Urgent need to improve the quality of case report in traditional Chinese medicine: Assessment on reporting quality of 3,417 cases

Shu-fei Fu; Wai Kun; Xiao-xi Zeng; Li Zhang; Chung-wah Cheng; Lisa Song; Linda Li-dan Zhong; Jia Lin; Yong-yan Wang; Hong-cai Shang; Zhao-xia Bian

doi:10.1007/s11655-015-2250-y

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Urgent need to improve the quality of case report in traditional Chinese medicine: Assessment on reporting quality of 3,417 cases

Updated：2021-08-27

- Urgent need to improve the quality of case report in traditional Chinese medicine: Assessment on reporting quality of 3,417 cases
- Chinese Journal of Integrative Medicine Vol. 22, Issue 6, Pages: 473-480(2016)
- Affiliations：
  
  1. Tianjin University of Traditional Chinese Medicine, Tianjin Key Laboratory of Modern Chinese Medicine—Co-constructing State Key Laboratory Breading Base by Province and the Ministry,Tianjin,China
  2. Hong Kong Chinese Medicine Clinical Study Centre and School of Chinese Medicine, Hong Kong Baptist University,Hong Kong SAR,China
  3. West China Hospital, Sichuan University,Chengdu,China
  4. Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin,China
  5. China Academy of Chinese Medical Sciences,Beijing,China
  6. Key laboratory of Chinese Internal Medicine of Ministry of Education and Beijing, Dongzhimen Hospital, Beijing University of Chinese Medicine,Beijing,China
- Author bio：
- Funds：
  
  Supported by National Natural Science Foundation of China (No. 81173363) and Health and Medical Research Fund, Food and Health Bureau, Hong Kong SAR, China (No. 09101501)
- DOI：10.1007/s11655-015-2250-y
  CLC：
- Published：2016，
  
  Published Online：23 January 2016，
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Fu, Sf., Kun, W., Zeng, Xx. et al. Urgent need to improve the quality of case report in traditional Chinese medicine: Assessment on reporting quality of 3,417 cases., Chin. J. Integr. Med. 22, 473–480 (2016). https://doi.org/10.1007/s11655-015-2250-y

Shu-fei Fu, Wai Kun, Xiao-xi Zeng, et al. Urgent need to improve the quality of case report in traditional Chinese medicine: Assessment on reporting quality of 3,417 cases. [J]. Chinese Journal of Integrative Medicine 22(6):473-480(2016)
Fu, Sf., Kun, W., Zeng, Xx. et al. Urgent need to improve the quality of case report in traditional Chinese medicine: Assessment on reporting quality of 3,417 cases., Chin. J. Integr. Med. 22, 473–480 (2016). https://doi.org/10.1007/s11655-015-2250-y DOI：

Shu-fei Fu, Wai Kun, Xiao-xi Zeng, et al. Urgent need to improve the quality of case report in traditional Chinese medicine: Assessment on reporting quality of 3,417 cases. [J]. Chinese Journal of Integrative Medicine 22(6):473-480(2016) DOI： 10.1007/s11655-015-2250-y.

摘要

To survey the reporting quality of traditional Chinese medicine (TCM) case reports published in recent years and understand the common problems. The assessment results would lay the foundation for the development of recommendations for case report in Chinese medicine. This survey determined the reporting quality of cases with Chinese herbal decoction

Chinese proprietary medicine

acupuncture

moxibustion and other traditional therapies published in 20 core medical journals of China by searching the China Academic Journals Full-text Database from 2006 to 2010. Fifty survey items in 16 domains were used to determine the reporting quality. One point was assigned to each item (Yes=1 point; No=0 point)

and total score was 50 points. The domain of treatment was assessed independently

ranging from 2 to 9 items for different TCM interventions. The total of 1

858 case reports

covering 3

417 cases were included to analyze from 13 out of 20 core medical journals of China. There were 74.8% of them did not identify the nature of study in title

while 73.9% did not comprise an abstract. Incomplete reporting was found in discussions/ comment

and only 38.9% had made recommendations or take-away messages. Figures and tables were infrequently used. Three cases cited the full names of patients

but without declaring that any consent was obtained. Over 90% reported the symptoms and signs of TCM

and characteristics on tongue and pulse

but less than 50% did mention other medical history and diagnostic rationale. More than 90% treatments of the included cases were herbal decoction

with clear reporting on the ingredients and dosages. However

the reporting rate of the dosages of each ingredient was just 48.4%. Almost none reported the quality control of crude herbs

manufacturers and lot numbers of herbal proprietary medicine. Besides

advices and precautions on diet

emotions and living were rare to be illustrated. Systematic reporting recommendations are urged to develop for improving the contents and format of case reports in TCM.

Abstract

Chinese proprietary medicine

acupuncture

and total score was 50 points. The domain of treatment was assessed independently

ranging from 2 to 9 items for different TCM interventions. The total of 1

858 case reports

covering 3

417 cases were included to analyze from 13 out of 20 core medical journals of China. There were 74.8% of them did not identify the nature of study in title

while 73.9% did not comprise an abstract. Incomplete reporting was found in discussions/ comment

and only 38.9% had made recommendations or take-away messages. Figures and tables were infrequently used. Three cases cited the full names of patients

but without declaring that any consent was obtained. Over 90% reported the symptoms and signs of TCM

and characteristics on tongue and pulse

but less than 50% did mention other medical history and diagnostic rationale. More than 90% treatments of the included cases were herbal decoction

with clear reporting on the ingredients and dosages. However

the reporting rate of the dosages of each ingredient was just 48.4%. Almost none reported the quality control of crude herbs

manufacturers and lot numbers of herbal proprietary medicine. Besides

advices and precautions on diet

emotions and living were rare to be illustrated. Systematic reporting recommendations are urged to develop for improving the contents and format of case reports in TCM.

关键词

case reportTraditional Chinese Medicinequality assessment

Keywords

case reportTraditional Chinese Medicinequality assessment

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