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Appraisal of clinical practice guidelines for ischemic stroke management in Chinese medicine with appraisal of guidelines for research and evaluation instrument: A systematic review

  • Evidence-Based Integrative Medicine
  • Published:
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Abstract

Objective

To systematically review the clinical practice guidelines (CPGs) for ischemic stroke in Chinese medicine (CM) with the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument.

Methods

CM CPGs for ischemic stroke were searched in 5 online databases and hand-searches in CPGrelated handbooks published from January 1990 to December 2012. The CPGs were categorized into evidence based (EB) guideline, consensus based with no explicit consideration of evidence based (CB-EB) guideline and consensus based (CB) guideline according to the development method. Three reviewers independently appraised the CPGs based on AGREE II instrument, and compared the CPGs' recommendations on CM pattern classification and treatment.

Results

Five CM CPGs for ischemic stroke were identified and included. Among them, one CPG was EB guideline, two were CB guidelines and two were CB-EB guidelines. The quality score of the EB guideline was higher than those of the CB-EB and CB guidelines. Five CM patterns in the CPGs were recommended in the EB CPG. The comprehensive protocol of integrative Chinese and Western medicine recommended in the EB CPG was mostly recommended for ischemic stroke in the CPGs. The recommendations varied based on the CM patterns.

Conclusion

The quality of EB CPG was higher than those of CB and CB-EB CPGs in CM for ischemic stroke and integrative approaches were included in CPGs as major interventions.

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Authors and Affiliations

  1. Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, 100700, China

    Ya Yuwen  (宇文亚), Nan-nan Shi  (史楠楠), Xue-jie Han  (韩学杰), Da-sheng Liu  (刘大胜) & Ai-ping Lu  (吕爱平)

  2. Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, 100700, China

    Ying Gao  (高 颖)

  3. Xiyuan Hospital Affiliated to China Academy of Chinese Medical Sciences, Beijing, 100091, China

    Jian-long Xu  (徐建龙)

  4. Chinese Medicine Department, Hong Kong Hospital Authority, Beijing, Hong Kong SAR, China

    Bacon Ng, Dora Tsui & Eric Ziea

  5. School of Chinese Medicine, Hong Kong Baptist University, Kowloon Tong, Kowloon, Hong Kong, SAR, China

    Li-dan Zhong  (钟丽丹), Zhao-xiang Bian  (卞兆祥) & Ai-ping Lu  (吕爱平)

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  1. Ya Yuwen  (宇文亚)
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  2. Nan-nan Shi  (史楠楠)
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  6. Da-sheng Liu  (刘大胜)
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  7. Bacon Ng
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  9. Li-dan Zhong  (钟丽丹)
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  10. Eric Ziea
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  11. Zhao-xiang Bian  (卞兆祥)
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  12. Ai-ping Lu  (吕爱平)
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Corresponding authors

Correspondence to Xue-jie Han  (韩学杰) or Ai-ping Lu  (吕爱平).

Additional information

Supported by the projects from the State Administration of Traditional Chinese Medicine (No. ZYYS-2011[0032]-2), the China Academy of Chinese Medical Sciences (No. Z0135, Z0260, and Z0221), and the Hong Kong Hospital Authority

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Yuwen, Y., Shi, Nn., Han, Xj. et al. Appraisal of clinical practice guidelines for ischemic stroke management in Chinese medicine with appraisal of guidelines for research and evaluation instrument: A systematic review. Chin. J. Integr. Med. 21, 707–715 (2015). https://doi.org/10.1007/s11655-014-1834-2

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  • DOI: https://doi.org/10.1007/s11655-014-1834-2

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