Abstract
Objective
To summarize and critically evaluate the evidence for and against the effectiveness of Eastern-Western integrative medicine (EWIM) for health care compared to Eastern medicine (EM) or Western medicine (WM) alone.
Methods
Systematic searches were conducted on fifi ve Korean medical databases. Manual searches were also conducted through nine major Korean medical journals. Prospective randomized clinical trials (RCTs) were included if EWIM was tested for any type of conditions compared to EM or WM.
Results
There were one hundred forty-one possibly relevant studies were identififi ed, and seven RCTs were included. The risk of bias was high in most studies. The EWIM methods were compared with EM or WM in patients with pain conditions in four studies. These studies showed favorable effects of EWIM on pain reduction in patients with shoulder pain and chronic headache compared with EM, while the other RCTs failed to do so in traffic injury patients. Two studies tested EWIM in patients with Bell’s palsy compared with EM and found acute functional improvement. An RCT comparing EWIM with WM in patients with acne showed a signififi cant difference.
Conclusion
The results of our systematic review suggest that there is limited evidence for the superiority of EWIM over EM or WM in the treatment of pain and acute symptom improvement in patients with Bell’s palsy. The evidence from our analysis was limited from the low number of RCTs included and the high risk of bias. Future RCTs appear to be warranted.
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References
Shim BS, Koh BH, Ahn KS. Education in oriental medicine in kyung hee university. Evid Based Complement Altern Med 2004;1:331–334.
Kim Y-S, Wang J, Mann D, Gaylord S, Lee H-J, Lee M. Korean oriental medicine in stroke care. Complement Health Pract Review 2005;10:105–117.
Higgins JPT, Altman DG. Assessing risk of bias in included studies. In: Higgins JPT, Green S, eds. Cochrane handbook for systematic reviews of interventions. West Sussex, England: Wiley-Blackwell; 2008:187–241.
Nam DW, Choi YS, Kim HB, Kim JI, Lim S, Kim KS, et al. Randomized controlled trial of east-west collaborate medical treatment on female chronic shoulder pain patients. J Korean Acupunct Moxib Soc 2007;24:113–122.
Nam DW, Kim HB, Yang DH, Lim S, Kim S, Lee DI, et al. Comparison research of clinical effect of eastern amd Western medical treatment on frozen shoulder patients. J Korean Acupunct Moxib Soc 2006;23:105–113.
Jung IT, Lee SH, Kim SY, Cha WH, Kim KS, Lee DI, et al. A clinical study of east-west pain treatment on chronic headache patients. J Korean Acupunct Moxib Soc 2005;22:93–104.
Lee KH, Kim JE, Youn HM, Ko WS, Song CH, Jang KJ, et al. Comparision of treatment effect between oriental medicine therapy and oriental and western medicine combination therapy on traffic accident patients. Korea 2007;10:91–99.
Kwon NH, Shin YJ, Kim CY, Koh PS, Yi WI, Joh BJ, et al. Comparative clinical study between oriental medicine and oriental-Western medical treatment on bell’s palsy. J Korean Acupunct Moxib Soc 2008;25:19–28.
Park IB, Kim SW, Lee CW, Kim HG, Heo SW, Youn HM, et al. Comparative clinical study between oriental medicine and oriental-western medicine treatment on bell’s palsy. J Korean Acupunct Moxib Soc 2004;21:191–203.
Xing H. A research in effi cacy of combined treatment with oriental and western medicine on acne. Graduate School of Alternative Medicine, Vol Master thesis Suwon: Kyonggi Univeristy, 2009.
Moore A, McQuay H. Bandolier’s little book of making sense of the medical evidence. Oxford, UK, Oxford University Press; 2006.
Schulz KF, Chalmers I, Hayes RJ, Altman DG. Empirical evidence of bias. Dimensions of methodological quality associated with estimates of treatment effects in controlled trials. JAMA 1995;273:408–412.
Rothstein HR, Sutton AJ, Borenstein M. Publication bias in meta-analysis. In: Rothstein HR, Sutton AJ, Borenstein M, eds. Publication bias in meta-analysis. Chichester: West Sussex: Wiley; 2005.
Schulz K, Altman D, Moher D, CONSORT Group. CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. BMC Med 2010;8:18.
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Lee, M.S., Shin, BC., Choi, TY. et al. Randomized clinical trials on Eastern-Western integrative medicine for health care in Korean literature: A systematic review. Chin. J. Integr. Med. 17, 48–51 (2011). https://doi.org/10.1007/s11655-011-0621-6
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DOI: https://doi.org/10.1007/s11655-011-0621-6