Acupuncture for perioperative care of total hip arthroplasty: A systemic review of controlled trials and meta-analysis

Hee-Ra Shin, Kyungtae Park, Jihye Seo, Sung-Hu An, Seung-Ryong Yeom, Young-Dal Kwon, Hee-Ra Shin, Kyungtae Park, Jihye Seo, Sung-Hu An, Seung-Ryong Yeom, Young-Dal Kwon

Abstract

Introduction: This protocol is intended to conduct a systematic review and meta-analysis to evaluate the efficacy and safety of acupuncture in perioperative care of total hip arthroplasty patients.

Methods and analysis: The following databases will be searched from their inception to November 2018 without language restrictions: MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, the Cumulative Index to Nursing and Allied Health Literature, Oriental Medicine Advanced Searching Integrated System, Korean Traditional Knowledge Portal, KoreaMed, DBPIA, Research Information Service System, including the China National Knowledge Infrastructure. Any randomized controlled trials related to perioperative care of total hip arthroplasty will be included. The primary outcomes of this study are dosage of analgesics and pain intensity. For secondary outcomes, Harris hip score, incidence of postoperative cognitive dysfunction, mini-mental state exam score, incidence of deep vein thrombosis, D-dimer and fibrinogen level, adverse events will be assessed. Data analysis and synthesis will be carried out using RevMan version 5.3. The methodological quality will be assessed by the Cochrane Collaboration risk of bias tool.

Systematic review registration: PROSPERO CRD42018112123.

Conflict of interest statement

The authors have no conflicts of interest to disclose.

References

    1. Ferguson RJ, Palmer AJ, Taylor A, et al. Hip replacement. Lancet (London, England) 2018;392:1662–71.
    1. Hojer Karlsen AP, Geisler A, Petersen PL, et al. Postoperative pain treatment after total hip arthroplasty: a systematic review. Pain 2015;156:8–30.
    1. Judge A, Arden NK, Batra RN, et al. The association of patient characteristics and surgical variables on symptoms of pain and function over 5 years following primary hip-replacement surgery: a prospective cohort study. BMJ Open 2013;3:1–0.
    1. Song K, Rong Z, Yao Y, et al. Metabolic syndrome and deep vein thrombosis after total knee and hip arthroplasty. J Arthroplast 2016;31:1322–5.
    1. Viramontes O, Luan Erfe BM, Erfe JM, et al. Cognitive impairment and postoperative outcomes in patients undergoing primary total hip arthroplasty: a systematic review. J Clin Anesth 2019;56:65–76.
    1. Ashburn MA, Love G, Pace NL. Respiratory-related critical events with intravenous patient-controlled analgesia. Clin J Pain 1994;10:52–6.
    1. Dolin SJ, Cashman JN, Bland JM. Effectiveness of acute postoperative pain management: I. Evidence from published data. Br J Anaesth 2002;89:409–23.
    1. Usichenko TI, Dinse M, Hermsen M, et al. Auricular acupuncture for pain relief after total hip arthroplasty – a randomized controlled study. Pain 2005;114:320–7.
    1. Lu W, Rosenthal DS. Acupuncture for cancer pain and related symptoms. Curr Pain Headache Rep 2013;17:321–35.
    1. Vickers AJ, Linde K. Acupuncture for chronic pain. JAMA 2014;311:955–6.
    1. Zhang XC, Chen H, Xu WT, et al. Acupuncture therapy for fibromyalgia: a systematic review and meta-analysis of randomized controlled trials. J Pain Res 2019;12:527–42.
    1. Chen T, Wang K, Xu J, et al. Electroacupuncture reduces postoperative pain and analgesic consumption in patients undergoing thoracic surgery: a randomized study. Evid Based Complement Altern Med 2016;2016:1–7.
    1. ping DQLCYC. Impacts on the cognition impairment after hip replacement treated with acupuncture and dexmedetomidine. World Journal of Integrated Traditional and Western Medicine 2018;13:63–9.
    1. Wetzel B, Pavlovic D, Kuse R, et al. The effect of auricular acupuncture on fentanyl requirement during hip arthroplasty: a randomized controlled trial. Clin J Pain 2011;27:262–7.
    1. Zheng Qing-lei YJ-N. Clinical effect of thrombus medicine combined with electroacupuncture on preventing deep venous thrombosis of lower extremity after elderly hip arthroplasty. World Latest Medicne Information 2018;18:94–5.
    1. Moher D, Shamseer L, Clarke M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. System Rev 2015;4:1–7.
    1. Borenstein M, Hedges LV, Higgins JP, et al. A basic introduction to fixed-effect and random-effects models for meta-analysis. Res Synth Methods 2010;1:97–111.
    1. Guyen O. Hemiarthroplasty or total hip arthroplasty in recent femoral neck fractures? Orthop Traumatol Surg Res 2019;105(1S):S95–101.
    1. Aziz F, Lehman E, Blebea J, et al. Postoperative complications after lower extremity arterial bypass increase the risk of new deep venous thrombosis. Phlebology 2018;33:558–66.
    1. Konishi Y, Evered LA, Scott DA, et al. Postoperative cognitive dysfunction after sevoflurane or propofol general anaesthesia in combination with spinal anaesthesia for hip arthroplasty. Anaesth Intensive Care 2018;46:596–600.
    1. McCartney CJ, Nelligan K. Postoperative pain management after total knee arthroplasty in elderly patients: treatment options. Drugs Aging 2014;31:83–91.
    1. Zhu NN, Xu PP, Lei TT, et al. Postoperative pain self-management behavior in patients who underwent total knee or hip arthroplasty. AORN J 2017;105:355–64.
    1. Gurlit S, Reinhardt S, Mollmann M. Continuous spinal analgesia or opioid-added continuous epidural analgesia for postoperative pain control after hip replacement. Eur J Anaesthesiol 2004;21:708–14.
    1. Li WX, Luo RY, Chen C, et al. Effects of propofol, dexmedetomidine, and midazolam on postoperative cognitive dysfunction in elderly patients: a randomized controlled preliminary trial. Chin Med J 2019;132:437–45.

Source: PubMed

Sponsors and Collaborators

Medical Conditions

Drug Interventions

3
Subscribe