Cochrane · systematic review · CD013519
Acupuncture for treating overactive bladder in adults
Hargreaves, E, Baker, K, Barry, G, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
IncontinenceAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
17
No studies
4
Included studies
NR
No studies 4 · 19%Ungraded 0 · 0%Very low 9 · 42.9%Low 6 · 28.6%Moderate 2 · 9.5%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Acupuncture compared to no treatment for overactive bladder in adults
Population: overactive bladder in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Overactive bladder symptoms cured or improved Acupuncture vs no treatment | no estimate extracted | 1 study · 24 participants | Very low Downgraded: risk of bias |
Number of major adverse events Acupuncture vs no treatment | no estimate extracted | 1 study · 24 participants | Very low Downgraded: risk of bias |
Number of minor adverse events Acupuncture vs no treatment | no estimate extracted | 1 study · 24 participants | Very low Downgraded: risk of bias |
Presence or absence of urinary urgency Acupuncture vs no treatment | no estimate extracted | NR | No studies |
Episodes of urinary incontinence in a 24‐hour period Acupuncture vs no treatment | no estimate extracted | NR | No studies |
Daytime urinary frequency Acupuncture vs no treatment | no estimate extracted | NR | No studies |
Episodes of nocturia Acupuncture vs no treatment | no estimate extracted | NR | No studies |
Acupuncture compared to sham acupuncture for overactive bladder in adults
Population: overactive bladder in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Overactive bladder symptoms cured or improved Acupuncture vs sham acupuncture | no estimate extracted | 3 studies · 151 participants | Very low Downgraded: risk of bias |
Number of major adverse events Acupuncture vs sham acupuncture | no estimate extracted | 5 studies · 236 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Number of minor adverse events Acupuncture vs sham acupuncture | RR 1.28 [0.3, 5.36] | 4 studies · 222 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Presence or absence of urinary urgency Acupuncture vs sham acupuncture | MD 4.52 | 1 study · 25 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Episodes of urinary incontinence in a 24‐hour period Acupuncture vs sham acupuncture | MD 0.55 | 2 studies · 121 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Daytime urinary frequency Acupuncture vs sham acupuncture | no estimate extracted | 2 studies · 77 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Episodes of nocturia Acupuncture vs sham acupuncture | MD 2.52 | 1 study · 25 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Acupuncture compared to medication for overactive bladder in adults
Population: overactive bladder in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Overactive bladder symptoms cured or improved Acupuncture vs medication | RR 1.25 [1.1, 1.43] | 5 studies · 258 participants | Low Downgraded: risk of bias |
Number of major adverse events Acupuncture vs medication | no estimate extracted | 14 studies · 927 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Number of minor adverse events Acupuncture vs medication | RR 0.34 [0.26, 0.45] | 8 studies · 1004 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Presence or absence of urinary urgency Acupuncture vs medication | MD 0.4 | 2 studies · 80 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Daytime urinary frequency Acupuncture vs medication | MD 0.73 | 4 studies · 360 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Episodes of urinary incontinence in a 24‐hour period Acupuncture vs medication | MD 0.33 | 1 study · 20 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Episodes of nocturia Acupuncture vs medication | MD 0.5 | 2 studies · 80 participants | Low Downgraded: risk of bias, imprecision, inconsistency |