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. 2018 Nov 13;2018(11):CD010559. doi: 10.1002/14651858.CD010559.pub2

Hao 2014.

Methods Design: parallel RCT
Randomisation method: random number table
Blinding: no
Power calculation: no
Dropouts/withdrawals: no
Participants The participants with gastrointestinal tract and gynaecological cancer with expected survival time of more than 3 months; Karnofsky ≥ 60
Number (treatment/control): 61 (31/30)
Mean age (range): 61.13 (35‐80)
Gender (M/F): 37/24
Country: Jiangsu province, China
Setting: hospital
Interventions Moxa stick + conventional medicine vs conventional medicine
Treatment group
  • Moxa stick

    • Moxa stick on the acupoints RN8 (shenque) and bilateral ST36 (zusanli) for 15 minutes per acupoint, with additional acupoint RN6 (qihai) for those with syndrome of qi deficiency, SP10 (xuehai) for those with syndrome of blood stagnation, RN12 (zhongwan) for those with digestive reactions and SP6 (sanyinjiao) for those with gynaecological tumours, 30 minutes per treatment, once per day, 6 times per week

    • Treatment duration: 60 days (beginning at the same day of chemotherapy)

  • Conventional treatment

    • Dexamethasone and cimetidine, promethazine, tropisetron, and G‐CSF

  • Chemotherapy


Control group
  • Conventional treatment

    • Dexamethasone and cimetidine, promethazine, tropisetron, and G‐CSF

  • Chemotherapy

Outcomes IgA, IgG, IgM, diarrhoea (WHO grade 3 to 4) at the end of treatment
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random number table
Allocation concealment (selection bias) Unclear risk No relevant description
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk 1 participant in treatment, and 2 in control group were lost to follow‐up. Such attrition was not considered to bias the results substantially.
Selective reporting (reporting bias) Unclear risk Limited outcome measures were reported.
Other bias Low risk Baseline characteristic data were comparable.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk No blinding
Blinding of outcome assessment (detection bias) 
 Subjective outcomes High risk No blinding
Blinding of outcome assessment (detection bias) 
 Objective outcomes Low risk No blinding; however, machine‐measured objective outcomes were not influenced substantially