Evaluating the implementation of evidence-based TCM Clinical Practice Guidelines for Cerebral Infarction

Zhou, Li; Chen, Ying; Liu, Jianping; Liu, Zhaolan; Gao, Ying

doi:10.1016/j.eujim.2014.03.006

Cited by 9 publications

(4 citation statements)

References 7 publications

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“…Another study evaluated the implementation of evidence based traditional and complementary medicine guidelines on the care of inpatients after cerebral infarction in China 19. It found personal factors, including clinicians’ disagreement with the recommendations and lack of training and knowledge in the use of guidelines; external factors related to resources (coverage, unavailability of acupuncturists, and patients' economic status); and social and clinical norms or culture were the most important constraints on uptake of acupuncture recommendations.…”

Section: What Barriers Exist In Acupuncture Guideline Implementation?mentioning

confidence: 99%

“…For example, less than a quarter of clinicians in the US and China follow evidence based guidelines on use of acupuncture to treat low back pain and assist in recovery from cerebral infarction. 19 20 21 Barriers to implementation of acupuncture guidelines include personal factors related to physicians’ knowledge and attitudes, guideline related factors, and external factors such as organisational constraints, lack of resources or time, workload, and facilitation. For instance, a recent UK study surveyed general practitioners’ use of guidelines recommending acupuncture.…”

Section: What Barriers Exist In Acupuncture Guideline Implementation?mentioning

confidence: 99%

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Increasing the usefulness of acupuncture guideline recommendations

Zhang

et al. 2022

BMJ

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National Natural Science Foundation of ChinaAcupuncture is the most widely used traditional and complementary medicine, used in 113 of 120 countries according to a 2019 World Health Organization report. 3 In addition to registered acupuncturists, medical doctors, nurse practitioners, and chiropractors occasionally deliver acupuncture treatment. 4 Despite its widespread use and considerable available evidence, until recently, clinical practice guidelines from conventional medical organisations rarely included recommendations on acupuncture. Clinical practice guidelines aim to optimise patient care, 1 and must meet standards of trustworthiness to avoid misleading clinicians, patients, and other stakeholders. 2 We begin by summarising the progress made then address deficiencies that limit the clinical usefulness of acupuncture guidelines, examine the barriers to inclusion of acupuncture in guidelines, and suggest how to overcome them.

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Section: What Barriers Exist In Acupuncture Guideline Implementation?mentioning

confidence: 99%

Section: What Barriers Exist In Acupuncture Guideline Implementation?mentioning

confidence: 99%

Increasing the usefulness of acupuncture guideline recommendations

Zhang

et al. 2022

BMJ

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“…However, this guideline used its own evidence rating system developed by the Beijing university of Chinese medicine, rather than choosing more commonly used methodologies such as GRADE 27,28) . Furthermore, its target population is patients soley with ischemic stroke 27,28) . , and the next edition did not mention acupuncture or other related interventions at all 36) .…”

Section: Evidence Levelmentioning

confidence: 99%

Development of an Evidence-Based Clinical Practice Guideline of Korean Medicine for Stroke: A Study Protocol

Han

Kim

2018

J Korean Med

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The aim of this study protocol is to share and disclose the methodology used to develop an evidence-based clinical practice guideline (CPG) of therapeutic interventions used in Korean medicine for patients with stroke. Methods: The CPG development process will consist of two phases. In phase I, a development committee will be established, and they will decide the key questions to be answered. A systematic review and meta-analysis will be performed to answer these key questions by searching relevant randomized controlled trials and systematic reviews. Draft recommendations will be developed according to the evidence level and recommendation grades primarily determined using the GRADE methodology. Panels comprised of external experts will be formed, and surveys and a face-to-face meeting will be conducted to reach a consensus on the recommendations. A preliminary guideline will be created after final review by the development committee. In phase II, we will conduct clinical trials and economic analysis to supplement the lack of evidence found in the phase I. Conclusion: The CPG is expected to help doctors practicing Korean medicine in clinics or hospitals with making decisions based on the most reliable evidence, ultimately leading to the provision of optimal care for patients with stroke.

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“…. 중풍 환자의 경우 전통의학 이용률이 더 높 고 18) , 전통의학에 대한 만족도가 높으며 14,17) , 앞으로 도 침 치료와 같은 전통의학 치료를 위해 비용을 더 지불할 용의가 있다는 것으로 보고된 바 있다 14) . [20][21][22][23][24][25][26][27] .…”

Section: (137)unclassified

E-mail survey on the current status of clinical practice and activation measures for Korean medicine in stroke care

Kim

Han

2017

J Korean Med

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The aim of this study was to investigate the current status of and seek for measures to activate Korean medicine in stroke care. Methods: This is an e-mail survey targeting the members of Korean medical doctors registered at the association of Korean medicine. The project team of the society of stroke on Korean medicine for the development of clinical practice guideline for stroke has devised the items for the questionnaire. The survey was conducted for 15 days in November 2016. Results: The percentage of the respondents who have treated patients with stroke for the past month was 11.2% in the acute phase, 20.5% in the convalescent phase, and 32.4% in the chronic phase. Approximately 80% of the respondents answered they had a decrease in the number of patients compared to 10 years ago, regardless of the stroke phase. Most of the respondents were using Western medicine together with traditional Korean medicine for physical examination. Acupuncture and herbal medicine were the main therapeutic interventions. The two measures chosen by the most respondents to activate the Korean medicine usage for stroke care were the expansion of the insurance coverage (34.9%) and the generation of evidence on the effectiveness of traditional Korean medicine (25.1%) Conclusion: It is necessary to actively show the role of the Korean medicine through the establishment of the evidence on the effectiveness of Korean medicine and the promotion based on the evidence. In addition, optimal treatment methods should be derived based on the traditional knowledge and modern scientific research and the methods should be educated to every Korean medical clinics and hospitals so that they can be implemented in clinical practice. At the same time, the government should provide policy support to ensure that the optimal treatment can be timely and appropriately implemented.

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Evaluating the implementation of evidence-based TCM Clinical Practice Guidelines for Cerebral Infarction

Cited by 9 publications

References 7 publications

Increasing the usefulness of acupuncture guideline recommendations

Increasing the usefulness of acupuncture guideline recommendations

Development of an Evidence-Based Clinical Practice Guideline of Korean Medicine for Stroke: A Study Protocol

E-mail survey on the current status of clinical practice and activation measures for Korean medicine in stroke care

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