Status Quo and Analysis of the Cardiovascular Clinical Practice Guidelines/Expert Consensuses of Chinese and Integrative Medicine: A Systematic Review*

Cheng-yu LI; Yao-long CHEN; Jia-yuan HU; Min LI; Xiao-yu ZHANG; Yang SUN; Rui ZHENG; Shi-qi CHEN; Song-jie HAN; Tian-mai HE; Hong-cai SHANG

doi:10.1007/s11655-020-2725-3

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Status Quo and Analysis of the Cardiovascular Clinical Practice Guidelines/Expert Consensuses of Chinese and Integrative Medicine: A Systematic Review*

Evidence-Based Integrative Medicine | Updated：2021-08-16

- Status Quo and Analysis of the Cardiovascular Clinical Practice Guidelines/Expert Consensuses of Chinese and Integrative Medicine: A Systematic Review*
- Chinese Journal of Integrative Medicine Vol. 27, Issue 1, Pages: 54-61(2021)
- Affiliations：
  
  1.Key Laboratory of Chinese Internal Medicine of Ministry of Education and Beijing, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing (100700), China
  2.Evidence-Based Medicine Center, Lanzhou University, Lanzhou (730000),China
- Author bio：
  
  Correspondence to: Prof. SHANG Hong-cai, E-mail:shanghongcai@126.com.
- Funds：
- DOI：10.1007/s11655-020-2725-3
  CLC：
- Published：01 January 2021，
  
  Published Online：22 May 2020，
  
  Accepted：01 June 2018
Scan for full text
Cheng-yu LI, Yao-long CHEN, Jia-yuan HU, et al. Status Quo and Analysis of the Cardiovascular Clinical Practice Guidelines/Expert Consensuses of Chinese and Integrative Medicine: A Systematic Review*. [J]. Chinese Journal of Integrative Medicine 27(1):54-61(2021)
DOI：

Cheng-yu LI, Yao-long CHEN, Jia-yuan HU, et al. Status Quo and Analysis of the Cardiovascular Clinical Practice Guidelines/Expert Consensuses of Chinese and Integrative Medicine: A Systematic Review*. [J]. Chinese Journal of Integrative Medicine 27(1):54-61(2021) DOI： 10.1007/s11655-020-2725-3.

摘要

Abstract

Objective:

To describe and analyze the status quo of cardiovascular clinical practice guidelines or expert consensuses including both Chinese medicine (CM) and integrative medicine

through systematic literatures searching and quality assessment.

Methods:

Data bases including Chinese Biomedical Literature Database

the China National Knowledge Infrastructure

Wanfang Data

China Science and Technology Journal Database were searched for published CM or integrative cardiovascular clinical practice guidelines or expert consensuses. The website www. medlive.cn was also retrieved as supplementary. The clinical practice evaluation tool AGREE Ⅱ was used to assess the quality of included guidelines or consensuses.

Results:

A total of 31 relevant clinical practice guidelines or expert consensuses were included

covering diagnosis

treatment

Chinese patent and patient fields. Common cardiovascular diseases like coronary heart diseases

heart failure and arrhythmia were also involved. Through analysis it was found that both the quantity and quality of included guidelines have been improved year by year. A total of 4 evidence-based clinical practice guideline has been found

one of which was a guideline project plan. Except that

the remaining 27 reports were all consensusbased guidelines. The scores of each field

from highest to lowest

were clarity of presentation (58%)

scope and purpose (54%)

stakeholder involvement (28%)

rigor of development (21%)

applicability (13%) and editorial independence (8%).

Conclusions:

Although clinical practice guidelines in cardiovascular domain of Chinese have gained increasing concern

with both quantity and quality improved

there is still huge gap in methodology and reporting standards between CM guidelines and international ones. On the one hand

it is essential to improve and standardize the methodology of developing CM guidelines. On the other hands

the evaluation system of evidence and recommendation with CM characters should be developed urgently.

关键词

Keywords

integrated medicineChinese medicinecardiovascular diseaseclinical practice guidelinesystematic review

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