Inter-Rater Reliability in Traditional Chinese Medicine: Challenging Paradigmatic Assumptions

Schnyer, Rosa N.; Citkovitz, Claudia

doi:10.1089/acm.2019.0331

Cited by 10 publications

(4 citation statements)

References 33 publications

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“…Although some laboratories have tried to develop systematized strategies to more objectively assess TCM diagnosis and subsequent prescribing practices, 14 including the development of technologies for tongue and pulse assessment, [15][16][17][18] little research has evolved in this area. Developing strategies to more objectively assess TCM diagnosis and point selection will improve the transition of research into clinical practice.…”

Section: Methodologic Differences Between Acupuncture Research and Clinical Practicementioning

confidence: 99%

Overcoming Barriers for Clinical Research of Acupuncture

Liu

Cohen

2020

Medical Acupuncture

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Acupuncture is increasingly being used in the management of a wide range of symptoms. Despite decades of acupuncture research, a significant gap remains in translating evidence into specific and clear clinical guidelines for acupuncture practice. In this article, the authors discuss the gap between acupuncture research and clinical practice and exploring options to overcome the limitations of current clinical research of acupuncture.

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Section: Methodologic Differences Between Acupuncture Research and Clinical Practicementioning

confidence: 99%

Overcoming Barriers for Clinical Research of Acupuncture

Liu

Cohen

2020

Medical Acupuncture

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“… 16 Inconsistent T2DM diagnoses among TCM physicians highlight the need for objective indicators to enhance syndrome accuracy. 17 , 18 …”

Section: Metabolomics In Tcm Syndrome Differentiation Of T2dmmentioning

confidence: 99%

“…16 Inconsistent T2DM diagnoses among TCM physicians highlight the need for objective indicators to enhance syndrome accuracy. 17,18 TCM syndromes and metabolic characteristics are interconnected, providing mutual validation and aiding modern biology in confirming TCM syndromes for diabetes diagnosis and treatment. Metabolomics, a systematic study of metabolites after environmental stimulation, allows a holistic investigation of changes in human metabolism concerning diseases.…”

Section: Metabolomics In Tcm Syndrome Differentiation Of T2dmmentioning

confidence: 99%

Application of Metabolomics and Traditional Chinese Medicine for Type 2 Diabetes Mellitus Treatment

Li,

Zhu,

Wang

et al. 2023

DMSO

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Diabetes is a major global public health problem with high incidence and case fatality rates. Traditional Chinese medicine (TCM) is used to help manage Type 2 Diabetes Mellitus (T2DM) and has steadily gained international acceptance. Despite being generally accepted in daily practice, the TCM methods and hypotheses for understanding diseases lack applicability in the current scientific characterization systems. To date, there is no systematic evaluation system for TCM in preventing and treating T2DM. Metabonomics is a powerful tool to predict the level of metabolites in vivo, reveal the potential mechanism, and diagnose the physiological state of patients in time to guide the follow-up intervention of T2DM. Notably, metabolomics is also effective in promoting TCM modernization and advancement in personalized medicine. This review provides updated knowledge on applying metabolomics to TCM syndrome differentiation, diagnosis, biomarker discovery, and treatment of T2DM by TCM. Its application in diabetic complications is discussed. The combination of multi-omics and microbiome to fully elucidate the use of TCM to treat T2DM is further envisioned.

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“…However, the IRR of traditional Asian medicine diagnosis is low; this is likely due to the complexity and heterogeneity of the pattern diagnoses of traditional Asian medicine, lack of standardized terminology, and statistical problems. 2 To overcome these challenges, a novel diagnostic system is necessary for a reliable and reproducible traditional medicine pattern diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Inter-Rater Reliability of Kampo Diagnosis for Chronic Diseases

Maeda-Minami

Yoshino

Horiba

et al. 2021

The Journal of Alternative and Complementary Medicine

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This single-center observational study aimed to assess the inter-rater reliability (IRR) of Kampo medicine pattern diagnosis, which is modularized into three modules for chronic diseases, using 64 participants' information documents. The linearly weighted percentage of agreement and Gwet's agreement coefficient (AC) 2 for the deficiency-excess module, among three specialists, were 85.9% and 0.708, respectively. The unweighted percentage of agreement and Gwet's AC1 were 64.6% and 0.542 for the cold-heat, and 35.9% and 0.254 for the qi-blood-fluid modules, respectively. Our findings suggest that our modularization method may improve the IRR of Kampo medicine pattern diagnosis.

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Inter-Rater Reliability in Traditional Chinese Medicine: Challenging Paradigmatic Assumptions

Cited by 10 publications

References 33 publications

Overcoming Barriers for Clinical Research of Acupuncture

Overcoming Barriers for Clinical Research of Acupuncture

Application of Metabolomics and Traditional Chinese Medicine for Type 2 Diabetes Mellitus Treatment

Inter-Rater Reliability of Kampo Diagnosis for Chronic Diseases

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