TY - JOUR
T1 - Standard Protocol Items for Clinical Trials with Traditional Chinese Medicine 2018
T2 - Recommendations, Explanation and Elaboration (SPIRIT-TCM Extension 2018)
AU - Dai, Liang
AU - Cheng, Chung wah
AU - Tian, Ran
AU - ZHONG, Lidan
AU - Li, You ping
AU - LYU, Aiping
AU - Chan, An wen
AU - Shang, Hong cai
AU - BIAN, Zhaoxiang
N1 - Funding Information:
We thanks David Moher for his critical comments about this project. Special thanks for Dr. Martha Dahlen for her help in polishing this manuscript.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Traditional Chinese Medicine (TCM) is one of the oldest systems of medicine. More and more attention has been paid to TCM application, but the variable quality of clinical trials with TCM impedes its widespread acceptance. The Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 2013 Statement has established guidelines for designing clinical trials to ensure that the trial results are accurate and reliable. However, there are difficulties when applying SPIRIT 2013 Statement to trials with TCM, due to the unique theory and the characteristic of TCM intervention. An Extension to the original SPIRIT was developed to ensure the quality of trial design with TCM. As Chinese herbal formulae, acupuncture and moxibustion are common and representative interventions in TCM practice, the executive working group determined that the SPIRIT-TCM Extension focus on these three interventions. Extension was developed through initiation, 3 rounds of Delphi consensus survey, and finalizing expert meeting. Seven items from the SPIRIT 2013 Statement were modified, namely, "title", "background and rationale", "objectives", "eligibility criteria", "interventions", "outcomes", and "data collection methods". The Extension includes the introduction of the concept of TCM pattern and 3 major TCM interventions, with examples and explanations. The SPIRIT-TCM Extension 2018 provides suggestion for investigators in designing high quality TCM clinical trials. It is expected that wide dissemination and application of this extension ensure continuous improvement of TCM trial quality throughout the world.
AB - Traditional Chinese Medicine (TCM) is one of the oldest systems of medicine. More and more attention has been paid to TCM application, but the variable quality of clinical trials with TCM impedes its widespread acceptance. The Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 2013 Statement has established guidelines for designing clinical trials to ensure that the trial results are accurate and reliable. However, there are difficulties when applying SPIRIT 2013 Statement to trials with TCM, due to the unique theory and the characteristic of TCM intervention. An Extension to the original SPIRIT was developed to ensure the quality of trial design with TCM. As Chinese herbal formulae, acupuncture and moxibustion are common and representative interventions in TCM practice, the executive working group determined that the SPIRIT-TCM Extension focus on these three interventions. Extension was developed through initiation, 3 rounds of Delphi consensus survey, and finalizing expert meeting. Seven items from the SPIRIT 2013 Statement were modified, namely, "title", "background and rationale", "objectives", "eligibility criteria", "interventions", "outcomes", and "data collection methods". The Extension includes the introduction of the concept of TCM pattern and 3 major TCM interventions, with examples and explanations. The SPIRIT-TCM Extension 2018 provides suggestion for investigators in designing high quality TCM clinical trials. It is expected that wide dissemination and application of this extension ensure continuous improvement of TCM trial quality throughout the world.
KW - clinical trial
KW - extension
KW - recommendation
KW - SPIRIT
KW - traditional Chinese medicine
UR - http://www.scopus.com/inward/record.url?scp=85057570481&partnerID=8YFLogxK
U2 - 10.1007/s11655-018-2999-x
DO - 10.1007/s11655-018-2999-x
M3 - Article
C2 - 30484022
AN - SCOPUS:85057570481
VL - 25
SP - 71
EP - 79
JO - Chinese Journal of Integrative Medicine
JF - Chinese Journal of Integrative Medicine
SN - 1672-0415
IS - 1
ER -