Application of Grading of Recommendations Assessment, Development, and Evaluation （GRADE） to the guideline development for clinical practice with acupuncture and moxibustion
Application of Grading of Recommendations Assessment, Development, and Evaluation （GRADE） to the guideline development for clinical practice with acupuncture and moxibustion作者机构：Hubei University of Chinese Medicine/Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture and Moxibustion Wuhan 430061 China Institute of Acupuncture and Moxibustion China Academy of Chinese Medical Sciences Beijing 100700 China China Academy of Chinese Medical Sciences Beijing 100700 China
出 版 物：《Frontiers of Medicine》 (医学前沿（英文版）)
年 卷 期：2017年第11卷第4期
页 面：590-594页
核心收录：
学科分类：1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 10[医学]
基 金：supported by the Standardization Project of State Administration of Traditional Chinese Medicine
主 题：guideline acupuncture GRADE
摘 要：Grading of Recommendations Assessment, Development, and Evaluation （GRADE） offers a worldwide approach to guideline development for clinical practice. For the clinical practice of acupuncture therapy, 18 evidence-based guidelines have been developed in China using GRADE. In this study, we review the advantages and limitations of the GRADE approach in the guideline development for acupuncture and moxibustion and propose some solutions to these limitations. Scientific advantages of rating the quality of evidence, outcome-centric direction, overall progression to develop recommendations, and strength of recommendations providing specific clinical guidance are the advantages of GRADE. The limitations of GRADE in the development of guidelines for acupuncture and moxibustion include rating the quality of evidence for ancient literature and literature on famous traditional Chinese medicine experts＇ experiences and specific guidelines for formulating recommendations from evidence. In the guideline development for clinical practice with acupuncture and moxibustion, we suggest that a specific method should be explored based on the GRADE approach and the characteristics of acupuncture therapy.
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