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Acupuncture for low back pain:a clinical practice guideline from the Hong Kong taskforce of standardized acupuncture practice

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Journal of Traditional Chinese Medicine 2022年第1期42卷 140-147页

作者： CHEN Haiyong YEUNG Wing-Fai YANG Mingxiao MU Jinglan ZIEA Tat-Chi NG Bacon Fung-Leung LAO Lixing School of Chinese Medicine University of Hong KongHong Kong SARChina School of Nursing Hong Kong Polytechnic UniversityHong Kong SARChina Bendheim Integrative Medicine Center Memorial Sloan Kettering Cancer Center1429 First AvenueNew York 10021USA Department of Anesthesiology Nanjing Drum Tower HospitalNanjing University Medical SchoolNanjing210008China Chinese Medicine Department Hong Kong Hospital AuthorityHong Kong SARChina Virginia University of Integrative Medicine FairfaxVA 22031USA

OBJECTIVE:To develop a clinical practice guideline to guide the treatment of low back pain by ***:An integrative approach of systematic review of literature,clinical evidence classification,expert opinion surveying,and consensus establishing via a Delphi program was utilized during the developing *** evidence-based practice standards and the personalized features of acupuncture were taken into ***:Based on clinical evidence and expert opinions,we developed a clinical practice guideline for the treatment of low back pain with *** recommendations have a wide coverage spanning from Western Medicine diagnosis and Traditional Chinese Medicine syndrome differentiation,to acupuncture treatment procedures,as well as post treatment care for rehabilitation and *** recommendations for acupuncture practice included treatment principles,therapeutic regimens,and operational *** levels of evidence and strength of recommendation were rated for each procedure of ***:A clinical practice guideline for acupuncture treating low back pain was developed based on contemporary clinical evidence and experts'consensus to provide best currently agreeable practice guideline for domestic and international stakeholders.

关键词： acupuncture low back pain diagnosis syndrome differentiation rehabilitation practice guideline

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Characteristics and quality of clinical practice guidelines for diabetic kidney disease: a systematic review

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Journal of Traditional Chinese Medicine 2024年第3期44卷 609-619页

作者： WANG Yuhuang ZHANG Le ZHANG Zhengshan YAO Zhi LI Xiyao SUN Luying LIAO Xing Department of Nephropathy and Endocrine Dongzhimen HospitalBeijing University of Chinese Medicine Centre for Evidence-Based Chinese Medicine Institute of Basic Research in Clinical MedicineChina Academy of Chinese Medical Sciences Department of Endocrine One Zone Fangshan HospitalBeijing University of Chinese Medicine

OBJECTIVE: To assess the quality of Clinical practice guidelines(CPGs) in the context of diabetic kidney disease(DKD) and determine whether any factors affect the quality. METHODS: We searched eight databases along with five international and national organizations to develop or archive guidelines from their inception to July 2023, with an additional search of ***. And the authoritative organizations related to nephrology. CPGs and consensus statements created using direct differential diagnosis or therapy for DKD were included without language restrictions. Their quality was evaluated by four reviewers using the Appraisal of guidelines for Research and Evaluation Ⅱ(AGREE Ⅱ) instrument. Along with the item and domain scores, the guideline was also allocated an overall quality score, which ranged from 1(lowest possible quality) to 7(highest possible quality). Moreover, an overall recommendation for use was also assigned(“recommended”, “recommended with modifications” or “not recommended”). RESULTS: A total of 16 CPGs were included, of which 14 were from Asia and the remaining two from Europe. These two CPGs were updated in the third version. Six CPGs were recommended for use because their primary domains scored in the medium or high category. Furthermore, five CPGs were recommended with modifications as the stakeholder involvement, applicability, and editorial independence domains were evaluated as low categories. In all domains, the lowest average score was for rigour of development(33%), followed by application(36%), and stakeholder involvement(51%). The highest average score was for scope and purpose(79%), followed by clarity of presentation(75%). None of the CPGs considered the patient's viewpoint, and six of 16 CPGs did not use any grading system to translate the evidence into recommendations. Additionally, only three of 16 CPGs shared search strategy, and eight of 16 CPGs did not declare a funding source. CONCLUSIONS: According to the AGREE II evaluation

