中药治疗头痛临床实践指南:质量评价与研究评价指南ⅱ

IF 2 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Journal of Traditional Chinese Medicine Pub Date : 2018-06-01 DOI:10.1016/S0254-6272(18)30624-1
Luo Hao , Li Hui , Wang Yangyang , Yao Sha , Xu Wenjie
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引用次数: 4

摘要

目的:批判性地评价过去二十年来制定的头痛临床实践指南的方法学质量,包括那些使用中医的特定干预措施。方法通过检索PubMed、EMBASE、Web of Science、中国生物医学文献数据库、中国国家知识基础数据库、中国科技期刊数据库、万方数据库、指南国际网、国家指南信息中心、Medlive等3个指南相关数据库以及指南制定机构的记录,获得头痛疾病指南。发布日期限于1996年1月至2015年6月期间。在“MeSH”和“Free-text”字段中使用的搜索词是“头痛”、“头痛失调”、“头痛”、“偏头痛”、“紧张性头痛”、“实践指南”、“共识”、“声明”、“规范”和“建议”。指南由四名研究人员使用研究和评估指南评估II工具进行独立评估。结果对1998 - 2014年间发表的23份指南进行了回顾。四个评价者的总体一致性较好[类间相关系数0.84;95%置信区间(CI) 0.82-0.86]。范围和目的、利益相关者参与、开发的严谨性、表述的清晰度、适用性和编辑独立性的平均(标准差)得分分别为52.1(18.0)、39.5(17.1)、33.4(21.0)、49.8(21.9)、23.8(19.3)和24.2(23.7)。只有两个指南被推荐,12个建议修改,9个不推荐。结论中药理疗是治疗头痛的有效方法。中国头痛指南的总体质量较低,但循证指南正逐渐成为主流。指南开发者应该仔细考虑,特别是三个领域:开发的严谨性、适用性和编辑独立性。
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Clinical practice guidelines for treating headache with Traditional Chinese Medicine: quality assessment with the appraisal of guidelines for research and evaluation II instrument

OBJECTIVE

To critically appraise the methodological quality of clinical practice guidelines for headache produced over the last two decades, including those covering specific interventions using Traditional Chinese Medicine.

METHODS

The guidelines on headache disorders were obtained by searching a number of databases, including PubMed, EMBASE, Web of Science, Chinese Biomedical Literature Database, China National Knowledge Infrastructure Database, China Science and Technology Journal Database, and Wanfang database, three guideline-related databases [Guideline-International Network, National Guideline Clearinghouse, and Medlive], and the records of organizations that develop guidelines. The publication date was limited to the period from January 1996 to June 2015. The search terms “headache”, “headache disorders”, “cephalalgia”, “migraine”, “tension-type headache”, “practice guideline”, “consensus “, “statement”, “regulation”, and “recommendation” were used in the “MeSH” and “Free-text” fields. The guidelines were independently appraised by four researchers using the Appraisal of Guidelines for Research and Evaluation II instrument.

RESULTS

A total of 23 guidelines published between 1998 and 2014 were reviewed. The overall consistency of the four appraisers was good [interclass correlation coefficient 0.84; 95% confidence interval (CI) 0.82–0.86]. The mean (standard deviation) scores for scope and purpose, stakeholder involvement, rigor of development, clarity of presentation, applicability, and editorial independence were 52.1 (18.0), 39.5 (17.1), 33.4 (21.0), 49.8 (21.9), 23.8 (19.3), and 24.2 (23.7). Only two guidelines were recommended, 12 were recommended with modification, and nine were not recommended.

CONCLUSION

Physical Traditional Chinese Medicine therapies were recommended to treat headache. The overall quality of headache guidelines was low in China, but evidence-based guidelines are gradually becoming mainstream. Guideline developers should carefully consider, in particular, three domains: rigor of development, applicability, and editorial independence.

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来源期刊
Journal of Traditional Chinese Medicine
Journal of Traditional Chinese Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
2.40
自引率
3.80%
发文量
32269
审稿时长
2 months
期刊介绍: Journal of Traditional Chinese Medicine(JTCM) is devoted to clinical and theortical research on the use of acupuncture and Oriental medicine. The main columns include Clinical Observations, Basic Investigations, Reviews, Questions and Answers, an Expert''s Forum, and Discussions of Clinical Cases. Its key topics include acupuncture and electro-acupuncture, herbal medicine, homeopathy, masseotherapy, mind-body therapies, palliative care, and other CAM therapies.
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