Review Article

The Effectiveness of Acupuncture in Management of Functional Constipation: A Systematic Review and Meta-Analysis

Table 3

GRADE evaluation: acupuncture compared to sham acupuncture.

ConditionNo. of participants (studies)DesignLimitationsInconsistencyIndirectnessImprecisionOther considerationsMD or SMD or RR (95% CI)Quality

CSBM1171 (3)RCTNo seriousSeriousNo seriousNo seriousReporting bias0.84 (0.65 to 1.03)Low
BSFS1224 (3)RCTNo seriousSeriousNo seriousNo seriousReporting bias0.24 (0.15 to 0.34)Low
CSS432 (4)RCTSeriousSeriousSeriousSeriousReporting bias−0.42 (−0.81 to −0.02)Very low
PAC-QOL1075 (1)RCTNo seriousNo seriousNo seriousNo seriousReporting bias−0.33 (−0.45 to −0.21)Moderate
Responder rate1262 (3)RCTNo seriousSeriousNo seriousNo seriousReporting bias2.16 (1.1 to 4.24)Low
Safety evaluation1627 (7)RCTSeriousNo seriousNo seriousNo seriousNone1.21 (0.78 to 1.87)Moderate

RCT, randomized controlled trial; MD, mean difference; SMD, standard mean difference; RR, relative risk; CI, confidence interval.