Study on the methodology of developing evidence-based clinical practice guidelines of chinese medicine

Chen, Zheng-guang; Luo, Hui; Xu, Song; Yang, Yan; Shouchuan, Wang

doi:10.1007/s11655-014-1896-1

Cited by 10 publications

(12 citation statements)

References 15 publications

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“…The guideline development process was based on international EBCPGs and integrated with the characteristics of TCM (Chen, Luo, Xu, Yang, & Wang, 2015). The Appraisal of Guidelines for Research and Evaluation (AGREE) II tool was used to evaluate the guidelines (Chen, Yang, Marui, et al, 2017).…”

Section: Guideline Development Processmentioning

confidence: 99%

“…The risk of bias in meta-analyses was assessed using the Assessing Methodological Quality of Systematic Reviews tool (Shea et al, 2007). According to the "Delphi methodology for the grading system of evidence criterion" proposed by the International Sepsis Forum in 2001 (Chen et al, 2015;Dellinger et al, 2013), we formed a TCM version of the Delphi method and accordingly graded the evidence (Method S3).…”

Section: Composition Of the Groupsmentioning

confidence: 99%

“…We provided recommendations for the three clinical questions based on the Delphi method (Hasson et al, 2000) and the evaluation of coordination and coherence of expert opinions. Combined with the results of literature evaluation and expert consensus, we graded these recommendations into A, B, C, and D according to the Delphi method (Chen et al, 2015;Wang, Tang, Qian, & Fan, 2012). Evidence from large-scale (n ≥ 100), RCTs constituted either a high recommendation level (A) or a secondary recommendation level (B).…”

Section: Key Questions and Clinical Recommendationsmentioning

confidence: 99%

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Clinical practice guidelines for the treatment of allergic rhinitis in children with traditional Chinese medicine

Feng

Lin

Shouchuan

et al. 2021

The Anatomical Record

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Allergic rhinitis (AR) is one of the most common allergic diseases in children and it can lead to physical and mental health problems. Traditional Chinese medicine (TCM) plays an important role in understanding the phenotypes and treatment of AR. However, there are currently no normative clinical practice guidelines (CPGs) for the treatment of AR in children. The study aimed to develop an evidence-based CPG for the treatment of AR in children with TCM.Systematic literature research, expert questionnaire, and clinical evaluation after three rounds of surveys were adopted to form recommendations for treating children with AR using the Delphi method. Depending on the clinical manifestations, we finally recommended two decoctions with two Chinese patent medicines for an acute attack of AR and two decoctions for a chronic period of AR. For the acute attack of AR in children, Xinyi Qingfei decoction, Wenfei Zhiliu decoction, Xinqin granules, and Xinyi Biyan pills were suggested, whereas for the chronic period of AR, Buzhong Yiqi and Jingui Shenqi decoctions were recommended. The four external treatment methods suggested for the prevention and care of AR were body acupuncture, moxibustion, auricular point pressing, and acupoint application. The recommended levels of the suggested TCM strategies ranged from Grade B to D, indicating the weakness of the recommendations. TCM has the potential to offer new insights into phenotypes and the management of AR worldwide; however, more high-quality clinical studies are needed to improve the quality of evidence.

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Section: Guideline Development Processmentioning

confidence: 99%

Section: Composition Of the Groupsmentioning

confidence: 99%

Section: Key Questions and Clinical Recommendationsmentioning

confidence: 99%

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Clinical practice guidelines for the treatment of allergic rhinitis in children with traditional Chinese medicine

Feng

Lin

Shouchuan

et al. 2021

The Anatomical Record

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“…In China, traditional Chinese medicine (TCM) has been widely used as an adjuvant therapy for septic shock [30][31][32]. TCM combined with conventional treatments could relieve symptoms, improve blood gas, and lower blood lactate levels [33][34]. YFI is one of the main proprietary Chinese medicines.…”

Section: Introductionmentioning

confidence: 99%

Yiqi Fumai Injection for patients with Septic Shock: study protocol for a randomized controlled trial1

