Evidence-based research in complementary and alternative medicine II: The process of evidence-based research
Evidence-based research in complementary and alternative medicine II: The process of evidence-based research
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DOI：
10.1093/ecam/nek017
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发表时间：
2006-03-01
影响因子：
--
通讯作者：
Cajulis, OS
中科院分区：
文献类型：
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作者：
Chiappelli, F;Prolo, P;Cajulis, OS
在验证新的或改进的治疗干预模式的功效和有效性的过程中，严格遵循科学方法是当代医学的普遍做法。因此，这些补充或替代干预措施必须通过严格的研究进行验证，然后才能可靠地融入西医。在未来的几十年里，将有越来越多的循证研究，旨在建立补充和替代医学（CAM）的最佳证据。本系列讲座的第二篇论文探讨了CAM背景下的循证研究（EBR）过程。我们概述了EBR的基本原则，过程和相关性，以及它对CAM的影响。我们强调EBR未来发展的领域。我们注意到，目前将EBR应用于CAM的主要问题与这样一个事实有关，即EBR的贡献只有在EBR过程中使用的研究具有良好质量的程度上才是重要的。CAM研究的质量往往不足以保证产生共识声明。然而，EBR可以通过识别CAM研究的当前弱点来促进CAM。我们提出了一个修订后的工具来评估文献的质量。
It is a common practice in contemporary medicine to follow stringently the scientific method in the process of validating efficacy and effectiveness of new or improved modes of treatment intervention. It follows that these complementary or alternative interventions must be validated by stringent research before they can be reliably integrated into Western medicine. The next decades will witness an increasing number of evidence-based research directed at establishing the best available evidence in complementary and alternative medicine (CAM). This second paper in this lecture series examines the process of evidence-based research (EBR) in the context of CAM. We outline the fundamental principles, process and relevance of EBR, and its implication to CAM. We underscore areas of future development in EBR. We note that the main problem of applying EBR to CAM at present has to do with the fact that the contribution of EBR can be significant only to the extent to which studies used in the process of EBR are of good quality. All too often CAM research is not of sufficient quality to warrant the generation of a consensus statement. EBR, nevertheless, can contribute to CAM by identifying current weaknesses of CAM research. We present a revised instrument to assess quality of the literature.