The quantity and quality of complementary and alternative medicine clinical practice guidelines on herbal medicines, acupuncture and spinal manipulation: systematic review and assessment using AGREE II
Identifieur interne : 000165 ( Main/Exploration ); précédent : 000164; suivant : 000166The quantity and quality of complementary and alternative medicine clinical practice guidelines on herbal medicines, acupuncture and spinal manipulation: systematic review and assessment using AGREE II
Auteurs : Jeremy Y. Ng ; Laurel Liang ; Anna R. GagliardiSource :
- BMC Complementary and Alternative Medicine [ 1472-6882 ] ; 2016.
Abstract
Complementary and alternative medicine (CAM) use is often not disclosed by patients, and can be unfamiliar to health care professionals. This may lead to underuse of beneficial CAM therapies, and overuse of other CAM therapies with little proven benefit or known contraindications. No prior research has thoroughly evaluated the credibility of knowledge-based resources. The purpose of this research was to assess the quantity and quality of CAM guidelines.
A systematic review was conducted to identify CAM guidelines. MEDLINE, EMBASE and CINAHL were searched in January 2016 from 2003 to 2015. The National Guideline Clearinghouse, National Center for Complementary and Integrative Health web site, and two CAM journals were also searched. Eligible guidelines published in English language by non-profit agencies on herbal medicine, acupuncture, or spinal manipulation for adults with any condition were assessed with the Appraisal of Guidelines, Research and Evaluation II (AGREE II) instrument.
From 3,126 unique search results, 17 guidelines (two herbal medicine, three acupuncture, four spinal manipulation, eight mixed CAM therapies) published in 2003 or later and relevant to several clinical conditions were eligible. Scaled domain percentages from highest to lowest were clarity of presentation (85.3 %), scope and purpose (83.3 %), rigour of development (61.2 %), editorial independence (60.1 %), stakeholder involvement (52.0 %) and applicability (20.7 %). Quality varied within and across guidelines. None of the 17 guidelines were recommended by both appraisers; 14 were recommended as Yes or Yes with modifications.
Guidelines that scored well could be used by patients and health care professionals as the basis for discussion about the use of these CAM therapies. In future updates, guidelines that achieved variable or lower scores could be improved according to specifications in the AGREE II instrument, and with insight from a large number of resources that are available to support guideline development and implementation. Future research should identify CAM therapies other than those reviewed here for which guidelines are available. Research is also needed on the safety and effectiveness of CAM therapies.
The online version of this article (doi:10.1186/s12906-016-1410-8) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12906-016-1410-8
PubMed: 27793133
PubMed Central: 5086054
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The quantity and quality of complementary and alternative medicine clinical practice guidelines on herbal medicines, acupuncture and spinal manipulation: systematic review and assessment using AGREE II</title><author><name sortKey="Ng, Jeremy Y" sort="Ng, Jeremy Y" uniqKey="Ng J" first="Jeremy Y." last="Ng">Jeremy Y. Ng</name><affiliation><nlm:aff id="Aff1">Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario Canada</nlm:aff><wicri:noCountry code="subfield">Ontario Canada</wicri:noCountry></affiliation></author><author><name sortKey="Liang, Laurel" sort="Liang, Laurel" uniqKey="Liang L" first="Laurel" last="Liang">Laurel Liang</name><affiliation><nlm:aff id="Aff1">Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario Canada</nlm:aff><wicri:noCountry code="subfield">Ontario Canada</wicri:noCountry></affiliation></author><author><name sortKey="Gagliardi, Anna R" sort="Gagliardi, Anna R" uniqKey="Gagliardi A" first="Anna R." last="Gagliardi">Anna R. Gagliardi</name><affiliation><nlm:aff id="Aff1">Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario Canada</nlm:aff><wicri:noCountry code="subfield">Ontario Canada</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27793133</idno><idno type="pmc">5086054</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5086054</idno><idno type="RBID">PMC:5086054</idno><idno type="doi">10.1186/s12906-016-1410-8</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000229</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000229</idno><idno type="wicri:Area/Pmc/Curation">000229</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000229</idno><idno type="wicri:Area/Pmc/Checkpoint">000047</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000047</idno><idno type="wicri:Area/Ncbi/Merge">002129</idno><idno type="wicri:Area/Ncbi/Curation">002129</idno><idno type="wicri:Area/Ncbi/Checkpoint">002129</idno><idno type="wicri:Area/Main/Merge">000165</idno><idno type="wicri:Area/Main/Curation">000165</idno><idno