Methodological proposals for developing trustworthy recommendations of integrative Chinese-Western medicine

Background: To refine the methods of developing clinical practice guidelines (CPGs) for integrative Chinese-Western medicine (ICWM), promoting the formation of trustworthy, implementable recommendations that integrate the strengths of Chinese and Western medicine. Methods: Using a nominal group tech...

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Main Authors: Honghao Lai, Mingyao Sun, Bei Pan, Baojin Han, Tingting Lu, Lei Fang, Jie Liu, Long Ge
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:Integrative Medicine Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S221342202400026X
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author Honghao Lai
Mingyao Sun
Bei Pan
Baojin Han
Tingting Lu
Lei Fang
Jie Liu
Long Ge
author_facet Honghao Lai
Mingyao Sun
Bei Pan
Baojin Han
Tingting Lu
Lei Fang
Jie Liu
Long Ge
author_sort Honghao Lai
collection DOAJ
description Background: To refine the methods of developing clinical practice guidelines (CPGs) for integrative Chinese-Western medicine (ICWM), promoting the formation of trustworthy, implementable recommendations that integrate the strengths of Chinese and Western medicine. Methods: Using a nominal group technique (NGT) approach, a multidisciplinary expert panel was established. The panel identified key methodological issues in ICWM-CPG development through literature review and iterative discussions, and formulated methodological proposals to address these issues. The final set of proposals was achieved through consensus among the panel members. Results: The collaborative effort resulted in the identification of five pivotal methodological issues and the subsequent establishment of 22 specific recommendations. These encompass strict adherence to renowned standards, such as those proposed by the Institute of Medicine (IOM) and Guidelines International Network (G-I-N), the employment of methodologies like the GRADE approach and RIGHT statement, the strategic constitution of a balanced development group, the adept identification of ICWM-focused clinical inquiries, the nuanced integration of diverse evidence sources, and the detailed crafting of transparent, implementable recommendations. Conclusions: This study concentrates on the most crucial and prevalent methodological issues in ICWM-CPG development, proposing a series of recommendations. These suggestions result from a multidisciplinary expert consensus, aiming to provide methodological guidance for ICWM-CPG developers, building upon the current foundational methodologies.
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publishDate 2024-06-01
publisher Elsevier
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spelling doaj-art-3f495704985b4520bc591f4d0fa804cc2025-08-20T02:16:33ZengElsevierIntegrative Medicine Research2213-42202024-06-0113210104610.1016/j.imr.2024.101046Methodological proposals for developing trustworthy recommendations of integrative Chinese-Western medicineHonghao Lai0Mingyao Sun1Bei Pan2Baojin Han3Tingting Lu4Lei Fang5Jie Liu6Long Ge7Department of Health Policy and Management, School of Public Health, Lanzhou University, Lanzhou, China; Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou, ChinaEvidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou, ChinaEvidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, ChinaDepartment of Oncology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China; Graduate School, Beijing University of Chinese Medicine, Beijing, ChinaInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, ChinaSchool of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Oncology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China; Corresponding authors at: Department of Oncology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, No.5 Beixiange Street, Xicheng District, Beijing 100053, China; Department of Health Policy and Management, School of Public Health, Lanzhou University, No. 199 Donggang West Road, Chengguan District, Lanzhou 730000, China.Department of Health Policy and Management, School of Public Health, Lanzhou University, Lanzhou, China; Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou, China; Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou, China; Corresponding authors at: Department of Oncology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, No.5 Beixiange Street, Xicheng District, Beijing 100053, China; Department of Health Policy and Management, School of Public Health, Lanzhou University, No. 199 Donggang West Road, Chengguan District, Lanzhou 730000, China.Background: To refine the methods of developing clinical practice guidelines (CPGs) for integrative Chinese-Western medicine (ICWM), promoting the formation of trustworthy, implementable recommendations that integrate the strengths of Chinese and Western medicine. Methods: Using a nominal group technique (NGT) approach, a multidisciplinary expert panel was established. The panel identified key methodological issues in ICWM-CPG development through literature review and iterative discussions, and formulated methodological proposals to address these issues. The final set of proposals was achieved through consensus among the panel members. Results: The collaborative effort resulted in the identification of five pivotal methodological issues and the subsequent establishment of 22 specific recommendations. These encompass strict adherence to renowned standards, such as those proposed by the Institute of Medicine (IOM) and Guidelines International Network (G-I-N), the employment of methodologies like the GRADE approach and RIGHT statement, the strategic constitution of a balanced development group, the adept identification of ICWM-focused clinical inquiries, the nuanced integration of diverse evidence sources, and the detailed crafting of transparent, implementable recommendations. Conclusions: This study concentrates on the most crucial and prevalent methodological issues in ICWM-CPG development, proposing a series of recommendations. These suggestions result from a multidisciplinary expert consensus, aiming to provide methodological guidance for ICWM-CPG developers, building upon the current foundational methodologies.http://www.sciencedirect.com/science/article/pii/S221342202400026XClinical practice guidelineTraditional Chinese medicineIntegrative medicineRecommendation
spellingShingle Honghao Lai
Mingyao Sun
Bei Pan
Baojin Han
Tingting Lu
Lei Fang
Jie Liu
Long Ge
Methodological proposals for developing trustworthy recommendations of integrative Chinese-Western medicine
Integrative Medicine Research
Clinical practice guideline
Traditional Chinese medicine
Integrative medicine
Recommendation
title Methodological proposals for developing trustworthy recommendations of integrative Chinese-Western medicine
title_full Methodological proposals for developing trustworthy recommendations of integrative Chinese-Western medicine
title_fullStr Methodological proposals for developing trustworthy recommendations of integrative Chinese-Western medicine
title_full_unstemmed Methodological proposals for developing trustworthy recommendations of integrative Chinese-Western medicine
title_short Methodological proposals for developing trustworthy recommendations of integrative Chinese-Western medicine
title_sort methodological proposals for developing trustworthy recommendations of integrative chinese western medicine
topic Clinical practice guideline
Traditional Chinese medicine
Integrative medicine
Recommendation
url http://www.sciencedirect.com/science/article/pii/S221342202400026X
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