Zeng¹,

Hairong

Liu

et al. 2020

Preprint

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Background Septic shock is an important problem in critical care medicine and one of the leading causes of death in intensive care units (ICU). In China, Traditional Chinese medicine ( TCM) has been widely used as the adjuvant treatment to improve the symptoms and prognosis in patients with septic shock. Yiqi Fumai Injection (YFI) is one of the most important proprietary TCM for septic shock, previous studies have demonstrated its efficacy and safety. However, these conclusions were limited due to the small sample size and low quality of methodologies of these studies. Therefore, we designed this study to evaluate the efficacy and safety of using YFI as an adjunct treatment for septic shock.Methods This is a double-blind, randomized, parallel, placebo-controlled clinical trial. A total of 800 participants will be randomly assigned to receive either treatment or placebo in a 1:1 ratio. The treatment group will receive YFI combined with conventional treatment, and the control group will receive 0.9% sodium chloride injection combined with conventional treatment for 2 weeks. The primary outcome is the 28- days mortality. Secondary outcomes are blood lactate levels, hemodynamics , blood gas analysis, immune function indicators, inflammatory indicators, acute physiology improvement and chronic health assessment (APACHE) II scores, and sepsis-related organ failure score (SOFA). Adverse events will be observed and recorded at the same time for safety assessment.Discussion This randomized controlled trial will help evaluate the efficacy and safety of YFI for the treatment of septic shock. The results of this trial will provide recommendations for the management of septic shock.

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“…Traditional Chinese medicine (TCM) originates in China and encompasses characteristics of traditional Chinese philosophy and culture 10 . It has a long history being used to treat a range of mental disorders, including schizophrenia, and possesses a distinct perspective from medication techniques, emphasizing a holistic approach and treatment based on syndrome differentiation 11 , 12 . For refractory schizophrenia patients, TCM attempts to treat them based on the individual’s symptoms and signs, and such individualized treatment can maximize the effectiveness of Chinese medicine.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Traditional Chinese Medicineas as an Adjunct Therapy for Refractory Schizophrenia: A Systematic Review and Meta Analysis

Wei

Lin

Zhang

et al. 2018

Sci Rep

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Although recent studies focused on traditional Chinese medicine (TCM) for the treatment of refractory schizophrenia have reported that it may be beneficial, there is still lack of convincing evidence and critical meta-analytic work regarding its effectiveness as an adjunctive therapy. Therefore, we performed a meta-analysis to investigate the effectiveness of TCM in combination with antipsychotics for refractory schizophrenia. Fourteen articles involving 1725 patients published as of December 2016 were included which compared antipsychotic therapies to either TCM alone, or TCM as an adjunctive therapy. TCM was observed to have beneficial effects on aspects of the Positive and Negative Syndrome Scale (PANSS) including total score changes and negative score changes, as well as clinical effects estimated with PANSS or the Brief Psychiatric Rating Scale (BPRS). The changes in extrapyramidal side effects (RSESE) scores from baseline to the end of the treatment period were similar in two groups of related trials. TCM was also reported to mitigate some anti-psychotic related side-effects and overall, TCM adjuvant therapy was generally safe and well tolerated. While, the results indicated the potential utility of TCM as an alternative adjunctive therapeutic for refractory schizophrenia treatment, there remains a need for further high-quality studies.

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Study on the methodology of developing evidence-based clinical practice guidelines of chinese medicine

Cited by 10 publications

References 15 publications

Clinical practice guidelines for the treatment of allergic rhinitis in children with traditional Chinese medicine

Clinical practice guidelines for the treatment of allergic rhinitis in children with traditional Chinese medicine

Yiqi Fumai Injection for patients with Septic Shock: study protocol for a randomized controlled trial1

Effectiveness of Traditional Chinese Medicineas as an Adjunct Therapy for Refractory Schizophrenia: A Systematic Review and Meta Analysis

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