Which research is needed to support clinical decision-making on integrative medicine?—Can comparative effectiveness research close the gap?
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In clinical research on complementary and integrative medicine, experts and scientists have often pursued a research agenda in spite of an incomplete understanding of the needs of end users. Consequently, the majority of previous clinical trials have mainly assessed the efficacy of interventions. Scant data is available on their effectiveness. Comparative effectiveness research (CER) promises to support decision makers by generating evidence that compares the benefits and harms of the best care options. This evidence, more generalizable than the evidence generated by traditional randomized controlled trials (RCTs), is better suited to inform real-world care decisions. An emphasis on CER supports the development of the evidence base for clinical and policy decision-making. Whereas in most areas of complementary and integrative medicine data on comparative effectiveness is scarce, available acupuncture research already contributes to CER evidence. This paper will introduce CER and make suggestions for future research.
- Which research is needed to support clinical decision-making on integrative medicine?—Can comparative effectiveness research close the gap?
Chinese Journal of Integrative Medicine
Volume 18, Issue 10 , pp 723-729
- Cover Date
- Print ISSN
- Online ISSN
- Chinese Association of Traditional and Western Medicine
- Additional Links
- comparative effectiveness research
- decision making
- integrative medicine
- Chinese medicine
- Industry Sectors
- Author Affiliations
- 1. Epidemiology and Health Economics, Charité University Medical Center, Institute for Social Medicine, Berlin, 10117, Germany
- 2. Center for Integrative Medicine, University of Maryland School of Medicine, Baltimore, Maryland, 21201, USA
- 3. Chengdu University of Traditional Chinese Medicine, Chengdu, 610072, China
- 4. The Institute for Integrative Health, Baltimore, 21231, USA