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

Ya Yuwen; Nan-nan Shi; Xue-jie Han; Ying Gao; Jian-long XU; Da-sheng Liu; Bacon NG; Dora Tsui; Li-dan Zhong; Eric Ziea; Zhao-xiang Bian; Ai-ping LU

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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.

Author: Ya YUWEN ¹ ; Nan-nan SHI ¹ ; Xue-Jie HAN ² ; Ying GAO ³ ; Jian-long XU ⁴ ; Da-sheng LIU ¹ ; Bacon NG ⁵ ; Dora TSUI ⁵ ; Li-dan ZHONG ⁶ ; Eric ZIEA ⁵ ; Zhao-xiang BIAN ⁶ ; Ai-ping LU ⁷
Author Information

1. Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, 100700, China.
2. Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, 100700, China. xuejieh@126.com.
3. Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, 100700, China.
4. Xiyuan Hospital Affiliated to China Academy of Chinese Medical Sciences, Beijing, 100091, China.
5. Chinese Medicine Department, Hong Kong Hospital Authority, Beijing, Hong Kong SAR, China.
6. School of Chinese Medicine, Hong Kong Baptist University, Kowloon Tong, Kowloon, Hong Kong, SAR, China.
7. Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, 100700, China. aipinglu@hkbu.edu.hk.
Publication Type:Journal Article
Keywords: Appraisal of Guidelines for Research and Evaluation; clinical practice guideline; ischemic stroke; systematic review
MeSH: Biomedical Research; Brain Ischemia; complications; therapy; Health Planning Guidelines; Humans; Medicine, Chinese Traditional; Practice Guidelines as Topic; Stroke; complications; therapy
From: Chinese journal of integrative medicine 2015;21(9):707-715
CountryChina
Language:English
Abstract:
OBJECTIVETo 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.
METHODSCM 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.
RESULTSFive 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.
CONCLUSIONThe 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.