Exploration on the development of the clinical practice guidelines of acupuncture-moxibustion

YUAN Jingyun; DING Nan; LIU Qingguo; ZHAO Nanqi; LIU Baoyan; JING Xianghong; WU Xiaodong

doi:10.3981/j.issn.1000-7857.2023.14.007

PDF(641 KB)

Science & Technology Review ›› 2023, Vol. 41 ›› Issue (14) : 56-63. DOI: 10.3981/j.issn.1000-7857.2023.14.007

Exclusive：Real world clinical research of Traditional Chinese Medicine

Exploration on the development of the clinical practice guidelines of acupuncture-moxibustion

Author information -

1. School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 100029, China
2. Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China
3. China Academy of Chinese Medical Sciences, Beijing 100700, China

Abstract

This article reviews the status of acupuncture-moxibustion clinical practice guidelines (CPGs), and discovers that during the formulation of acupuncture-moxibustion CPGs, the developers not only face the evidence dilemma, but also pay less attention to the disciplinary characteristics of acupuncture-moxibustion, which affects the clinical guidance of acupuncture-moxibustion CPGs. To solve these problems, this article presents the determination methods of clinical questions in acupuncture-moxibustion CPGs, the transformation and application methods in guidelines of clinical experiences of ancient and modern acupuncturists, and the methodological suggestions related to the consensus process of forming the treatment protocols. In the future, the aspects which should be taken into account during the development of acupuncture-moxibustion CPGs and disciplines include the construction of the "evidence system" conformed to the characteristics of acupuncture-moxibustion, the standardization of the consensus process of CPGs and the establishment of a promotion system of research achievements conformed to the characteristics of acupuncture-moxibustion.

Key words

clinical practice guideline / acupuncture-moxibustion / clinical problem / recommendation / clinical experience of ancient and modern physicians

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

YUAN Jingyun, DING Nan, LIU Qingguo, ZHAO Nanqi, LIU Baoyan, JING Xianghong, WU Xiaodong. Exploration on the development of the clinical practice guidelines of acupuncture-moxibustion[J]. Science & Technology Review, 2023, 41(14): 56-63 https://doi.org/10.3981/j.issn.1000-7857.2023.14.007