关键词： appraisal of guidelines for research and evaluation II diabetic nephropathies practice guideline quality assessment systematic review

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International standard of Traditional Chinese Medicine Techniques: Traditional Chinese Medicine guidelines for acute primary headache(2022)

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Journal of Traditional Chinese Medicine 2024年第4期44卷 839-850页

作者： YAO Yuning CAO Kegang ZHANG Genming LIU Jianping CHEN Wei CAO Junling YANG Wenming YAN Yongmei GENG Chang JU Yi ZHAO Dexi QU Miao LI Xiaoli SUN Li HAN Zhenyun HE Liyun CUI Fangyuan FU Caihong ZHOU Bo LIAO Shuqin Department of Geriatrics Jilin Academy of Traditional Chinese Medicine Department of Neurology Shenzhen Hospital of Beijing University of Chinese Medicine Institute of Basic Research in Clinical Medicine China Academy Of Chinese Medical Sciences Department of Rehabilitation Shunyi HospitalBeijing Traditional Chinese Medicine Hospital Department of Neurology Xiyuan Hospital of China Academy of Chinese Medical Sciences Department of Neurology Dongzhimen Hospital of Beijing University of Chinese Medicine Centre for Evidence-Based Chinese Medicine Beijing University of Chinese Medicine Encephalopathy center First Affiliated Hospital of Anhui University of Chinese Medicine Department of Neurology Affiliated Hospital of Shaanxi University of Chinese Medicine Department of Neurology Beijing Changping District Hospital of Traditional Chinese Medicine Neurology center Beijing Tiantan HospitalCapital Medical University Department of Neurology Affiliated Hospital of Changchun University of Chinese Medicine Department of Neurology Xuanwu HospitalCapital Medical University Department of Neurology Beijing University of Chinese Medicine Third Affiliated Hospital

OBJECTIVE: To summarize the evidence from Traditional Chinese Medicine(TCM) practice in the treatment of acute primary headache and provide clinical practice guidance. METHODS: The guidelines were developed in accordance with the World Health Organization guideline development manual. After the establishment of steering committee, panel and the registration and protocol formulation, the evidence on TCM for acute primary headache from published guidelines, clinical evidence, and expert experience and consensus were collected. The grading of recommendations assessment, development and evaluation method was used to grade the evidence and make the recommendations. RESULTS: Based on the available evidence, the guidelines recommended three TCM herbal decoctions, six Chinese patent medicines, and two kinds of external application of Chinese herbal medicines. Diagnostic recommendations based on the expert experience and consensus were also included in the guidelines. CONCLUSION: TCM diagnosis and treatment of decoction, Chinese patent medicine and external application for treating acute primary headache were recommended. We hope these guidelines will be helpful in standardize the TCM acute treatment of primary headache.

关键词： acute primary headache medicine, Chinese traditional practice guideline

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Development of the Scientific,Transparent and Applicable Rankings (STAR) tool for clinical practice guidelines

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Chinese Medical Journal 2023年第12期136卷 1430-1438页

