Evidence map›Paper›PMID 28521826›Full record

ArticleBMC complementary and alternative medicine2017

Practitioners' perspectives on evaluating treatment outcomes in traditional Chinese medicine.

Yan-Hong Zhang, Jing Lv, Wei Gao, Jun Li, Ji-Qian Fang, Li-Yun He, Bao-Yan Liu

Abstract read
In one paragraph

Article in BMC complementary and alternative medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yan-Hong ZhangInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Dongzhimennei Nanxiaojie #16, Beijing, 100700, China.
Jing LvGuang'anmen Hospital, China Academy of Chinese Medical Sciences, Beixiange #5, Beijing, 100053, China.
Wei GaoBa Li Zhuang Community Health Service Center, Yanjingxili #11, Beijing, 100025, China.
Jun LiChina Institute of History and Literature of Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, 100700, China.
Ji-Qian FangSchool of Public Health, Sun Yat-sen University, 74 Zhongshan Road II, Guangzhou, 510080, China.
Li-Yun HeInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Dongzhimennei Nanxiaojie #16, Beijing, 100700, China. hely3699@163.com.
Bao-Yan LiuChina Academy of Chinese Medical Sciences, Beijing, 100700, China. liuby5505@139.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are no generally accepted standards for evaluation of treatment outcomes in traditional Chinese medicine (TCM). Pattern differentiation and individual treatments are recognized as the most distinguishing features of TCM. Therefore, how practitioners determine curative effects is an issue worthy of research, though little has been done in this area up to this point. This study examines perceptions of the effectiveness of TCM treatments and the means of evaluating clinical outcomes from the practitioners' perspective.

methodsQualitative analysis of semi-structured interviews.

resultsA total of nine TCM practitioners from three university-affiliated hospitals and two scientific institutions participated in the interviews in August 2013. Participants reported evaluation of periodical treatment as an important part of the process of individual treatment based on pattern differentiation. Themes included (1) ways of evaluating treatment outcomes; (2) relationships between treatment outcomes and pathological transformation; and (3) distinguishing manifestations of the healing process from true adverse reactions. These considerations helped determine the optional treatment principles for further follow-up. An additional theme emerged related to the characteristics of diagnosis and treatment in TCM.

conclusionsHealth professionals considered all of the following as important ways of evaluating TCM treatment outcomes: patients' input and subjective experience, physicians' intake and examination, laboratory tests and medical device measurements. Pathological conditions were determined based on all the above factors, and no single factor determined the effectiveness from the practitioners' perspectives. If the patients felt no significant beneficial effects, then it was necessary to judge the effectiveness from adverse effect. The follow-up measures were usually based on the previous treatment, and physicians' satisfaction with each phase of TCM treatment was a significant factor in the process of making further decisions.

Indexed as

Attitude of Health PersonnelDecision MakingEvaluation Studies as TopicHumansMaleMedicine, Chinese TraditionalMiddle AgedPhysiciansTreatment OutcomeEvaluationPractitionersTraditional Chinese medicineTreatment outcomes

Identifiers

PMID28521826
PMCPMC5437539

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.