The Methodological Quality assessment of Current Traditional Chinese Medicine’s Clinical Trials

Z. Cui, Zhiting Liu, Xinzhao Cai, Y. Bian
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Abstract

Objective: To figure out the current development of the TCM clinical trials in 2016 and to analyze the main problems of the TCM clinical trials. Method: The keywords traditional Chinese medicine, TCM, clinical trials and clinical study were used in CNKI and PubMed to search the clinical trials on TCM, published from January 1st to December 31st in 2016. The meta-analyses and the systematic reviews got excluded. The quality assessment was conducted according to the CONSORT statement. IBM SPSS Statistics 22 was used for the statistical analyses. Result: Of 210 TCM clinical trials identified, 158 RCTs were included, 42 from CNKI and 116 from PubMed. On average, 77.85% of the items on the checklist were provided for all the trials included. Item participants, item interventions, item objectives, item outcomes were fully met while item randomization sequence generation, item implementation and item statistical methods remained partially met. In particular, item sample size, item allocation concealment and item blinding/masking showed in an unfavorite situation. Conclusion: The proportion and the quality of TCM RCTs still needs to be improved, especially item sample size, item allocation concealment and item blinding/masking. The quality of RCTs from PubMed was much higher than those from CNKI and the quality of RCTs on drug was higher than those on non-drugs.
当前中药临床试验方法学质量评价
目的:了解2016年中药临床试验的发展现状,分析中药临床试验存在的主要问题。方法:在中国知网和PubMed检索2016年1月1日至12月31日发表的中医药临床试验,检索关键词为中药、中医药、临床试验、临床研究。荟萃分析和系统评价被排除在外。根据CONSORT声明进行质量评价。采用IBM SPSS Statistics 22进行统计分析。结果:共纳入210项中医临床试验158项rct,其中42项来自CNKI, 116项来自PubMed。平均77.85%的项目被提供给所有纳入的试验。项目参与者、项目干预、项目目标、项目结果完全满足,而项目随机化序列生成、项目实施和项目统计方法部分满足。特别是,项目样本大小,项目分配隐藏和项目盲化/掩蔽显示在一个不喜欢的情况下。结论:中药随机对照试验的比例和质量仍有待提高,尤其是项目样本量、项目分配隐蔽性和项目盲/掩蔽。PubMed的rct质量明显高于CNKI,药物rct质量明显高于非药物rct。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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