Improving acupuncture research: progress, guidance, and future directions.
10.13703/j.0255-2930.20221205-0001
- Author:
Wei-Juan GANG
1
;
Yu-Tong FEI
2
;
Jian-Ping LIU
2
;
Hong ZHAO
3
;
Li-Ming LU
4
;
Neng-Gui XU
4
;
Bao-Yan LIU
5
;
Yu-Qing ZHANG
6
;
Xiang-Hong JING
1
Author Information
1. Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.
2. Centre for Evidence-Based Chinese Medicine, Beijing University of CM.
3. Department of Acupuncture and Moxibustion, Shenzhen Luohu District Hospital of TCM.
4. South China Research Center for Acupuncture and Moxibustion, Guangzhou University of CM.
5. China Academy of Chinese Medical Sciences.
6. Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
- Publication Type:Journal Article
- Keywords:
acupuncture;
clinical practice guideline;
paradigm of clinical research;
randomized controlled trial (RCT);
systematic review
- MeSH:
Acupuncture Therapy;
Acupuncture;
Research Design;
Consensus
- From:
Chinese Acupuncture & Moxibustion
2023;43(1):3-7
- CountryChina
- Language:Chinese
-
Abstract:
This paper makes an interpretation of the collection Acupuncture: how to improve the evidence base published by BMJ & BMJ Open. Studies show that the quality of randomized controlled trial (RCT) of acupuncture is low, and multivariable Meta-regression analysis fails to confirm most factors commonly believed to influence the effect of acupuncture. The methodological challenges in design and conduct of RCT in acupuncture were analyzed, and a consensus on how to design high-quality acupuncture RCT was developed. The number of acupuncture systematic reviews was huge but the evidence was underused in clinical practice and health policy, and a large number of western clinical practice guidelines recommended acupuncture therapy, but the usefulness of recommendations needed to be improved. In view of the problems in clinical research on acupuncture mentioned in this collection, combined with the analysis of the purpose of clinical research on acupuncture, perspectives, study types, as well as the relationship between evidence and clinical decision-making, a five-stage study paradigm of clinical research on acupuncture is proposed.
