Comparisons of the Effectiveness and Safety of Tuina, Acupuncture, Traction, and Chinese Herbs for Lumbar Disc Herniation: A Systematic Review and Network Meta-Analysis
Table 1
Loop-specific approach.
Outcomes
Loop
ROR
Z_value
P_value
95% CI
Loop_Heterog_tau2
Invalid rate
Tui-Tra-Chi
1.844
1.518
0.129
(1.00, 4.06)
0.207
Tui-Acu-Chi
1.524
0.929
0.353
(1.00, 3.71)
0.490
Tui-Acu-Tra
1.406
1.284
0.199
(1.00, 2.37)
0.240
Acu-Tra-Chi
1.242
0.585
0.558
(1.00, 2.57)
0.096
Cure rate
Tui-Tra-Chi
1.492
1.158
0.247
(1.00, 2.94)
0.155
Tui-Acu-Chi
1.425
1.893
0.058
(1.00, 2.06)
0.130
Tui-Acu-Tra
1.223
0.652
0.515
(1.00, 2.24)
0.185
Acu-Tra-Chi
1.161
0.408
0.683
(1.00, 2.38)
0.259
VAS
Tui-Acu-Tra
10.817
1.233
0.218
(1.00, 476.46)
1.305
Acu-Tra-Chi
23.315
0.322
0.748
(1.00, 277137.09)
2.510
JOA
Tui-Acu-Tra
1.629
0.368
0.713
(1.00, 21.93)
1.715
Note: loop-specific approach is used to check the inconsistency which aims at the closed loop. In this analysis, ROR is close to 1, indicating no significant difference between direct and indirect effects. VAS=visual analogue score, JOA=Japanese Orthopedic Association Score, Tui=Tuina, Tra=Traction, Acu=Acupuncture, Chi=Chinese herbs.
