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Acupuncture Therapy for Cognitive Impairment: A Delphi Expert Consensus Survey.


ABSTRACT:

Background

Current research evidence challenges clinical decision-making when acupuncture is taken into consideration in the treatment of cognitive impairment (CI). Aiming to provide some viable recommendations for acupuncture practitioners in dealing with actual clinic issues, an expert consensus study was conducted.

Methods

A clinical question investigation among 47 acupuncturists yielded 24 initial items. Subsequently, systematic reviews on acupuncture for CI were searched within three online databases. A panel of 30 authoritative experts were requested to respond with agreement, neutrality, or disagreement for each item. Consensus establishment was defined as the percentage of agreement on a given item >80%.

Results

Following a 2-round Delphi survey, there were 21 items reaching consensus and three items resulting in no consensus; of which 10 items reached 90?100% agreement, and 80?90% expert agreement was achieved for 11 items. These items could be roughly categorized into six domains: (1) therapeutic effects of acupuncture, (2) therapeutic principles, (3) acupoint selection and combination, (4) acupuncture parameters, (5) considerable combined therapies, and (6) possible adverse events.

Conclusion

Without ready-made guidelines, this expert consensus may be conducive to guide acupuncturists in implementing clinical acupuncture practice for CI. Moreover, given the lack of high-quality research evidence and plenty of unresolved clinical issues in this field, it is of necessity to carry out more studies to better clarify the treatment algorithm.

SUBMITTER: Su XT 

PROVIDER: S-EPMC7732673 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Publications

Acupuncture Therapy for Cognitive Impairment: A Delphi Expert Consensus Survey.

Su Xin-Tong XT   Wang Li-Qiong LQ   Li Jin-Ling JL   Zhang Na N   Wang Lu L   Shi Guang-Xia GX   Yang Jing-Wen JW   Liu Cun-Zhi CZ  

Frontiers in aging neuroscience 20201126


<h4>Background</h4>Current research evidence challenges clinical decision-making when acupuncture is taken into consideration in the treatment of cognitive impairment (CI). Aiming to provide some viable recommendations for acupuncture practitioners in dealing with actual clinic issues, an expert consensus study was conducted.<h4>Methods</h4>A clinical question investigation among 47 acupuncturists yielded 24 initial items. Subsequently, systematic reviews on acupuncture for CI were searched with  ...[more]

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