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
{"title":"传统医学在健康成果方面的证据图谱","authors":"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","doi":"10.1016/j.imr.2024.101070","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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 (<em>n</em> = 1867) and acupuncture (<em>n</em> = 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.</p></div><div><h3>Conclusion</h3><p>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.</p></div><div><h3>Registration</h3><p>The protocol of this map is registered in PROSPERO (CRD42023416355).</p></div>","PeriodicalId":13644,"journal":{"name":"Integrative Medicine Research","volume":null,"pages":null},"PeriodicalIF":2.8000,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213422024000507/pdfft?md5=518b76b750cade7567feca3f20cd4ec2&pid=1-s2.0-S2213422024000507-main.pdf","citationCount":"0","resultStr":"{\"title\":\"An evidence map on traditional medicine across health outcomes\",\"authors\":\"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\",\"doi\":\"10.1016/j.imr.2024.101070\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Traditional medicine (TM) plays a significant role in healthcare either as part of the primary healthcare system or as an adjunct to conventional medicine. 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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 (<em>n</em> = 1867) and acupuncture (<em>n</em> = 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.</p></div><div><h3>Conclusion</h3><p>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. 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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).
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.