Acupuncture methods for insomnia disorder in the elderly: protocol for a systematic review and network meta-analysis

Author:

Dong Weitao,Zhou Hao,Wu Rong,He Ximeng,Chen Xingliang,Zhou Hongchi,Gong Tingting,Wang Chao

Abstract

Abstract Background Insomnia disorder remains one of the most common sleep disorders in the elderly, with high prevalence and substantial consequences for patients’ general health. Despite that increasing clinical trials have indicated that acupuncture seems to be effective for insomnia disorder in the elderly, comparative efficacy and safety of different acupuncture methods for elderly individuals with insomnia disorder has been unclear. Therefore, this protocol outlined a plan to evaluate and rank the efficacy and safety of various acupuncture approaches for insomnia disorder in the elderly. Methods A systematic search of 8 bibliographic databases will be conducted from their inception to 18 June 2023, including Cochrane Library, MEDLINE (via PubMed), Embase, Web of Science, Chinese National Knowledge Infrastructure (CNKI), Wanfang Database, VIP Database, and Chinese Biomedical Literature Database (CBM). Randomized controlled trials investigating acupuncture methods for insomnia disorder in the elderly, published in English or Chinese will be included. The primary outcome is sleep quality measured by the Pittsburgh Sleep Quality Index (PSQI). Two reviewers will independently perform study selection, data extraction and risk assessment of bias. The quality of included literatures will be appraised using Cochrane risk-of-bias tool (ROB 2.0). ADDIS (Aggregate Data Drug Information System) V.1.16.8 will be used to conduct Bayesian network meta-analysis. The quality of evidence will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation System (GRADE). Discussion In this study, the results will provide credible evidence to assess the efficacy and safety of acupuncture therapies for elderly patients with insomnia disorder, assisting patients, physicians and clinical research investigators to select the most appropriate acupuncture method. Systematic review registration The protocol has been registered at OSF (https://osf.io/3kjpq/) with a registration number https://doi.org/10.17605/OSF.IO/3KJPQ.

Funder

Sichuan Sub-health industry of traditional Chinese medicine product development and innovation team

Clinical study on scalp acupuncture combined with sleep aid decoction to intervene subhealthy sleep disorder

Sichuan and Sichuan Sub-Health School -- The Collation of traditional Chinese Medicine academic thought and clinical demonstration study on Wang Chao's treatment of sleep quality decline

Research and development of TCM intelligent diagnosis and treatment instruments -- meridian and acupoint instrument for neurodegenerative diseases

Publisher

Springer Science and Business Media LLC

Subject

Medicine (miscellaneous)

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