10.1016/j.imr.2024.101046

Methodological proposals for developing trustworthy recommendations of integrative Chinese-Western medicine

Honghao Lai ; Mingyao Sun ; Bei Pan ; Baojin Han ; Tingting Lu ; Lei Fang ; Jie Liu ; Long Ge

Department of Health Policy and Management, School of Public Health, Lanzhou University, Lanzhou, China

Jie Liu; Long Ge

Integrative Medicine Research

2213-4220

2213-4239

2024-05-01

13

2

Background: To refine the methods of developing clinical practice guidelines (CPGs) for integrative ChineseWestern medicine (ICWM), promoting the formation of trustworthy, implementable recommendations that integrate the strengths of Chinese and Western medicine. Methods: Using a nominal group technique (NGT) approach, a multidisciplinary expert panel was established. The panel identified key methodological issues in ICWM-CPG development through literature review and iterative discussions, and formulated methodological proposals to address these issues. The final set of proposals was achieved through consensus among the panel members. Results: The collaborative effort resulted in the identification of five pivotal methodological issues and the subsequent establishment of 22 specific recommendations. These encompass strict adherence to renowned standards, such as those proposed by the Institute of Medicine (IOM) and Guidelines International Network (G -I -N), the employment of methodologies like the GRADE approach and RIGHT statement, the strategic constitution of a balanced development group, the adept identification of ICWM-focused clinical inquiries, the nuanced integration of diverse evidence sources, and the detailed crafting of transparent, implementable recommendations. Conclusions: This study concentrates on the most crucial and prevalent methodological issues in ICWM-CPG development, proposing a series of recommendations. These suggestions result from a multidisciplinary expert consensus, aiming to provide methodological guidance for ICWM-CPG developers, building upon the current foundational methodologies.

Clinical practice guideline Traditional Chinese medicine Integrative medicine Recommendation

The Scientific and Technological Innovation Project of the China Academy of Chinese Medical Sciences (No. CI2021A05502).

中国国际科技促进会中医药传承创新分会

https://www.sciencedirect.com/science/article/pii/S221342202400026X?via%3Dihub

英文

中国

循证医学

Integrative ; Complementary Medicine

CLINICAL-PRACTICE GUIDELINESTRIALS

0

方法学

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