Development of a Diagnostic Questionnaire for Damp Phlegm Pattern and Blood Stasis Pattern in Coronary Heart Disease Patients (CHD-DPBSPQ)

Fang, Ge; Zhang, Linglin; Ren, Qi; Zhou, Xiaowen; Wang, Bin; Zhou, Xuan; Liu, Xiaoqi; Peng, Danhong; Chen, Xinlin; Li, Xiantao

doi:10.1155/2019/6856085

Cited by 4 publications

(6 citation statements)

References 34 publications

(46 reference statements)

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“…Recently, many TCM diagnostic instruments have been developed to enable an systematic and reproducible measurement of TCM diagnostic patterns. 17 , 18 , 19 , 20 , 38 , 40 , 41 , 42 , 44 , 56 , 57 , 58 Unlike the disease specific instruments included in this review, some of those instruments measure specific TCM diagnostic construct directly without considering the disease entity per se . The Traditional Chinese Medical Diagnostic Descriptor was developed under this approach, with a goal of measuring TCM patterns regardless of the disease defined under Chinese or conventional medicine.…”

Section: Discussionmentioning

confidence: 99%

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Evaluating traditional Chinese medicine diagnostic instruments for functional dyspepsia: A systematic review on measurement properties

Chung

Wong

et al. 2021

Integrative Medicine Research

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Background Pattern diagnosis-guided treatments in Traditional Chinese Medicine (TCM) has been recognised by the eleventh revision of the International Classification of Diseases (ICD-11). Accurate pattern diagnosis requires reliable and valid diagnostic instruments that guide the collection of TCM clinical data without bias. This study synthesised the existing TCM diagnostic instruments for functional dyspepsia (FD) and appraised their quality regarding their development process and measurement properties. Methods Seven electronic databases were searched for validation studies on TCM diagnostic instruments for FD. Synthesis and appraisal of the included studies were performed following the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) Initiative guidelines adapted for TCM diagnostic instruments. Risk of bias assessment was conducted using the COSMIN Risk of Bias Checklist . Results Five studies were included, with five unique TCM diagnostic instruments for FD identified. All five diagnostic instruments were of inadequate quality in terms of their development process, implying a shortcoming in their relevance, comprehensibility, and comprehensiveness. Only the criterion validity of Stomach Qi Deficiency Pattern Assessment Scale was of sufficient quality and had no risk of bias in its validation. Conclusion The quality of TCM diagnostic instruments for FD warrants urgent improvements. None of them was considered reliable or valid for guiding TCM pattern diagnosis. To support the evidence base of the standardization of TCM patterns in ICD-11, TCM diagnostic instruments should be developed and validated rigorously under the COSMIN guidelines. Amendments should be made on the guidelines to accommodate the features and uniqueness of TCM diagnostic process.

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Section: Discussionmentioning

confidence: 99%

“… 14 , 15 , 16 Such TCM diagnostic instruments have been developed and validated for various conditions, including mental stress, 17 lateral elbow pain, 18 ulcerative colitis, 19 and coronary heart disease. 20 …”

Section: Introductionmentioning

confidence: 99%

Evaluating traditional Chinese medicine diagnostic instruments for functional dyspepsia: A systematic review on measurement properties

Chung

Wong

et al. 2021

Integrative Medicine Research

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“…When more than six experts assessed the questionnaire, the item-level content validity was not less than 0.78. 25,26 In addition, ten experts in the field were invited to test the questionnaire's content validity. The item-level content validity of the questionnaire ranged from 0.800-1.000, with only two items having a content validity of 0.900, one item having a content validity of 0.800, and the rest of the items having a content validity of 1.000.…”

Section: Introductionmentioning

confidence: 99%

ICU Nurses’ Perception of Sensitive Indicators of Quality of Care for ECMO Patients in Guizhou Province, China: A Cross-Sectional Study

