Appraisal of clinical practice guidelines for the management of rheumatoid arthritis in traditional Chinese medicine using the AGREE II instrument: A systematic review

Ya Yuwen, Xuejie Han, Nannan Shi, Liying Wang, Xing Liao, Lidan ZHONG, Zhaoxiang BIAN, Aiping LYU*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

9 Citations (Scopus)

Abstract

Introduction: An increasing number of clinical practice guidelines (CPGs) in traditional Chinese medicine (TCM) for rheumatoid arthritis (RA) have been issued, and all have been developed in China but their quality is unclear. This study aimed to systematically review the quality and consistency of recommendations on the TCM CPGs for RA in China using the AGREE II instrument. Methods: TCM CPGs identified from five electronic databases and hand searches through related handbooks published between January 1990 and December 2012. The CPG 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 method reported previously. Four reviewers independently appraised the CPGs based on the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument, and compared the recommendation on TCM pattern (Zheng) classification and treatment. Results: Five TCM CPGs satisfied the inclusion criteria. The quality score of EB guideline was higher than CB-EB and CB guidelines. Five TCM patterns in the CPGs were recommended in the EB CPG. The herbal preparations including Tripterygium wilfordii recommended in the EB CPG were mostly recommended for RA treatment. The recommendations on non-drug management in the CPGs were fairly consistent, and the recommendations are different based on the different TCM patterns accordingly. Conclusions: EB CPG for RA treatment in TCM show higher quality with measurement of AGREE II instrument, and it suggested that TCM CPG could be better developed with clinical evidence.

Original languageEnglish
Pages (from-to)176-185
Number of pages10
JournalEuropean Journal of Integrative Medicine
Volume6
Issue number2
DOIs
Publication statusPublished - Apr 2014

Scopus Subject Areas

  • Complementary and alternative medicine

User-Defined Keywords

  • AGREE II
  • Clinical practice guideline
  • Rheumatoid arthritis
  • Systematic review
  • Traditional Chinese medicine

Fingerprint

Dive into the research topics of 'Appraisal of clinical practice guidelines for the management of rheumatoid arthritis in traditional Chinese medicine using the AGREE II instrument: A systematic review'. Together they form a unique fingerprint.

Cite this