2020
DOI: 10.1177/1534735420940418
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Development of Evidence-Based Chinese Medicine Clinical Service Recommendations for Cancer Palliative Care Using Delphi Approach Based on the Evidence to Decision Framework

Abstract: Objectives: Existing evidence supports the use of certain Chinese medicine (CM) interventions for symptom management among palliative cancer patients. However, evidence-based service recommendations tailored to the local context are needed for CM planning and implementation. In response, we aimed to establish consensus on CM clinical service recommendations for cancer palliative care among Hong Kong experts. Methods: Seven CM interventions showing statistically significant favorable results in existin… Show more

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Cited by 8 publications
(4 citation statements)
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References 50 publications
(106 reference statements)
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“…Therefore, future primary studies should focus on the views of these groups, especially pharmacists, as their role in implementing IO services may be crucial when herbal or dietary supplements are provided, given the limited amount of information on these supplements 51. In fact, BMDs and nurses are often concerned about possible adverse effects from the use of herbal supplements or due to herb–drug interactions, so are hesitant about using T&CM 12. Therefore, it is crucial to capture the perspectives of pharmacists on managing such risks, as this will provide a full understanding of the elements affecting the implementation of IO services involving the use of herbal supplements 52.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Therefore, future primary studies should focus on the views of these groups, especially pharmacists, as their role in implementing IO services may be crucial when herbal or dietary supplements are provided, given the limited amount of information on these supplements 51. In fact, BMDs and nurses are often concerned about possible adverse effects from the use of herbal supplements or due to herb–drug interactions, so are hesitant about using T&CM 12. Therefore, it is crucial to capture the perspectives of pharmacists on managing such risks, as this will provide a full understanding of the elements affecting the implementation of IO services involving the use of herbal supplements 52.…”
Section: Discussionmentioning
confidence: 99%
“…Despite existing clinical guidelines, the implementation of IO in conventional healthcare settings has encountered many difficulties around the world 11. For example, in a Delphi study aimed at reaching a consensus on the implementation of seven evidence-based traditional Chinese medicine modalities in cancer palliative care settings, the views of T&CM practitioners (T&CMP) and biomedically trained doctors (BMDs; ie, conventional clinicians) were split, and only three interventions were accepted at the end of two survey rounds 12. The reasons for disagreement on implementation included a lack of education on the existing evidence base for T&CM, a lack of strategies for monitoring safety and herb–drug interactions in clinical settings and a lack of understanding of patients’ values and preferences for IO services.…”
Section: Introductionmentioning
confidence: 99%
“…La metodología GRADE-ADOLOPMENT combina las ventajas formulación de recomendaciones mediante la adopción, adaptación y formulación de novo basadas en la estrategia GRADE que incluye para cada pregunta PICO propuesta por el panel, construir un resumen de evidencia encontrada (tabla "SoF") y un trabajo de discusión con un equipo multidisciplinario denominado "De la evidencia a la recomendación" (EtD). La estrategia ya ha sido validada por el equipo de GRADE y ha tenido aceptación en la construcción de algunas guías de práctica clínica en diferentes países y organizaciones a nivel internacional y a nivel nacional (13)(14)(15)(16)(17) .…”
Section: Métodosunclassified
“…In Hong Kong, interprofessional collaborations must rely on the personal networks between private TCMPs and BMDs as there is no established interprofessional collaboration platform 19 . Also, without formal implementation strategies to support shared care, collaboration between TCMPs and BMDs remains challenging, despite the availability of evidence supporting the bene ts of IO 20 .…”
Section: Introductionmentioning
confidence: 99%