References

[1] Straus S E, Glasziou P, Richardson W S, et al. Evidence-based medicine: How to practice and teach EBM[M]. 2n ed. London: Churchill Livingston, 2000: 4.
[2] Lameire N, Biesen W V. Clinical practice guidelines: An important tool in improving dialysis quality[J]. Contrib Nephrol, 2012, 178(178): 58.
[3] Scottish Intercollegiate Guidelines Network. SIGN 50: A guideline developer's handbook[M/OL]. [2021-11-06]. https://www.sign.ac.uk/media/1050/sign50_2019.
[4] WHO. Handbook for guideline development[M/OL]. (2014-12-18) [2021-11-06]. https://apps. who. int/iris/rest/bitstreams/ 651924/retrieve.
[5] Brouwers M C, Kho M E, Browman G P, et al. AGREE II: Advancing guideline development, reporting and evaluation in health care[J]. Canadian Medical Association Journal, 2010, 182(18): 839-842.
[6] Chen Y L, Yang K H, Marušic A, et al. A reporting tool for practice guidelines in health care: The RIGHT statement[J]. Annals of Internal Medicine, 2016, 166(2): 3.
[7] 孙旖旎, 侯学思, 吴江昀, 等. 基于脾经腧穴阳性反应取穴针刺治疗原发性痛经: 随机对照研究[J]. 针刺研究, 2018, 43(5): 307-310.
[8] 朱远, 赵宏, 李思诺, 等 . 运用《腰痛循证针灸临床实践指南》推荐方案治疗慢性非特异性腰痛临床观察[J]. 安徽中医药大学学报, 2016, 35(6): 65-69.
[9] 朱远. 根据“腰痛针灸临床实践指南”治疗慢性腰痛的应用性观察[D]. 北京: 北京中医药大学, 2015.
[10] 武晓冬, 袁静云, 赵楠琦, 等 . 国内外针灸临床实践指南的现状调查与内容分析[J]. 中国针灸, 2021, 41(8):923-927, 932.
[11] 段玉婷, 陈泽, 陈耀龙, 等 . 针刺临床实践指南的质量评价[J]. 中国循证医学杂志, 2019, 19(8): 983-988.
[12] Tang X R, Shi X S, Zhao H, et al. Characteristics and quality of clinical practice guidelines addressing acupuncture interventions: A systematic survey of 133 guidelines and 433 acupuncture recommendations[J]. BMJ Open, 2022, 12(2): e58834.
[13] Zhang Y Q, Lu L M, Xu N G, et al. Increasing the usefulness of acupuncture guideline recommendations[J]. BMJ, 2022, 376: e70533.
[14] 魏绪强, 何丽云, 刘佳, 等 . 近十年针刺治疗腰痛的国内外指南与临床研究现状分析[J]. 中医杂志, 2019, 60(12): 1039-1045.
[15] Liu Z S, Liu Y, Xu H F, et al. Effect of electroacupuncture on urinary leakage among women with stress urinary incontinence: A randomized clinical trial[J]. JAMA, 2017, 317(24): 2493-2501.
[16] 丁楠, 武晓冬, 赵楠琦, 等 . 对国内针灸临床实践指南制定中共识达成的分析与思考[J]. 中国针灸, 2022, 42(3): 337-342.
[17] 岗卫娟, 景向红 . 对 JAMA 杂志“针刺联用克罗米芬治疗多囊卵巢综合征”一文的分析[J]. 中国针灸, 2017, 37(11): 1238-1242.
[18] 郭丽花 . 针灸临床实践指南可实施性影响因素的研究[D]. 北京: 中国中医科学院, 2020.
[19] 武晓冬, 刘保延 . 我国针灸标准化的现状及面临的挑战与对策[J]. 中国针灸, 2019, 39(4): 343-348.
[20] 张凌云 . 当代针灸流派的形成过程及影响因素研究[D]. 南京: 南京中医药大学, 2018.
[21] Wu X D, Zhao N Q, Ding N, et al. Discussion on collection of clinical questions in international clinical practice guidelines of acupuncture-moxibustion[J]. Chinese Journal of Integrative Medicine, 2023, 29(4): 353-360.
[22] Zhao N Q, Yang Y Y, Ding N, et al. Investigation of international demand for clinical practice guidelines of acupuncture and moxibustion: A cross-sectionalstudy[J]. World Journal Acupunct Moxibust, 2022, 32: 115-122.
[23] 武晓冬 . 立足学科特点, 澄清针灸标准化的若干认识问题[J]. 中国针灸, 2019, 39(5): 529-533.
[24] 顾志荣, 葛斌, 郑修丽, 等 . 我国中成药临床应用相关指南类建设的现状、问题与建议[J]. 中国中医药信息杂志, 2023, 30(4): 6-11.
[25] 葛龙. 中医药/中西医结合临床实践指南制订方法学研究进展与展望[J]. 中国药物评价, 2022, 39(4): 279-284.
[26] 赵楠琦, 袁静云, 郭丽花, 等 . 国内针灸临床实践指南制定中存在问题的思考[J]. 中国针灸, 2021. 41(4): 445-448.
[27] 吕中茜, 郭义, 陈泽林, 等 . 针灸临床实践指南制订中证据体的评估方法探索——分层证据评分法[J]. 中国针灸, 2018, 38(10): 1115-1118.
[28] 张磊, 曾宪涛, 佟琳, 等 . 运用循证医学原则制定中医古籍证据评价分级量表的思路[J]. 中华中医药杂志, 2020, 35(6): 2971-2973.
[29] 丁楠, 武晓冬, 赵楠琦, 等 . 中医古籍文献分级和推荐体系的发展现状[J]. 中华中医药杂志, 2021, 36(10): 6014-6017.
[30] 岗卫娟, 费宇彤, 刘建平, 等 . 提升针灸研究质量: 现状、问题、思考和展望[J].中国针灸, 2023, 43(1): 3-7.
[31] 邹璇, 杨静雯, 林璐璐, 等 . 针刺临床研究的优化与实施——针刺治疗餐后不适综合征成功案例的思考[J].中国针灸, 2021, 41(11): 1276-1280.