Narrative review of evaluation on the effect of traditional Chinese medicine on Alzheimer’s disease via machine learning approaches

Bohua Li, Yiyi Lin
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Abstract

Alzheimer’s disease (AD), a chronic progressive neurodegenerative disorder without effective recovery treatment, is a major public health issue for the society with population ageing. The early treatment and care strategies may have a significant effect in delaying the progress of AD. Some evidence-based medicine research has found that a treatment strategy containing the combination of modern medicine and traditional Chinese medicine (TCM) may have advantages in AD to some extent. However, the current medical evidence may hardly evaluate the effect of TCM for AD with high confidence due to the low quality of related random control trials. Hence, to found a pipeline to evaluate the effect of TCM on AD more objectively, it is of interest to discuss how to use machine learning approaches to evaluate the effect of TCM for AD based on real-world data. For evaluating the effect of TCM for AD, this article gives a suggestion about a model that may be suitable to evaluate the effect of TCM for AD for different patients. And, this article will be divided into two parts. The first part will give a brief introduction to AD, TCM and machine learning. The second part will give the general suggestion about how to build the data set and evaluate the data. However, since AD is a complex disease, this review can only give a general suggestion for researches in this area and further consensus in details under censor between researchers is still needed.
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机器学习方法评价中药治疗阿尔茨海默病疗效的叙述性综述
阿尔茨海默病(AD)是一种慢性进行性神经退行性疾病,没有有效的康复治疗,是人口老龄化社会的一个主要公共卫生问题。早期治疗和护理策略可能对延缓AD的进展有显著作用。一些循证医学研究发现,现代医学和中医药相结合的治疗策略可能在一定程度上对AD具有优势。然而,由于相关随机对照试验的质量较低,目前的医学证据可能很难高置信度地评估中医药治疗AD的效果。因此,为了找到一个更客观地评估中医药对AD影响的管道,讨论如何使用机器学习方法基于真实世界的数据来评估中医药治疗AD的效果是有意义的。为了评价中医药对AD的疗效,本文提出了一个适合不同患者的中医药治疗AD疗效评价模型。并且,本文将分为两个部分。第一部分将简要介绍AD、TCM和机器学习。第二部分将给出关于如何构建数据集和评估数据的一般建议。然而,由于AD是一种复杂的疾病,本综述只能为该领域的研究提供一个总体建议,研究人员之间还需要在审查的细节上达成进一步的共识。
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