已发布的含中医药干预的癌症治疗试验方案是否与 2018 年 SPIRIT-TCM 扩展计划一致?对2019年至2022年期间已发布试验方案的范围审查。

IF 2.9 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Integrative Cancer Therapies Pub Date : 2024-01-01 DOI:10.1177/15347354231223966
Hezheng Lai, Peiying Yang, Xin Shelley Wang, David Lim, Anderson Lam, Yucong Shi, Yishi Huang, Xiaoshu Zhu
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引用次数: 0

摘要

背景:SPIRIT-TCM扩展指南2018》旨在指导中医临床试验方案的设计和报告。本研究旨在调查癌症护理研究相关领域与该指南的一致程度:方法:对 2019 年 1 月以来用中英文发表的中医药癌症试验方案进行了范围界定。检索了五大学术数据库(MEDLINE、EMBASE、CINAHL、CENTRAL和中国国家知识基础设施)。通过描述性分析评估了与2018年SPIRIT-TCM扩展的一致性:结果:共发现53项中医癌症护理试验方案,包括23项针灸、26项中草药(CHM)和4项太极/气功(TCQ)干预。大多数检查表项目的一致性较低,尤其是在质量控制和安全性、剂量、中医诊断模式、西医和中医干预之间可能存在的相互作用以及中医相关结果评估的报告方面:尽管SPIRIT-中医药推广2018指南是通过广泛的德尔菲咨询制定的,但已发表的中医药癌症护理临床试验方案与该指南的一致性较低。有必要开展进一步研究,以了解一致性低的原因,以及如何在中医肿瘤护理研究中提高报告的科学严谨性。
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Are Published Cancer Care Trial Protocols With Traditional Chinese Medicine Interventions Concordant With SPIRIT-TCM Extension 2018? A Scoping Review on Published Trial Protocols Between 2019 and 2022.

Background: The SPIRIT-TCM Extension 2018 was created to guide the design and reporting of Traditional Chinese Medicine (TCM) clinical trial protocols. This study aims to investigate the extent of concordance with this guideline in the relevant field of cancer care research.

Methods: A scoping review of TCM cancer trial protocols published in English and Chinese since January 2019 was conducted. Five major academic databases (MEDLINE, EMBASE, CINAHL, CENTRAL, and China National Knowledge Infrastructure) were searched. Concordance with the SPIRIT-TCM Extension 2018 was assessed by descriptive analysis.

Results: Fifty-three TCM cancer care trial protocols were identified, comprising 23 acupuncture, 26 Chinese herbal medicine (CHM), and 4 Tai Chi/Qigong (TCQ) interventions. The majority of the checklist items had a low rate of concordance, especially in the reporting of quality control and safety, dosage, TCM diagnostic patterns, possible interactions between Western Medicine and TCM interventions, and TCM-related outcome assessments.

Conclusions: Although the SPIRIT-TCM Extension 2018 guideline was established through extensive Delphi consultation, there are low rates of concordance between published TCM cancer care clinical trial protocols with the guideline. Further research is necessary to understand the low rate of concordance and how scientific rigors of reporting can be improved in TCM cancer care research.

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来源期刊
Integrative Cancer Therapies
Integrative Cancer Therapies 医学-全科医学与补充医学
CiteScore
4.80
自引率
3.40%
发文量
78
审稿时长
>12 weeks
期刊介绍: ICT is the first journal to spearhead and focus on a new and growing movement in cancer treatment. The journal emphasizes scientific understanding of alternative medicine and traditional medicine therapies, and their responsible integration with conventional health care. Integrative care includes therapeutic interventions in diet, lifestyle, exercise, stress care, and nutritional supplements, as well as experimental vaccines, chrono-chemotherapy, and other advanced treatments. Contributors are leading oncologists, researchers, nurses, and health-care professionals.
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