Traditional, complementary, and integrative medicine evidence map: a methodology to an overflowing field of data and noise

Schveitzer, Mariana Cabral; Abdala, Carmen Verônica Mendes; Portella, Caio Fábio Schlechta; Ghelman, Ricardo

doi:10.26633/rpsp.2021.48

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…This evidence map was developed according to the methodology from the Pan American Health Organization/World Health Organization (PAHO/WHO) Latin American and Caribbean Center on Health Sciences Information (BIREME), which has previously been applied to traditional, complementary, and integrative medicine (7). The working group was formed of six researchers on VL and one librarian with experience on evidence maps, which delimited the theme and scope, criteria for inclusion and exclusion of studies, and data to be extracted.…”

Section: Methodsmentioning

confidence: 99%

Evidence map of diagnosis, treatment, prognosis, prevention, and control in visceral leishmaniasis

Ibiapina¹,

Batista²,

Aguiar³

et al. 2022

Revista Panamericana De Salud Pública

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Objective. To develop an evidence map on visceral leishmaniasis prevention, control, diagnosis, treatment, and prognosis. Methods. Systematic reviews on visceral leishmaniasis were searched using MEDLINE/PubMed and Virtual Health Library. After selection, each included systematic review was assessed, characterized, and categorized by intervention type and by outcomes, according to the methodology offered by the PAHO/WHO Latin American and Caribbean Center on Health Sciences Information (BIREME). The methodological quality was assessed using the AMSTAR2 tool to determine the confidence level of the evidence obtained. Results. Among the prevention and control interventions, insecticide spraying, bednets, dog collars, and dog culling were the most assessed, emphasizing that insecticidal dog collars can reduce visceral leishmaniasis incidence in dogs. Regarding diagnosis, polymerase chain reaction (PCR), rK39 immunochromatographic test (rK39 ICT), and direct agglutination test (DAT) presented high sensitivity and specificity. As for treatment, pentavalent antimonials and amphotericin B were the most analyzed drugs and showed therapeutic success; however, serious adverse events can occur due to their use. The prognostic factors identified were anemia, edema, bleeding, jaundice, age, and HIV coinfection. Conclusions. The evidence map developed shows rK39 ICT and DAT as promising diagnostic alternatives and reinforces the efficacy of liposomal amphotericin B and pentavalent antimonials. Insecticide-impregnated dog collars appear as a promising measure for the control of visceral leishmaniasis, but there is also a need for future studies and reviews with higher methodological quality, especially on prevention and control interventions.

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Section: Methodsmentioning

confidence: 99%

Evidence map of diagnosis, treatment, prognosis, prevention, and control in visceral leishmaniasis

Ibiapina¹,

Batista²,

Aguiar³

et al. 2022

Revista Panamericana De Salud Pública

Self Cite

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“…We developed this evidence map based on a previous methodological study ( 35 ) and the International Initiative for Impact Evaluation Evidence Gap Methodolog y (3iE) ( 36 ). This study was reported in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews ( 37 ).…”

Section: Methodsmentioning

confidence: 99%

Traditional Chinese Medicine for Post-stroke Sleep Disorders: The Evidence Mapping of Clinical Studies

