Study on key outcome indexes in treatment of migraine with acupuncture and moxibustion[J]. Chinese Acupuncture and Moxibustion, 2022, 42(12): 1413-1420.
DOI:
Study on key outcome indexes in treatment of migraine with acupuncture and moxibustion[J]. Chinese Acupuncture and Moxibustion, 2022, 42(12): 1413-1420.DOI: 10.13703/j.0255-2930.20220129-k0002.
Study on key outcome indexes in treatment of migraine with acupuncture and moxibustion
Objective To identify the key outcome indexes in treatment of migraine with acupuncture and moxibustion.Methods Using literature research
questionnaire survey and consensus conference
the key outcome indexes in treatment of migraine with acupuncture and moxibustion were screened and prioritized. Results The critical outcome indexes for the treatment in attack stage of migraine included 6 effectiveness outcome indexes(headache intensity
headache duration
headache relieve time
effectiveness and level of headache relief within 2 h
headache-related quality of life
level of headache relief within 24 h) and 1 safety outcome index(incidence of serious adverse reactions). The critical outcome indexes for prophylactic treatment included 6 effectiveness outcome indexes(headache day
headache frequency
headache intensity
effective rate
headache-related quality of life
health-related quality of life) and 1 safety outcome index(incidence of serious adverse reactions). Conclusion In terms of the attack stage treatment and prophylactic treatment with acupuncture and moxibustion
the outcome indexes are different
among which
those can directly reflect the conditions of migraine should be optioned in priority. To assess the effectiveness of attack stage
the headache intensity is preferred
using the visual analogue scale(VAS) score
and the preferred time is 2 hours after treatment. Regarding the effectiveness of prophylactic treatment
the headache day
headache frequency and headache intensity should be firstly considered in the assessment
in which
the preferred time for assessment is 12 weeks into treatment
while
the best time for follow-up should be 12 weeks after treatment completion. When the quality of life is considered
the migraine-specific quality of life questionnaire(MSQ) is the top option. For either the attack stage treatment or the prophylactic treatment
the high attention should be laid on the outcome indexes for safety and medical economics evaluation.
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Transformation of the domestic standard (Guideline for Clinical Practice of Acupuncture-Moxibustion:Migraine) to international standard: in the perspective of the differences in clinical questions
Analysis of the results of international demand survey on Guideline for Clinical Practice of Acupuncture-Moxibustion: Migraine
Problems in randomized controlled trial on acupuncture and moxibustion for migraine in the development of international standard of Guideline for Clinical Practice of Acupuncture and Moxibustion: Migraine
WU Zhong-chao's clinical experience of "dredging stagnation and collaterals" acupuncture for migraine