{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T12:15:01Z","timestamp":1782908101783,"version":"3.54.5"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> To systematically appraise and synthesize evidence, we conducted an overview of systematic reviews\/meta-analyses (SRs\/MAs) on acupuncture for stable angina pectoris (SAP).<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Eight databases were searched for SRs\/MAs of acupuncture on SAP. The methodological quality, reporting quality, and evidence quality were evaluated by Assessing the Methodological Quality of Systematic Reviews 2 (AMSTAR-2), the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist, and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system, respectively.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> A total of seven published SRs\/MAs met the inclusion criteria. According to the evaluation results of AMSTAR-2, two studies were considered as of moderate quality; the remaining five were considered as of very low quality. According to the evaluation results of the PRISMA checklist, only one study reported the checklist in its entirety, while others had reporting deficiencies. According to GRADE, a total of 18 outcome indicators extracted from the included studies were evaluated. The evidence quality was very low in three, low in three, moderate in eight, and high in four.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> Acupuncture may be beneficial for SAP from the currently published evidence. However, this conclusion must be interpreted cautiously due to the generally low methodological quality, reporting quality, and evidence quality of the included studies. More rigorous, more standardized and comprehensive SRs\/MAs are needed to provide strong evidence for convincing conclusions.<\/jats:p>","DOI":"10.3389\/fcvm.2021.732144","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T10:12:30Z","timestamp":1632996750000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":11,"title":["Quality of the Evidence Supporting the Role of Acupuncture for Stable Angina Pectoris: An Umbrella Review of Systematic Reviews"],"prefix":"10.3389","volume":"8","author":[{"given":"Min","family":"Shen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinke","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Qiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,9,30]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"635","DOI":"10.2147\/VHRM.S7564","article-title":"Recent advances in the management of chronic stable angina I: approach to the patient, diagnosis, pathophysiology, risk stratification, gender disparities","volume":"6","author":"Kones","year":"2010","journal-title":"Vasc Health Risk Manage."},{"key":"B2","doi-asserted-by":"publisher","first-page":"e146","DOI":"10.1161\/CIR.0000000000000491","article-title":"Heart disease and stroke statistics\u22122017 update: a report from the American Heart Association","volume":"135","author":"Benjamin","year":"2017","journal-title":"Circulation."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1341","DOI":"10.1093\/eurheartj\/ehl001","article-title":"Guidelines on the management of stable angina pectoris: executive summary: the Task Force on the Management of Stable Angina Pectoris of the European Society of Cardiology","volume":"27","author":"Fox","year":"2006","journal-title":"Eur Heart J."},{"key":"B4","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1016\/S0021-9150(99)00347-0","article-title":"Fibrinogen, angina and coronary heart disease in a Chinese population","volume":"149","author":"Lam","year":"2000","journal-title":"Atherosclerosis"},{"key":"B5","doi-asserted-by":"publisher","first-page":"875","DOI":"10.1161\/CIR.0b013e318256f1e0","article-title":"ACCF\/AHA focused update of the guideline for the management of patients with unstable angina\/Non-ST-elevation myocardial infarction (updating the 2007 guideline and replacing the 2011 focused update): a report of the American College of Cardiology Foundation\/American Heart Association Task Force on practice guidelines.","volume":"126","author":"Jneid","year":"2012","journal-title":"Circulation."},{"key":"B6","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1097\/01.crd.0000103650.71735.f0","article-title":"Acupuncture in the treatment of heart failure","volume":"12","author":"Middlekauff","year":"2004","journal-title":"Cardiol Rev"},{"key":"B7","doi-asserted-by":"publisher","first-page":"101","DOI":"10.3727\/036012995816357113","article-title":"Acupuncture in angina pectoris: do psycho-social and neurophysiological factors relate to the effect?","volume":"20","author":"Ballegaard","year":"1995","journal-title":"Acupunct Electrother Res."