作者： Nan Yang Hui Liu Wei Zhao Yang Pan Xiangzheng Lyu Xiuyuan Hao Xiaoqing Liu Wen’an Qi Tong Chen Xiaoqin Wang Boheng Zhang Weishe Zhang Qiu Li Dong Xu Xinghua Gao Yinghui Jin Feng Sun Wenbo Meng Guobao Li Qijun Wu Ze Chen Xu Wang Janne Estill Susan LNorris Liang Du Yaolong Chen Junmin Wei Evidence-Based Medicine Center School of Basic Medical SciencesLanzhou UniversityLanzhouGansu 730000China Institute of Global Health University of GenevaGeneva 1202Switzerland School of Public Health Lanzhou UniversityLanzhouGansu 730000China Editor-in-Chief Office Chinese Medical Association Publishing HouseBeijing 100052China Marketing Department Chinese Medical Association Publishing HouseBeijing 100052China Editorial Department National Medical Journal of ChinaChinese Medical Association Publishing HouseBeijing 100052China Editorial Department Chinese Medical JournalChinese Medical Association Publishing HouseBeijing 100052China Division of Infectious Diseases Department of Internal MedicineState Key Laboratory of Complex Severe and Rare DiseasePeking Union Medical College HospitalChinese Academy of Medical Sciences&Peking Union Medical CollegeBeijing 100730China Editorial office of Digital Medicine and Health Chinese Medical Association Publishing HouseBeijing 100052China Department of Hematology Huashan HospitalFudan UniversityShanghai 200040China Evidence-based Medicine Center Fudan UniversityShanghai 200032China Department of Hepatic Oncology Xiamen Clinical Research Center for Cancer TherapyZhongshan Hospital(Xiamen)Fudan UniversityXiamenFujian 361015China Department of Obstetrics Xiangya HospitalCentral South UniversityChangshaHunan 410008China Department of Nephrology Children’s Hospital of Chongqing Medical UniversityNational Clinical Research Center for Child Health and DisordersMinistry of Education Key Laboratory of Child Development and DisordersChongqing Key Laboratory of PediatricsChongqing 400014China SMU Institute for Global Health(SIGHT) School of Health Management and Dermatology HospitalSouthern Medical University(SMU)GuangzhouGuangdong 510515China Department of Dermatology The First Hospital of China Medical UniversityShenyangLiaoning 110001China Center for Evidence-Based and Translational Medicine Zhongnan Hospital of Wuhan UniversityWu

Background:This study aimed to develop a comprehensive instrument for evaluating and ranking clinical practice guidelines,named Scientific,Transparent and Applicable Rankings tool(STAR),and test its reliability,validity,and ***:This study set up a multidisciplinary working group including guideline methodologists,statisticians,journal editors,clinicians,and other *** review,Delphi methods,and hierarchical analysis were used to develop the STAR *** evaluated the instrument’s intrinsic and interrater reliability,content and criterion validity,and ***:STAR contained 39 items grouped into 11 *** mean intrinsic reliability of the domains,indicated by Cronbach’sαcoefficient,was 0.588(95%confidence interval[CI]:0.414,0.762).Interrater reliability as assessed with Cohen’s kappa coefficient was 0.774(95%CI:0.740,0.807)for methodological evaluators and 0.618(95%CI:0.587,0.648)for clinical *** overall content validity index was ***’s r correlation for criterion validity was 0.885(95%CI:0.804,0.932).The mean usability score of the items was 4.6 and the median time spent to evaluate each guideline was 20 ***:The instrument performed well in terms of reliability,validity,and efficiency,and can be used for comprehensively evaluating and ranking guidelines.

关键词： practice guideline Evidence-based practice Quality control

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Consensus on Treatment of Acne Scars in China(2021)

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International Journal of Dermatology and Venereology 2022年第3期5卷 121-131页

作者：无 Sen Yang Zhong Lu Tong Lin Guo-Yu Zhou Min Yao Yi Liu Rong-Ya Yang Zhi-Fei Liu Yuan-Hong Li Dong-Ni Li Xiao-Dong Chen Shu-Xian Yan Lin Gao Qiu-Ning Sun Hong Cai Yan-Hua Liang Rong Xiao Xiao-Ming Jia Jin Chen Jing-Long Cai Cai-Xia Tu Laser Cosmetology Group Medical Aesthetics and Cosmetology Branch of Chinese Medical Association Cosmetic Laser Group Chinese Society of Dermatology Laser Group Cosmetic and Plastic Surgeon Branch of Chinese Medical Doctor Association Department of Dermatology The First Affiliated Hospital of Anhui Medical UniversityHefeiAnhui 230022China Department of Dermatology Huashan HospitalFudan UniversityShanghai 200040China Department of Cosmetic Laser Surgery Hospital of DermatologyChinese Academy of Medical SciencesNanjingJiangsu 210042China Department of Oral and Maxillofacial-Head Neck Oncology Department of Laser and Aesthetic MedicineShanghai Ninth People's HospitalCollege of StomatologyShanghai Jiao Tong University School of MedicineShanghai 200011China Department of Plastic Surgery Shanghai Ninth People's HospitalShanghai Jiao Tong University School of MedicineShanghai 200011China Institute of Dermatology Chinese Academy of Medical SciencesNanjingJiangsu 210042China Department of Dermatology The Seventh Medical Center of PLA General Hospital(PLA Army General Hospital)Beijing 100700China Department of Plastic Surgery Peking Union Medical College HospitalChinese Academy of Medical Science and Peking Union Medical CollegeBeijing 100730China Department of Dermatology The First Affiliated Hospital of China Medical UniversityShenyangLiaoning 110002China Department of Plastic and Reconstructive Surgery Guangdong Second Provincial General HospitalGuangzhouGuangdong 510317China Department of Dermatology Affiliated Hospital of Nantong UniversityNantongJiangsu 226006China Department of Dermatology Xijing HospitalThe Fourth Military Medical UniversityXi’anShaanxi 710032China Department of Dermatology Peking Union Medical College HospitalChinese Academy of Medical Science and Peking Union Medical CollegeBeijing 100730China Department of Dermatology The Air Force General Hospital of PLABeijing 100142China Department of Dermatology Cosmetology and VenereologyShenzhen HospitalSouther

