Acupuncture & Meridian Science Research Centre, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea; Australian Research Centre in Complementary and Integrative Medicine, Faculty of Health, University of Technology Sydney, Sydney, Australia.
Australian Research Centre in Complementary and Integrative Medicine, Faculty of Health, University of Technology Sydney, Sydney, Australia.
Complement Ther Med. 2019 Apr;43:7-19. doi: 10.1016/j.ctim.2018.12.023. Epub 2019 Jan 2.
To provide a critical analysis of peer-reviewed literature reporting research from practice-based research networks (PBRNs) relating to complementary and alternative medicine (CAM).
A comprehensive literature search of peer-reviewed literature reporting PBRN research focusing upon CAM was conducted in PubMed, Ovid Medline, EMBASE, and CINAHL from their inceptions to June 2017. PBRN registry and websites of relevant PBRNs were also searched for further information. With regards to the nested PBRN studies included in our review, no study design restrictions were imposed and both empirical research and relevant methodologically-focused manuscripts were included. Methodological quality was evaluated via a number of established tools.
A total of 51 articles reporting upon CAM research in PBRNs including six articles outlining CAM-focused PBRN establishment were included in the review. The findings of the literature were categorised as either: health services research (including work examining characteristics of patients and practices, doctor-patient communication, and CAM prevalence); effectiveness/safety research; or feasibility research. While 19 studies from non-CAM focused PBRNs tended to report on CAM prevalence and doctor-patient communication about CAM use, 26 articles from CAM-focused PBRNs reported on the characteristics of CAM users, practice patterns, and effectiveness/safety of CAM practice.
PBRNs - both CAM-focused and non-CAM focused - have provided a useful platform for research investigations around a number of core CAM-related issues. Given the increasing popularity of CAM use in healthcare and the identified benefits of practice-relevant research, further in-depth CAM research nested within PBRN designs is warranted.
对基于实践研究网络（PBRN）的补充和替代医学（CAM）相关研究的同行评议文献进行批判性分析。
在 PubMed、Ovid Medline、EMBASE 和 CINAHL 中全面检索了从成立之初到 2017 年 6 月发表的关于 PBRN 研究 CAM 的同行评议文献。还搜索了 PBRN 登记处和相关 PBRN 的网站，以获取更多信息。关于我们综述中包含的嵌套 PBRN 研究，没有对研究设计进行限制，包括实证研究和相关方法学重点的手稿。通过一些既定工具评估方法学质量。
共纳入 51 篇关于 PBRN 中 CAM 研究的文章，其中 6 篇文章概述了 CAM 重点 PBRN 的建立，纳入了综述。文献的结果分为以下几类：卫生服务研究（包括研究患者和实践特征、医患沟通以及 CAM 流行情况）；有效性/安全性研究；或可行性研究。虽然来自非 CAM 重点 PBRN 的 19 项研究倾向于报告 CAM 流行情况和医患关于 CAM 使用的沟通情况，但来自 CAM 重点 PBRN 的 26 篇文章报告了 CAM 用户的特征、实践模式以及 CAM 实践的有效性/安全性。
PBRN——包括 CAM 重点和非 CAM 重点——为围绕许多核心 CAM 相关问题的研究调查提供了有用的平台。鉴于 CAM 在医疗保健中的使用日益普及以及实践相关研究的益处，需要进一步深入开展嵌套在 PBRN 设计中的 CAM 研究。