},{"key":"B8","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/s13020-018-0196-7","article-title":"Meta analysis of the therapeutic effect of acupuncture on stable angina pectoris","volume":"20","author":"Zhou","year":"2018","journal-title":"J Hubei Univ Chin Med."},{"key":"B9","doi-asserted-by":"publisher","first-page":"1263","DOI":"10.12659\/MSM.913379","article-title":"Acupuncture as an adjunctive treatment for angina due to coronary artery disease: a meta-analysis","volume":"25","author":"Huang","year":"2019","journal-title":"Med Sci Monit."},{"key":"B10","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1016\/j.ctcp.2018.12.012","article-title":"Acupuncture therapy for the treatment of stable angina pectoris: an updated meta-analysis of randomized controlled trials","volume":"34","author":"Liu","year":"2019","journal-title":"Complement Ther Clin Pract."},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1177\/2047487319876761","article-title":"The efficacy of acupuncture for stable angina pectoris: a systematic review and meta-analysis","author":"Yang","year":"2019","journal-title":"Eur J Prev Cardiol."},{"key":"B12","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1186\/s12906-015-0586-7","article-title":"Effectiveness of acupuncture for angina pectoris: a systematic review of randomized controlled trials","volume":"15","author":"Yu","year":"2015","journal-title":"BMC Complement Altern Med."},{"key":"B13","first-page":"5112","article-title":"Meta-analysis of acupuncture therapy for the treatment of stable angina pectoris","volume":"8","author":"Zhang","year":"2015","journal-title":"Int J Clin Exp Med."},{"key":"B14","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1016\/S0254-6272(13)60061-8","article-title":"Acupuncture therapy for angina pectoris: a systematic review","volume":"32","author":"Chen","year":"2012","journal-title":"J Trad Chin Med."},{"key":"B15","doi-asserted-by":"publisher","first-page":"b2535","DOI":"10.1136\/bmj.b2535","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"339","author":"Moher","year":"2009","journal-title":"BMJ."},{"key":"B16","doi-asserted-by":"publisher","first-page":"2032575","DOI":"10.1155\/2020\/2032575","article-title":"A critical overview of systematic reviews and meta-analyses on acupuncture for poststroke insomnia","volume":"2020","author":"Huang","year":"2020","journal-title":"Evid Based Complement Alternat Med."},{"key":"B17","doi-asserted-by":"publisher","first-page":"589267","DOI":"10.3389\/fcvm.2021.589267","article-title":"The effects of Tai Chi exercise among adults with chronic heart failure: an overview of systematic review and meta-analysis","volume":"8","author":"Huang","year":"2021","journal-title":"Front Cardiovasc Med."},{"key":"B18","doi-asserted-by":"publisher","first-page":"j4008","DOI":"10.1136\/bmj.j4008","article-title":"AMSTAR 2: a critical appraisal tool for systematic reviews that include randomized or non-randomized studies of healthcare interventions, or both","volume":"358","author":"Shea","year":"2017","journal-title":"BMJ."},{"key":"B19","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1016\/j.jclinepi.2015.08.013","article-title":"An algorithm was developed to assign grade levels of evidence to comparisons within systematic reviews","volume":"70","author":"Pollock","year":"2016","journal-title":"J Clin Epidemiol."},{"key":"B20","doi-asserted-by":"publisher","first-page":"8791538","DOI":"10.1155\/2018\/8791538","article-title":"Acupuncture for primary dysmenorrhea: an overview of systematic reviews","volume":"2018","author":"Zhang","year":"2018","journal-title":"Evid Based Complement Alternat Med."},{"key":"B21","doi-asserted-by":"publisher","first-page":"4262910","DOI":"10.1155\/2020\/4262910","article-title":"Acupuncture for the treatment of tension-type headache: an overview of systematic reviews","volume":"2020","author":"Huang","year":"2020","journal-title":"Evid Based Complement Alternat Med."}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2021.732144\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T10:12:34Z","timestamp":1632996754000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2021.732144\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,30]]},"references-count":21,"alternative-id":["10.3389\/fcvm.2021.732144"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2021.732144","relation":{},"ISSN":["2297-055X"],"issn-type":[{"value":"2297-055X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,30]]},"article-number":"732144"}}