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. 2018 Mar;97(9):e0014.
doi: 10.1097/MD.0000000000010014.

Electroacupuncture for postoperative pain management after total knee arthroplasty: Protocol for a systematic review and meta-analysis

Affiliations

Electroacupuncture for postoperative pain management after total knee arthroplasty: Protocol for a systematic review and meta-analysis

Jie Xiong et al. Medicine (Baltimore). 2018 Mar.

Abstract

Background: Total knee arthroplasty (TKA) is one of the most common joint replacement surgeries in the United States. Postoperative pain is still a major complication after TKA. Electroacupuncture (EA) has been commonly used in clinical practice for pain after TKA, but its effects and safety remain uncertain. This protocol is described for a systematic review to investigate the beneficial effects and safety of EA for postoperative pain after TKA.

Methods: Randomized controlled trials (RCTs) related to EA treatment of pain after TKA will be collected from 3 databases of English literature, namely PubMed, Embase, and Cochrane Library, and 4 databases of Chinese literatures, namely CBM, CNKI, VIP and Wanfang database. The retrieved trials will be those published from the time when the respective databases were built to January 2018. The therapeutic effects according to the change from baseline in the amount of pain measured by the visual analogue scale (VAS) or numerical rating scale, will be accepted as the primary outcomes. We will use RevMan V.5.3 software as well to compute the data synthesis carefully when a meta-analysis is allowed.

Results: This systematic review and meta-analysis will provide a high-quality synthesis of current evidence of EA for pain after TKA.

Conclusion: The conclusion of our systematic review will provide evidence to judge whether EA is an effective intervention for patient with postoperative pain after TKA.

Prospero registration number: PROSPERO CRD 42018082407.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Flow diagram of study selection process.

References

    1. HCPUnet, Healthcare Cost and Utilization Project. Agency for Healthcare Research and Quality. Available at: http://hcupnet.ahrq.gov. Accessed January 25, 2018.
    1. Kurtz S, Ong K, Lau E, et al. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 2007;89:780–5. - PubMed
    1. Mahomed NN, Barrett J, Katz JN, et al. Epidemiology of total knee replacement in the United States Medicare population. J Bone Joint Surg Am 2005;87:1222–8. - PubMed
    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. - PubMed
    1. Katz J, Buis T, Cohen L. Locked out and still knocking: predictors of excessive demands for postoperative intravenous patient-controlled analgesia. Can J Anaesth 2008;55:88–99. - PubMed