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Level of evidence and quality of reports of cranial and visceral osteopathic treatment trials

Journal: Global Advances in Health and Medicine Date: 2018, 7Pages: 282. doi: Subito , type of study: systematic review

Full text    (https://journals.sagepub.com/doi/10.1177/2164956118773837)

Keywords:

conference abstract [108]
systematic review [297]
cranial osteopathic treatment [2]
visceral osteopathic treatment [3]
level of evidence [1]
quality of reports [1]

Abstract:

Purpose: Over the last 40 years, empirical osteopathy related trial publications have doubled almost every 5 years. Trials on cranial and visceral osteopathic treatments represent more than one-third of this scientific output. The objectives of this project were (1) to assess the quality of reports of studies on cranial and visceral osteopathic treatment identified through a systematic review of all osteopathy- related trial publications, (2) to determine the level of evidence of these treatments by health problems, and (3) to identify criteria for which the quality of reports remains to be improved. Results: 106 and 51 studies were examined reporting respectively on cranial and visceral osteopathic treatment. Level of evidence was judged high (meta-analysis or randomized controlled trial) for 44 of the 72 health problems for which an osteopathic treatment was used. 38% and 25% of the cranial and visceral treatment trials, respectively, scored high in terms of quality of reports. Areas for improvement included reporting on sociodemographic characteristics of the participants, differences between groups prior to the intervention (for the non-randomized controlled trial studies), blinding, and adverse events. Conclusions: Less than one third of the trials retrieved presented a high quality of reporting. Although this is similar what was found for conventional medicine and other complementary medicine therapies, this study shows that efforts are needed to further increase the quality of reports in the osteopathy field. It also identifies health problems for which more rigorous studies are still required.


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