Zou²,

Gai³

et al. 2022

Front. Psychiatry

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Background and PurposeRecently, there are a number of clinical studies on traditional Chinese medicine (TCM) for post-stroke sleep disorders (PSSDs). This study aimed to map the current clinical studies and identify gaps to inform future study agendas.MethodsPubMed, Embase, Cochrane Library, and Chinese databases, including SinoMed, CNKI, and Wanfang, were searched for clinical studies on PSSDs treated with TCM from their inception to September 2021. Evidence sources, number of studies, types of PSSDs, intervention categories, effectiveness, and quality assessment were graphically displayed.ResultsThe evidence map involved 810 clinical studies, of which the earliest report was dated back to 1993, and an advanced growth of the whole evidence was observed in 2012. Randomized controlled trials (RCTs) were the most common type of study design (78.15%), and post-stroke insomnia was the most common type of sleep disorders (65.80%). The benefits of Chinese herbal medicine (CHM) and acupuncture therapies for post-stroke insomnia have been widely reported in RCTs (81.60% and 75.38%, respectively). However, the benefits of CHM interventions were assessed using a global approach rather than being based on a specific formula, and the highest level of evidence supporting the effectiveness of acupuncture therapies was of low methodological quality. In addition, evidence from primary studies was insufficient in the areas of TCM for post-stroke sleep-related breathing disorders (SBDs) and Chinese mind-body exercises for post-stroke insomnia.ConclusionsPSSDs treated with TCM have been widely assessed in clinical studies. For better evidence translation, clinical trials on specific CHM interventions and high-quality systematic reviews on acupuncture for post-stroke insomnia should be conducted. For a better solution to clinical questions, TCM on SBDs after stroke and the benefits of Chinese mind-body exercises for post-stroke insomnia should be explored in future clinical studies.

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“…This Evidence Map summarizes the interventions and health outcomes related to MBTTCM. These evidence maps considered six steps, each with a set of activities: (1) Search, (2) Selection, (3) Categorization, (4) Informetric, (5) Evidence map, and (6) Gaps ( 17 ). The method and results were reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines ( 18 ) and the International Initiative for Impact Evaluation (3iE) Evidence Gap Methodology ( 19 ).…”

Section: Methodsmentioning

confidence: 99%

Mind-Body Therapies From Traditional Chinese Medicine: Evidence Map

Fogaça

Portella²,

Ghelman³

et al. 2021

Front. Public Health

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Background: The mind-body therapies of traditional Chinese medicine include several intervention types and combine physical poses with conscious relaxation and breathing techniques. The purpose of this Evidence Map is to describe these different interventions and report related health outcomes.Methods: This evidence map is based on the 3iE Evidence Gap Map methodology. We searched seven electronic databases (BVS, PUBMED, EMBASE, PEDro, ScienceDirect, Web of Sciences, and PschyInfo) from inception to November 2019 and included systematic reviews only. Systematic reviews were analyzed based on AMSTAR 2. We used Tableau to graphically display quality assessment, the number of reviews, outcomes, and effects.Results: The map is based on 116 systematic reviews and 44 meta-analyses. Most of the reviews were published in the last 5 years. The most researched interventions were Tai Chi and Qi Gong. The reviews presented the following quality assessment: 80 high, 43 moderate, 23 low, and 14 critically low. Every 680 distinct outcome effect was classified: 421 as potential positive; 237 as positive; 21 as inconclusive/mixed; one potential negative and none no effect. Positive effects were related to chronic diseases; mental indicators and disorders; vitality, well-being, and quality of life. Potential positive effects were related to balance, mobility, Parkinson's disease, hypertension, joint pain, cognitive performance, and sleep quality. Inconclusive/mixed-effects justify further research, especially in the following areas: Acupressure as Shiatsu and Tuiná for nausea and vomiting; Tai Chi and Qi Gong for acute diseases, prevention of stroke, stroke risk factors, and schizophrenia.Conclusions: The mind-body therapies from traditional Chinese medicine have been applied in different areas and this Evidence Map provides a visualization of valuable information for patients, professionals, and policymakers, to promote evidence-based complementary therapies.

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Traditional, complementary, and integrative medicine evidence map: a methodology to an overflowing field of data and noise

Cited by 5 publications

References 8 publications

Evidence map of diagnosis, treatment, prognosis, prevention, and control in visceral leishmaniasis

Evidence map of diagnosis, treatment, prognosis, prevention, and control in visceral leishmaniasis

Traditional Chinese Medicine for Post-stroke Sleep Disorders: The Evidence Mapping of Clinical Studies

Mind-Body Therapies From Traditional Chinese Medicine: Evidence Map

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