Cui,

Wang,

et al. 2024

RMHP

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This study aimed to investigate the cognitive evaluation level of ICU nurses in Guizhou Province, China, on the sensitivity indicators of nursing quality for ECMO patients. Patients and Methods: This was a cross-sectional observational study conducted in Guizhou Province, China, from May to July 2023, 259 ICU nurses were surveyed. Objective sampling method was used to select the participants from 10 hospitals in Guizhou Province that carried out ECMO. Data were collected through questionnaire survey. Two researchers checked and recorded Epidata 3.1. SPSS 25.0 was used for statistical analysis of the data, and frequency, mean and component ratio were used for descriptive statistical analysis. The importance rating was used to reflect the degree of nurses' agreement with the indicators. Results:The results of this study showed that 79.1% of the 253 ICU nurses in Guizhou Province, China, had not participated in training and courses related to indicators of quality of care evaluation for ECMO patients. The main way for ICU nurses to acquire knowledge related to indicators of quality of care sensitivity for ECMO patients was departmental training, which accounted for 87.4%. And the other ways, in descending order, were public, the matic lectures or academic conferences, journals and magazines; their evaluation scores of the importance of most of the quality of care sensitivity indicators for ECMO patients was moderate, with the scores ranging from 73 to 150. Among them, the range of importance evaluation scores for each indicator was 4.01 ~ 4.48. Conclusion:The overall cognitive evaluation of ICU nurses in Guizhou Province, China, on most sensitivity indicators of quality of care for ECMO patients was moderate, and there is a general lack of systematic courses and training on the knowledge related to ECMO care quality sensitive indicators.

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“…The Coronary Heart Disease Damp Phlegm and Blood Stasis Pattern Questionnaire (CHD-DPBSPQ) is the standard metric for measuring CHD-DPBSP signs and symptoms in practice and clinical research [ 11 – 13 ]. The CHD-DPBSPQ was published in 2019 by combining an assessment of the damp phlegm pattern and blood stasis pattern in CHD Patients [ 14 ]. In other words, the CHD-DPBSPQ consists of two main domains that assess turbid phlegm and blood stasis [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…The CHD-DPBSPQ has been shown to have a moderate diagnostic efficiency based on its receiver operating characteristic curves [ 12 ]. Some studies have shown that the CHD-DPBSPQ has high reliability and validity but the metric has yet to be assessed in a multicenter clinical trial [ 14 ]. The study's aim was to present research aimed at the test-retest reliability of the CHD-DPBSPQ in a multicenter clinical trial comprising CHD patients.…”

Section: Introductionmentioning

confidence: 99%

Test-Retest Reliability of the Coronary Heart Disease Damp Phlegm and Blood Stasis Pattern Questionnaire: Results from a Multicenter Clinical Trial

Fang

Wang

Yan

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Background. Damp phlegm and blood stasis pattern (DPBSP) is the main pattern in coronary heart disease (CHD) patients. To quantify and standardize the diagnosis of DPBSP, questionnaires are usually administered. The CHD Damp Phlegm and Blood Stasis Pattern Questionnaire (CHD-DPBSPQ) is the standard metric for measuring CHD-DPBSP signs and symptoms in practice and clinical research. The CHD-DPBSPQ has moderate diagnostic efficiency, as evidenced by its receiver operating characteristic curves. Furthermore, and high reliability and validity have been shown in some studies but not in a multicenter clinical trial. Our purpose was to evaluate the test-retest reliability of a proprietary CHD-DPBSPQ. Methods. The CHD-DPBSPQ uses a standard procedure for measuring symptoms. The (interrater) reliability and validity of this questionnaire have been previously studied. Here, we evaluated the test interval and weighted kappa value of items of test-retest (intrarater) reliability of the CHD-DPBSPQ. The test-retest reliability was evaluated by the intraclass correlation coefficient (ICC) for the total CHD-DPBSPQ score and the phlegm domain and blood stasis domain scores. Weighted kappa statistics were calculated for the individual CHD-DPBSPQ items. Results. Using the CHD-DPBSPQ, 79 patients with late-stage CHD who were participating in a multicenter clinical trial were assessed twice. The ICCs for the CHD-DPBSPQ score were as follows: 0.827 for the total CHD-DPBSPQ, 0.778 for the phlegm domain score, and 0.828 for the blood stasis domain score. The reliability was slightly better in patients whose test interval was ≤14 days. The weighted kappa values of individual items showed moderate consistency. Conclusions. The CHD-DPBSPQ was found to have excellent test-retest reliability in this sample of patients.

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Development of a Diagnostic Questionnaire for Damp Phlegm Pattern and Blood Stasis Pattern in Coronary Heart Disease Patients (CHD-DPBSPQ)

Cited by 4 publications

References 34 publications

Evaluating traditional Chinese medicine diagnostic instruments for functional dyspepsia: A systematic review on measurement properties

Evaluating traditional Chinese medicine diagnostic instruments for functional dyspepsia: A systematic review on measurement properties

ICU Nurses’ Perception of Sensitive Indicators of Quality of Care for ECMO Patients in Guizhou Province, China: A Cross-Sectional Study

Test-Retest Reliability of the Coronary Heart Disease Damp Phlegm and Blood Stasis Pattern Questionnaire: Results from a Multicenter Clinical Trial

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