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      Assessment of the reporting quality of randomised controlled trials of massage

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          Abstract

          Objective

          To assess the reporting quality of randomised controlled trials (RCTs) of massage, particularly whether necessary elements related to massage interventions were adequately reported.

          Methods

          A total of 8 electronic databases were systematically searched for massage RCTs published in English and Chinese from the date of their inception to June 22, 2020. Quality assessment was performed using three instruments, namely the CONSORT (Consolidated Standards of Reporting Trials) 2010 Checklist (37 items), the CONSORT Extension for NPT (Nonpharmacologic Treatments) 2017 checklist (18 items), and a self-designed massage-specific checklist (16 items) which included massage rationale, intervention and control group details. Descriptive statistics were additionally used to analyse the baseline characteristics of included trials.

          Results

          A total of 2,447 massage RCTs were identified, of which most (96.8%) were distributed in China. For the completeness of CONSORT, NPT Extension, and massage-specific checklists, the average reporting percentages were 50%, 10% and 45%, respectively. Of 68 assessed items in total (exclusion of 3 repeated items on intervention), 42 were poorly presented, including 18 CONSORT items, 15 NPT items, and 9 massage-specific items. Although the overall quality of reporting showed slightly improvement in articles published after 2010, the international (English) journals presented a higher score of the CONSORT and NPT items, while the Chinese journals were associated with the increased score of massage-specific items.

          Conclusion

          The quality of reporting of published massage RCTs is variable and in need of improvement. Reporting guideline “CONSORT extension for massage” should be developed.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s13020-021-00475-6.

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          Most cited references26

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          Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): Extending the CONSORT Statement

          Hugh MacPherson and colleagues present an updated reporting guideline called STRICTA, which stands for Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture.
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            Does use of the CONSORT Statement impact the completeness of reporting of randomised controlled trials published in medical journals? A Cochrane reviewa

            Background The Consolidated Standards of Reporting Trials (CONSORT) Statement is intended to facilitate better reporting of randomised clinical trials (RCTs). A systematic review recently published in the Cochrane Library assesses whether journal endorsement of CONSORT impacts the completeness of reporting of RCTs; those findings are summarised here. Methods Evaluations assessing the completeness of reporting of RCTs based on any of 27 outcomes formulated based on the 1996 or 2001 CONSORT checklists were included; two primary comparisons were evaluated. The 27 outcomes were: the 22 items of the 2001 CONSORT checklist, four sub-items describing blinding and a ‘total summary score’ of aggregate items, as reported. Relative risks (RR) and 99% confidence intervals were calculated to determine effect estimates for each outcome across evaluations. Results Fifty-three reports describing 50 evaluations of 16,604 RCTs were assessed for adherence to at least one of 27 outcomes. Sixty-nine of 81 meta-analyses show relative benefit from CONSORT endorsement on completeness of reporting. Between endorsing and non-endorsing journals, 25 outcomes are improved with CONSORT endorsement, five of these significantly (α = 0.01). The number of evaluations per meta-analysis was often low with substantial heterogeneity; validity was assessed as low or unclear for many evaluations. Conclusions The results of this review suggest that journal endorsement of CONSORT may benefit the completeness of reporting of RCTs they publish. No evidence suggests that endorsement hinders the completeness of RCT reporting. However, despite relative improvements when CONSORT is endorsed by journals, the completeness of reporting of trials remains sub-optimal. Journals are not sending a clear message about endorsement to authors submitting manuscripts for publication. As such, fidelity of endorsement as an ‘intervention’ has been weak to date. Journals need to take further action regarding their endorsement and implementation of CONSORT to facilitate accurate, transparent and complete reporting of trials.
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              Massage therapy research review.

