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Acupuncture for major depressive disorder: A review of the recommendations stated at clinical practice guidelines

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dc.contributor.author Fernandez-Chinguel, Jose Ernesto
dc.contributor.author Goicochea-Lugo, Sergio
dc.contributor.author Villarreal-Zegarra, David
dc.contributor.author Taype-Rondan, Alvaro
dc.contributor.author Zafra-Tanaka, Jessica Hanae
dc.date.accessioned 2020-07-14T00:01:09Z
dc.date.available 2020-07-14T00:01:09Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/20.500.12866/8288
dc.description.abstract BACKGROUND: The use of acupuncture to treat depression is not uncommon. However, recommendations regarding acupuncture issued by clinical practice guidelines (CPG) vary widely. OBJECTIVE: To describe the recommendations regarding acupuncture in CPGs for depression in adults, and to assess the methodology used to reach them. METHODS: We conducted a scoping review of CPGs for depression management in adults, which performed systematic reviews (SRs) to answer their review questions, were published between January 2014 and May 2018, and assessed the use of acupuncture as a review question. We limited out search to articles published in English/Spanish. We assessed the SRs quality using the "A MeaSurement Tool to Assess Systematic Reviews-2" (AMSTAR-2), and described how the recommendation regarding acupuncture was reached. FINDINGS: We found five CPGs that fulfilled our inclusion criteria: three from the US, one from Canada, and one from China. Four CPGs fulfilled between two and three items of AMSTAR-2, and one CPG fulfilled seven items. The methodology used to formulate the recommendations varied between CPGs. Regarding acupuncture use recommendations: three CPGs did not issue any recommendation (although one mentions that it should not be used), whilst two were in favor. DISCUSSIONS: The lack of a clearly stated review question presented in the majority of CPGs prevents the reader from understanding what the CPG developing group was trying to answer. Moreover, the arguments presented to support a decision are usually not detailed enough. Therefore, the assessment of the recommendations was extremely difficult. CLINICAL IMPLICATIONS: Given that the formulation of recommendations is not always reliable, clinicians should carefully read and assess the recommendations presented in CPGs before implementing them. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof urn:issn:1873-6963
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Depression en_US
dc.subject Acupuncture en_US
dc.subject Clinical practice guideline en_US
dc.subject Decision making en_US
dc.subject Article en_US
dc.subject human en_US
dc.subject decision making en_US
dc.subject feasibility study en_US
dc.subject scoring system en_US
dc.subject acupuncture en_US
dc.subject Canada en_US
dc.subject China en_US
dc.subject consensus en_US
dc.subject major depression en_US
dc.subject placebo effect en_US
dc.subject practice guideline en_US
dc.subject systematic review en_US
dc.subject United States en_US
dc.title Acupuncture for major depressive disorder: A review of the recommendations stated at clinical practice guidelines en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.ctim.2020.102321
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.29

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