A methodological review of acupuncture for chronic atrophic gastritis: toward a core outcome set
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By
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Han Zhang
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Yang Yu
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Siyi Zheng
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Shuaiyu Ying
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Ding Shen
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Wei Ye
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Yichun Shi
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Chenben Zhang
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Xiaojing Wang
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Yi Liang
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June 1, 2026
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Clinical Scorecard: A Systematic Review of Acupuncture's Efficacy in Chronic Atrophic Gastritis: Developing a Core Outcome Framework
At a Glance
| Category | Detail |
|---|
| Condition | |
| Key Mechanisms | Reduction of gastric mucosal glands due to repeated epithelial damage, often linked to Helicobacter pylori infection and autoimmune disease. |
| Target Population | |
| Care Setting | |
Key Highlights
- 55 RCTs involving 5,311 patients were reviewed.
- 83.6% of studies used low-risk randomization; only 3.6% used allocation concealment.
- 57 different outcome measures were reported, with a focus on laboratory and imaging examinations.
- Significant heterogeneity in outcome measures and lack of patient-reported quality of life assessments.
Guideline-Based Recommendations
Diagnosis
- Diagnosis of CAG should adhere to Western medical diagnostic criteria.
Management
Monitoring & Follow-up
- Future research should focus on long-term follow-up and multicenter studies.
Risks
- Prolonged use of Western medical treatments may carry potential adverse risks.
Patient & Prescribing Data
Patients with confirmed diagnosis of Chronic Atrophic Gastritis.
Acupuncture techniques include conventional filiform needle acupuncture, electroacupuncture, and others.
Clinical Best Practices
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