Preliminary study on establishing diagnostic criteria for cold-dampness syndrome in rheumatoid arthritis based on Delphi method
10.3760/cma.j.cn115398-20230823-00213
- VernacularTitle:基于德尔菲法建立类风湿关节炎寒湿痹阻证诊断标准的初步研究
- Author:
Yunting XIAO
1
;
Xiaodong WU
;
Maojie WANG
;
Kaixin GAO
;
Liyan MEI
;
Runyue HUANG
;
Xiumin CHEN
Author Information
1. 广州中医药大学第二临床医学院，广州 510120
- Keywords:
Rheumatoid arthritis;
Cold-dampness syndrome;
Delphi method;
Syndrome diagnosis
- From:
International Journal of Traditional Chinese Medicine
2024;46(11):1393-1400
- CountryChina
- Language:Chinese
-
Abstract:
Based on the Delphi method, combined with the results of the previous literature study and expert interviews, 3 rounds of expert consultation were conducted to evaluate the degree of concentration of expert opinions and their importance from 3 aspects: arithmetic mean, full score ratio ( Ki), and rank sum ( Si), to construct a diagnostic scale for rheumatoid arthritis (RA) cold-dampness syndrome. In this study, 30 expert questionnaires were distributed in the 1st round, 30 questionnaires were recovered, and the expert coordination coefficient was 0.309; 30 expert questionnaires were distributed in the 2nd round, 30 questionnaires were recovered, and the expert coordination coefficient was 0.320; and 30 expert questionnaires were distributed in the 3rd round, 29 questionnaires were recovered, and the expert coordination coefficient was 0.387. The maximum value of the coefficient of variation of the experts of the 3 rounds was 0.27, and the minimum value was 0.09, suggesting that the consistency and credibility of the experts' evaluation of the importance of the entries of cold-dampness syndrome were high. In this study, the mean values and weights of 17 entries were finally obtained, of which the top 5 entries were cold pain in joints (4.793, 0.066 6); aggravated by cold (4.586, 0.063 7); white tongue coating (4.552, 0.063 2); aggravated in cloudy and rainy days (4.448, 0.061 8); and painful joints that are not warm to the touch (4.379, 0.060 8). This study completed the screening of relevant entries and conducted preliminary discussions, laying the foundation for constructing a diagnostic scale for RA cold-dampness syndrome and forming the final diagnostic criteria. The research method is scientific and reliable, which can provide reference for the diagnostic standard of RA cold-dampness syndrome, but further clinical practice research is still needed.