Acne scars are caused by inflammatory reactions,infections,and improper handling of acne *** scars have a high incidence and are difficult to *** are many methods currently used to treat acne scars,including medications,photoelectric technology,surgery,filling,chemical peeling,traditional Chinese medicine,biotherapy,and microneedle therapy,and many new methods are constantly ***,there are still many issues,such as the lack of high-quality clinical studies,non-uniform treatment methods,and unsatisfactory therapeutic *** selection of appropriate methods for the comprehensive treatment of different types of acne scars at different stages in clinical practice remains challenging and is a research topic of great *** the perspective of evidence-based medicine,this consensus aims to provide a reference for the treatment of acne scars in clinical practice.

关键词： acne vulgaris cicatrix practice guideline therapy

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A Summary of Chinese Expert Consensus on Fetal Growth Restriction (An Update on the 2019 Version)

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Maternal-Fetal Medicine 2022年第3期4卷 162-168页

作者： Fetal Medicine Subgroup,Chinese Society of Perinatal Medicine,Chinese Medical Association Maternal-Fetal Medicine Committee,Chinese Society of Obstetrics and Gynecology,Chinese Medical Association Luming Sun Yali Hu Hongbo Qi 不详 Shanghai Key Laboratory of Maternal Fetal Medicine Department of Fetal Medicine&Prenatal Diagnosis CenterShanghai First Maternity and Infant HospitalSchool of MedicineTongji UniversityShanghai 201204China Department of Obstetrics and Gynecology Nanjing Drum Tower HospitalThe Affiliated Hospital of Nanjing University Medical SchoolNanjing 210008China Department of Obstetrics Women and Children’s Hospital of Chongqing Medical UniversityChongqing 400021China

Fetal growth restriction(FGR)is a common complication of pregnancy associated with higher rates of perinatal mortality and morbidity,as well as a variety of long-term adverse *** standardize the clinical practice for the management of FGR in China,Fetal Medicine Subgroup,Chinese Society of Perinatal Medicine,Chinese Medical Association and Maternal-Fetal Medicine Committee,Chinese Society of Obstetrics and Gynecology,Chinese Medical Association organized an expert committee to provide official consensus-based recommendations on *** evaluated the evidence provided by relevant high-quality literature,performed a three-round Delphi study and organized face-to-face meetings with experts from multidisciplinary *** consensus includes the definition,prenatal screening,prevention,diagnosis,monitoring and management of FGR.

关键词： Delphi technique Fetal growth restriction practice guideline

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Traditional Chinese Medicine guidelines for coronavirus disease 2019

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Journal of Traditional Chinese Medicine 2020年第6期40卷 891-896页

作者： Liang Ning Ma Yanfang Wang Jingya Li Huizhen Wang Xiaohui Jiao Liwen Liu Bin Ma Yan Zhao Chen Luo Xufei Zhao Siya Lu Meng Cao Jin Hu Wenpin Zhang Hairong Liu Guoxiu Lu Cheng Liu Mengyu Li Li Han Xuejie Liu Yuqi Wang Liying Zhao Xueyao Wei Dongfeng Bai Jing Sun Mingyu Yang Yong Wu Xiaodan Chen Yaolong Shi Nannan Wang Yanping Wang Yongyan Institute of Basic Research in Clinical Medicine China Academy of Chinese Medical SciencesBeijing 100700China Evidence-Based Medicine Center School of Basic Medical SciencesLanzhou UniversityLanzhou 730000China School of Public Health Lanzhou UniversityLanzhou 730000China Beijing University of Chinese Medicine Beijing 100029China Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine Shanghai 201203China Chinese GRADE Center Lanzhou 730000China Lanzhou University an Affiliate of the Cochrane China NetworkLanzhou 730000China Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province Lanzhou UniversityLanzhou 730000China