              In this review, massage therapy has been shown to have beneficial effects on varying conditions including prenatal depression, preterm infants, full-term infants, autism, skin conditions, pain syndromes including arthritis and fibromyalgia, hypertension, autoimmune conditions including asthma and multiple sclerosis, immune conditions including HIV and breast cancer and aging problems including Parkinson's and dementia. Although many of the studies have involved comparisons between massage therapy and standard treatment control groups, several have compared different forms of massage (e.g. Swedish versus Thai massage), and different active therapies such as massage versus exercise. Typically, the massage therapy groups have experienced more positive effects than the control or comparison groups. This may relate to the massage therapy providing more stimulation of pressure receptors, in turn enhancing vagal activity and reducing cortisol levels. Some of the researchers have assessed physical, physiological and biochemical effects, although most have relied exclusively on self-report measures. Despite these methodological problems and the dearth of research from the U.S., the massage therapy profession has grown significantly and massage therapy is increasingly practiced in traditional medical settings, highlighting the need for more rigorous research.
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                Author and article information

                Contributors
                zhangxuan87418@126.com
                2473559920@qq.com
                doctorxiongweifeng@163.com
                2450938942@qq.com
                15964232401@163.com
                zyyzc2007@163.com
                rosetgh@163.com
                shanghongcai@foxmail.com
                txwutx@hotmail.com
                miaojx@cuhk.edu.hk
                bianzxiang@gmail.com
                Journal
                Chin Med
                Chin Med
                Chinese Medicine
                BioMed Central (London )
                1749-8546
                28 July 2021
                28 July 2021
                2021
                : 16
                : 64
                Affiliations
                [1 ]GRID grid.221309.b, ISNI 0000 0004 1764 5980, Chinese Clinical Trial Registry (Hong Kong), Hong Kong Chinese Medicine Clinical Study Centre, School of Chinese Medicine, , Hong Kong Baptist University, ; 307 Room, Jockey Club School of Chinese Medicine Building, 7 Baptist University Road, Kowloon Tong, Kowloon, Hong Kong, HKSAR China
                [2 ]GRID grid.221309.b, ISNI 0000 0004 1764 5980, Chinese EQUATOR Centre, , Hong Kong Baptist University, ; Hong Kong, HKSAR China
                [3 ]GRID grid.410648.f, ISNI 0000 0001 1816 6218, Tianjin University of Traditional Chinese Medicine, ; Tianjin, China
                [4 ]GRID grid.24695.3c, ISNI 0000 0001 1431 9176, College of Chinese Medicine, , Beijing University of Chinese Medicine, ; Beijing, China
                [5 ]GRID grid.410318.f, ISNI 0000 0004 0632 3409, Institute of Basic Research in Clinical Medicine, , China Academy of Chinese Medical Sciences, ; Beijing, China
                [6 ]GRID grid.24695.3c, ISNI 0000 0001 1431 9176, Key Laboratory of Chinese Internal Medicine of Ministry of Education and Beijing, , Dongzhimen Hospital, Beijing University of Chinese Medicine, ; Beijing, China
                [7 ]GRID grid.13291.38, ISNI 0000 0001 0807 1581, Chinese Cochrane Centre, West China Hospital, , Sichuan University, China Trial Registration Center, ; Chengdu, Sichuan China
                [8 ]GRID grid.10784.3a, ISNI 0000 0004 1937 0482, School of Chinese medicine, , The Chinese University of Hong Kong, ; Hong Kong, HKSAR China
                Author information
                http://orcid.org/0000-0001-6206-1958
                Article
                475
                10.1186/s13020-021-00475-6
                8317306
                34321044
                7e4da3e5-1d93-4409-afca-a3692c032358
                © The Author(s) 2021

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 3 June 2021
                : 19 July 2021
                Funding
                Funded by: Chinese Medicine Development Fund, Hong Kong
                Award ID: 19B2/044A_R1
                Award Recipient :
                Categories
                Research
                Custom metadata
                © The Author(s) 2021

                Complementary & Alternative medicine
                consort extension,tuina,massage,nonpharmacologic treatment,randomised controlled trials (rcts),reporting quality

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