Table 3.
Quality assessment | No of patients | Effect | Quality | Importance | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
No of studies | Design | Risk of bias | Inconsistency | Indirectness | Imprecision | Other considerations | Acupuncture therapy | Cognitive rehabilitation | Relative (95% CI) | Absolute | ||
Mental State Examination Scale (MMSE) | ||||||||||||
25 | Randomized trials | Seriousa | Seriousb | No serious | Not serious | None | 1,049 | 1,050 | - | MD 3.94 higher (3.16 to 4.72 higher) | ⊕⊕OO Low | Critical |
Montreal Cognitive Assessment Scale (MoCA) | ||||||||||||
18 | Randomized trials | Seriousa | Seriousb | No serious | Not serious | None | 731 | 728 | - | MD 3.3 higher (2.53 to 4.07 higher) | ⊕⊕OO Low | Critical |
Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) | ||||||||||||
6 | Randomized trials | Seriousa | Seriousb | No serious | Not serious | None | 210 | 206 | - | MD 9.53 higher (5.61 to 13.45 higher) | ⊕⊕OO Low | Important |
Modified Barthel Index (MBI) | ||||||||||||
17 | Randomized trials | Seriousa | Seriousb | No serious | Not serious | None | 646 | 649 | - | MD 8.66 higher (5.85 to 11.47 higher) | ⊕⊕OO Low | Important |
Functional Independence Measure (FIM) | ||||||||||||
3 | Randomized trials | Seriousa | No serious | No serious | Seriousc | None | 142 | 139 | - | MD 5.24 higher (3.9 to 6.57 higher) | ⊕⊕OO Low | Important |
Inadequate description of allocation concealment and failure to implement or describe blinding of participants and personnel.
Considerable statistical heterogeneity.
Total sample size was < 400.