传统医学在健康成果方面的证据图谱

IF 2.8 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE
Lin Ang , Eunhye Song , Miek C Jong , Terje Alræk , Barbara Wider , Tae-Young Choi , Ji Hee Jun , Boram Lee , Yujin Choi , Hye Won Lee , Changsop Yang , Mi Hong Yim , Hitoshi Yamashita , Zhaochen Ji , Haiyin Hu , Junhua Zhang , Jianping Liu , Yaolong Chen , Yishan Qin , Liming Lu , Myeong Soo Lee
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引用次数: 0

摘要

背景传统医学(TM)作为初级医疗保健系统的一部分或传统医学的辅助手段,在医疗保健领域发挥着重要作用。本研究旨在绘制不同健康状况下传统医学模式的系统综述(SR)图,并找出研究文献中的空白点,以便于确定未来传统医学研究的优先次序。方法我们检索了2018年1月至2022年12月期间的17个数据库。审稿人两人一组独立进行数据库检索、筛选每条记录以纳入、提取数据,并使用 AMSTAR 2 - 系统性综述评估测量工具进行质量评估。纳入本证据图谱的研究必须是评估 TM 方式有效性的临床研究 SR。我们根据 TM 方式、ICD-11 疾病分类和健康结果对纳入的 SR 进行了分析,并使用图表对其进行可视化。在排除重复记录后,我们筛选了 181616 条标题和摘要,并选择了 20856 条记录进行全文评估,进一步排除了其中的 18137 条记录。最终收录的 2719 条 SR 主要针对成年人(2591 条),只有 128 条 SR 针对儿童群体。最常评估的健康状况是消化系统、循环系统和泌尿生殖系统疾病,其中草药(n = 1867)和针灸(n = 471)是治疗这些疾病的最常用的中医疗法。根据 AMSTAR 2 标准,纳入的 SR 的方法学质量相当低。它为确定全球证据基础的特征和概述现有证据的差距迈出了第一步。我们认为本研究为未来的 TM 模式研究奠定了基础。注册本地图的协议已在 PROSPERO 注册(CRD42023416355)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An evidence map on traditional medicine across health outcomes

Background

Traditional medicine (TM) plays a significant role in healthcare either as part of the primary healthcare system or as an adjunct to conventional medicine. This study aimed to map systematic reviews (SRs) of TM modalities across health conditions and identify gaps in the research literature to facilitate priority setting in future TM research.

Methods

We searched 17 databases from January 2018 to December 2022. Reviewers in pairs independently performed the database search, screened each record for inclusion, extracted data, and performed quality assessments using the AMSTAR 2 - A Measurement Tool to Assess systematic Reviews. To be included in this evidence map, the studies had to be SRs of clinical studies that evaluated the effectiveness of a TM modalities. The included SRs were analyzed according to TM modality, ICD-11 disease classification, and health outcomes, and visualized using graphical plots.

Results

We retrieved 241,509 records. After excluding duplicate records, 181,616 titles and abstracts were screened and 20,856 records were selected for full-text assessment, of which 18,137 records were further excluded. The final 2719 included SRs were primarily in adults (2591) with only 128 SRs in the pediatric population. The most commonly evaluated health conditions were diseases of the digestive system, circulatory system, and genitourinary system, with herbal medicine (n = 1867) and acupuncture (n = 471) being the most investigated TM modalities in treating these illnesses. Based on AMSTAR 2 criteria, the methodology quality of the included SRs is considerably low.

Conclusion

This evidence map provides a comprehensive overview of the extent and nature of the available research onTM modalities across health conditions. It provides an initial step towards characterizing the global evidence base and outlining gaps in the existing evidence. We regard this study as laying the basis for future research of TM modalities.

Registration

The protocol of this map is registered in PROSPERO (CRD42023416355).

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来源期刊
Integrative Medicine Research
Integrative Medicine Research Medicine-Complementary and Alternative Medicine
CiteScore
6.50
自引率
2.90%
发文量
65
审稿时长
12 weeks
期刊介绍: Integrative Medicine Research (IMR) is a quarterly, peer-reviewed journal focused on scientific research for integrative medicine including traditional medicine (emphasis on acupuncture and herbal medicine), complementary and alternative medicine, and systems medicine. The journal includes papers on basic research, clinical research, methodology, theory, computational analysis and modelling, topical reviews, medical history, education and policy based on physiology, pathology, diagnosis and the systems approach in the field of integrative medicine.
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