type="wicri:Area/Main/Exploration">000165</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The quantity and quality of complementary and alternative medicine clinical practice guidelines on herbal medicines, acupuncture and spinal manipulation: systematic review and assessment using AGREE II</title><author><name sortKey="Ng, Jeremy Y" sort="Ng, Jeremy Y" uniqKey="Ng J" first="Jeremy Y." last="Ng">Jeremy Y. Ng</name><affiliation><nlm:aff id="Aff1">Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario Canada</nlm:aff><wicri:noCountry code="subfield">Ontario Canada</wicri:noCountry></affiliation></author><author><name sortKey="Liang, Laurel" sort="Liang, Laurel" uniqKey="Liang L" first="Laurel" last="Liang">Laurel Liang</name><affiliation><nlm:aff id="Aff1">Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario Canada</nlm:aff><wicri:noCountry code="subfield">Ontario Canada</wicri:noCountry></affiliation></author><author><name sortKey="Gagliardi, Anna R" sort="Gagliardi, Anna R" uniqKey="Gagliardi A" first="Anna R." last="Gagliardi">Anna R. Gagliardi</name><affiliation><nlm:aff id="Aff1">Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario Canada</nlm:aff><wicri:noCountry code="subfield">Ontario Canada</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Complementary and Alternative Medicine</title><idno type="eISSN">1472-6882</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Complementary and alternative medicine (CAM) use is often not disclosed by patients, and can be unfamiliar to health care professionals. This may lead to underuse of beneficial CAM therapies, and overuse of other CAM therapies with little proven benefit or known contraindications. No prior research has thoroughly evaluated the credibility of knowledge-based resources. The purpose of this research was to assess the quantity and quality of CAM guidelines.</p></sec><sec><title>Methods</title><p>A systematic review was conducted to identify CAM guidelines. MEDLINE, EMBASE and CINAHL were searched in January 2016 from 2003 to 2015. The National Guideline Clearinghouse, National Center for Complementary and Integrative Health web site, and two CAM journals were also searched. Eligible guidelines published in English language by non-profit agencies on herbal medicine, acupuncture, or spinal manipulation for adults with any condition were assessed with the Appraisal of Guidelines, Research and Evaluation II (AGREE II) instrument.</p></sec><sec><title>Results</title><p>From 3,126 unique search results, 17 guidelines (two herbal medicine, three acupuncture, four spinal manipulation, eight mixed CAM therapies) published in 2003 or later and relevant to several clinical conditions were eligible. Scaled domain percentages from highest to lowest were clarity of presentation (85.3 %), scope and purpose (83.3 %), rigour of development (61.2 %), editorial independence (60.1 %), stakeholder involvement (52.0 %) and applicability (20.7 %). Quality varied within and across guidelines. None of the 17 guidelines were recommended by both appraisers; 14 were recommended as Yes or Yes with modifications.</p></sec><sec><title>Conclusions</title><p>Guidelines that scored well could be used by patients and health care professionals as the basis for discussion about the use of these CAM therapies. In future updates, guidelines that achieved variable or lower scores could be improved according to specifications in the AGREE II instrument, and with insight from a large number of resources that are available to support guideline development and implementation. Future research should identify CAM therapies other than those reviewed here for which guidelines are available. Research is also needed on the safety and effectiveness of CAM therapies.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12906-016-1410-8) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Barnes, Pm" uniqKey="Barnes P">PM Barnes</name></author><author><name sortKey="Powell Griner, E" uniqKey="Powell Griner E">E Powell-Griner</name></author><author><name sortKey="Mcfann, K" uniqKey="Mcfann K">K McFann</name></author><author><name sortKey="Nahin, Rl" uniqKey="Nahin R">RL Nahin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eisenberg, Dm" uniqKey="Eisenberg D">DM Eisenberg</name></author><author><name sortKey="Davis, Rb" uniqKey="Davis R">RB Davis</name></author><author><name sortKey="Ettner, Sl" uniqKey="Ettner S">SL 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sortKey="James, R" uniqKey="James R">R James</name></author><author><name sortKey="Moore, V" uniqKey="Moore V">V Moore</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Gagliardi, Anna R" sort="Gagliardi, Anna R" uniqKey="Gagliardi A" first="Anna R." last="Gagliardi">Anna R. Gagliardi</name><name sortKey="Liang, Laurel" sort="Liang, Laurel" uniqKey="Liang L" first="Laurel" last="Liang">Laurel Liang</name><name sortKey="Ng, Jeremy Y" sort="Ng, Jeremy Y" uniqKey="Ng J" first="Jeremy Y." last="Ng">Jeremy Y. Ng</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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