Evidence-based practice guideline of Chinese herbal medicine for primary open-angle glaucoma (qingfeng -neizhang)
| Autor: | Wei Chen, Yu-Peng He, Chao-Ting Ma, Qiang Li, Ming Jin, Yue Yang, Yingxin Yang, Qiu-Yan Ma |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Evidence-based practice Chinese proprietary herbal medicine MEDLINE open-angle glaucoma Traditional Chinese medicine Cochrane Library law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Humans 030212 general & internal medicine clinical guideline business.industry General Medicine Guideline Systematic review Family medicine Meta-analysis randomized controlled trials ComputingMethodologies_DOCUMENTANDTEXTPROCESSING 030221 ophthalmology & optometry Chinese herbal medicine business Glaucoma Open-Angle Systematic Review and Meta-Analysis Drugs Chinese Herbal Research Article |
| Zdroj: | Medicine |
| ISSN: | 0025-7974 |
| DOI: | 10.1097/md.0000000000010126 |
| Popis: | Supplemental Digital Content is available in the text Background: Primary open angle glaucoma (POAG) is a chronic, progressive optic neuropathy. The aim was to develop an evidence-based clinical practice guideline of Chinese herbal medicine (CHM) for POAG with focus on Chinese medicine pattern differentiation and treatment as well as approved herbal proprietary medicine. Methods: The guideline development group involved in various pieces of expertise in contents and methods. Authors searched electronic databases include CNKI, VIP, Sino-Med, Wanfang data, PubMed, the Cochrane Library, EMBASE, as well as checked China State Food and Drug Administration (SFDA) from the inception of these databases to June 30, 2015. Systematic reviews and randomized controlled trials of Chinese herbal medicine treating adults with POAG were evaluated. Risk of bias tool in the Cochrane Handbook and evidence strength developed by the GRADE group were applied for the evaluation, and recommendations were based on the findings incorporating evidence strength. After several rounds of Expert consensus, the final guideline was endorsed by relevant professional committees. Results: CHM treatment principle and formulae based on pattern differentiation together with approved patent herbal medicines are the main treatments for POAG, and the diagnosis and treatment focusing on blood related patterns is the major domain. Conclusion: CHM therapy alone or combined with other conventional treatment reported in clinical studies together with Expert consensus were recommended for clinical practice. |
| Databáze: | OpenAIRE |
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