OBJECTIVE:To summarize the evidence from Traditional Chinese Medicine(TCM)practice in the treatment of coronavirus disease 2019(COVID-19)and provide timely clinical practice ***:The guidelines were developed in accordance with the World Health Organization rapid guideline *** evidence on TCM for COVID-19 from published guidelines,direct and indirect published clinical evidence,first hand clinical data,and expert experience and consensus were *** grading of recommendations assessment,development and evaluation(GRADE)method was used to grade the evidence and make the ***:Based on the available evidence,the guidelines recommended 17 Chinese medicines for COVID-19:2 Chinese herbal granules,7 Chinese patent medicines,and 8 Chinese herbal ***:As the literature search was conducted on March,any subsequent versions of these guidelines require an up-to-date literature *** hope that the evidence summary in these guidelines will be helpful in global efforts to address COVID-19.

关键词： COVID-19 Medicine Chinese traditional practice guideline

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当循证医学证据不足时:采用一种混合方法制定肝移植的实践指导意见

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Gastroenterology Report 2021年第1期9卷 22-30,I0001页

作者： Lisa B.VanWagner Blessing Aghaulor Tasmeen Hussain Megan Kosirog Patrick Campbell Stewart Pine Amna Daud Daniel J.Finn Josh Levitsky Donald M.Lloyd-Jones Jane L.Holl Division of Gastroenterology and Hepatology Department of MedicineNorthwestern University Feinberg School of MedicineChicagoILUSA Department of Preventive Medicine Northwestern University Feinberg School of MedicineChicagoILUSA Comprehensive Transplant Center Northwestern University Feinberg School of MedicineChicagoILUSA Division of Cardiology Department of MedicineNorthwestern University Feinberg School of MedicineChicagoILUSA Department of Pediatrics Northwestern University Feinberg School of MedicineChicagoILUSA Center for Healthcare Delivery Science and Innovation and Department of Neurology Biological Sciences DivisionUniversity of ChicagoChicagoILUSA

背景:绝大部分小样本的疾病干预措施,如肝移植,都不太可能开展临床研究。当缺少循证医学证据时,专家共识能提供更为精细的治疗指导。例如对肝移植受体心血管风险的处理,截至今日,都没有一部基于循证医学证据的临床指南。然而,即便形成... 详细信息

背景:绝大部分小样本的疾病干预措施,如肝移植,都不太可能开展临床研究。当缺少循证医学证据时,专家共识能提供更为精细的治疗指导。例如对肝移植受体心血管风险的处理,截至今日,都没有一部基于循证医学证据的临床指南。然而,即便形成了专家共识,对这些实践指导意见的执行也往往是不充分且滞后的。我们提出了一种新型混合方法,Northwestern Method,用于那些缺少循证医学证据的临床实践指导意见的制定。我们通过针对肝移植受体心血管风险的处理所制定的实践指导意见,来阐述该方法的应用。方法:Northwestern Method由4部分组成,分别是(1)对已有的基于循证医学证据的相关指南进行改编;(2)对实践指南意见形成专家共识;(3)明确妨碍实践指导意见在临床中推行的因素;(4)执行和推广实践指导意见的建议。该方法是以用户为中心的迭代方法,在实践指导意见的设计和形成过程的每个环节,都应充分考虑包括患者在内的终端用户的所需、所想及顾虑。结论:Northwestern Method采用一种混合方法,将临床实践各方代表汇集在一起制定临床实践指导意见,充分考虑了患者、护理人员及医生等直接影响实践指导意见执行效果的人员各自的需求和喜好。我们提出了一个假设,即终端用户尽早参与到指导意见的制定过程,有助于指导意见在临床实践中的有效贯彻。

关键词： liver transplantation practice guideline consensus methodology

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