR with comparison to medicine alone
(cure rate: RR: 1.71 [1.19, 2.46] and response rate: RR: 1.33 [1.12, 1.58]).
Catheterization with acupuncture is better than catheterization with urination
training (cure rate: RR: 1.86 [1.31, 2.65] and response rate: RR:
5.20 [2.51, 10.79]).

Conclusion: Acupuncture appears to increase cure rates for patients
who develop UR after stroke, but the trials included are small and some
with quality problems. There is a need to confirm the effect of acupuncture
on treating UR with further high-quality and standardized RCTs.
Trial registration number: N/A

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