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Building a Strategic Framework for Comparative Effectiveness Research in Complementary and Integrative Medicine

机译:建立补充和中西医比较功效研究的战略框架

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摘要

The increasing burden of chronic diseases presents not only challenges to the knowledge and expertise of the professional medical community, but also highlights the need to improve the quality and relevance of clinical research in this domain. Many patients now turn to complementary and integrative medicine (CIM) to treat their chronic illnesses; however, there is very little evidence to guide their decision-making in usual care. The following research recommendations were derived from a CIM Stakeholder Symposium on Comparative Effectiveness Research (CER): (1) CER studies should be made a priority in this field; (2) stakeholders should be engaged at every stage of the research; (3) CER study designs should highlight effectiveness over efficacy; (4) research questions should be well defined to enable the selection of an appropriate CER study design; (5) the CIM community should cultivate widely shared understandings, discourse, tools, and technologies to support the use and validity of CER methods; (6) Effectiveness Guidance Documents on methodological standards should be developed to shape future CER studies. CER is an emerging field and its development and impact must be reflected in future research strategies within CIM. This stakeholder symposium was a first step in providing systematic guidance for future CER in this field.
机译:慢性疾病负担的增加不仅对专业医学界的知识和专业提出了挑战,而且还强调了提高这一领域临床研究的质量和相关性的必要性。现在,许多患者转向补充和综合医学(CIM)来治疗他们的慢性病。但是,很少有证据可以指导他们在常规护理中的决策。以下研究建议来自CIM相对有效性研究利益相关者专题讨论会(CER):(1)CER研究应在该领域中优先考虑; (2)利益相关者应参与研究的每个阶段; (3)CER研究设计应强调有效性而非有效性; (4)应明确界定研究问题,以便选择合适的CER研究设计; (5)CIM社区应培养广泛共享的理解,论述,工具和技术,以支持CER方法的使用和有效性; (6)应制定有关方法标准的有效性指导文件,以塑造未来的CER研究。 CER是一个新兴领域,其发展和影响必须反映在CIM的未来研究策略中。此次利益相关者座谈会是为该领域未来的CER提供系统指导的第一步。

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