Ang Lin, Song Eunhye, Jong Miek C, Alræk Terje, Wider Barbara, Choi Tae-Young, Jun Ji Hee, Lee Boram, Choi Yujin, Lee Hye Won, Yang Changsop, Yim Mi Hong, Yamashita Hitoshi, Ji Zhaochen, Hu Haiyin, Zhang Junhua, Liu Jianping, Chen Yaolong, Qin Yishan, Lu Liming, Qu Fan, Hansen Odd-Magne, Kwon Chan-Young, Leem Jungtae, Lee Hyangsook, Kim Tae-Hun, Kim Kun Hyung, Park Sunju, Lee Ye-Seul, Jang Soobin, Won Jiyoon, Choi Jiae, Lee Juah, Kim Song-Yi, Lee Myeong Soo
Korean Medicine Science Research Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.
Global Cooperation Center, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.
Integr Med Res. 2024 Sep;13(3):101070. doi: 10.1016/j.imr.2024.101070. Epub 2024 Jul 25.
Traditional medicine (TM) plays a significant role in healthcare either as part of the primary healthcare system or as an adjunct to conventional medicine. This study aimed to map systematic reviews (SRs) of TM modalities across health conditions and identify gaps in the research literature to facilitate priority setting in future TM research.
We searched 17 databases from January 2018 to December 2022. Reviewers in pairs independently performed the database search, screened each record for inclusion, extracted data, and performed quality assessments using the AMSTAR 2 - A Measurement Tool to Assess systematic Reviews. To be included in this evidence map, the studies had to be SRs of clinical studies that evaluated the effectiveness of a TM modalities. The included SRs were analyzed according to TM modality, ICD-11 disease classification, and health outcomes, and visualized using graphical plots.
We retrieved 241,509 records. After excluding duplicate records, 181,616 titles and abstracts were screened and 20,856 records were selected for full-text assessment, of which 18,137 records were further excluded. The final 2719 included SRs were primarily in adults (2591) with only 128 SRs in the pediatric population. The most commonly evaluated health conditions were diseases of the digestive system, circulatory system, and genitourinary system, with herbal medicine ( = 1867) and acupuncture ( = 471) being the most investigated TM modalities in treating these illnesses. Based on AMSTAR 2 criteria, the methodology quality of the included SRs is considerably low.
This evidence map provides a comprehensive overview of the extent and nature of the available research onTM modalities across health conditions. It provides an initial step towards characterizing the global evidence base and outlining gaps in the existing evidence. We regard this study as laying the basis for future research of TM modalities.
The protocol of this map is registered in PROSPERO (CRD42023416355).
传统医学（TM）在医疗保健中发挥着重要作用，既作为初级卫生保健系统的一部分，也作为传统医学的辅助手段。本研究旨在梳理针对各种健康状况的传统医学模式的系统评价（SRs），并找出研究文献中的空白，以促进未来传统医学研究的优先级设定。
我们在2018年1月至2022年12月期间检索了17个数据库。评审人员两两独立进行数据库检索，筛选每条记录以确定是否纳入，提取数据，并使用AMSTAR 2——一种评估系统评价的测量工具进行质量评估。要纳入本证据图谱，研究必须是评估传统医学模式有效性的临床研究的系统评价。对纳入的系统评价根据传统医学模式、国际疾病分类第11版（ICD-11）疾病分类和健康结局进行分析，并使用图形进行可视化展示。
我们检索到241,509条记录。排除重复记录后，筛选了181,616篇标题和摘要，选择了20,856条记录进行全文评估，其中又排除了18,137条记录。最终纳入的2719篇系统评价主要针对成年人（2591篇），儿科人群中只有128篇系统评价。最常评估的健康状况是消化系统、循环系统和泌尿生殖系统疾病，草药（n = 1867）和针灸（n = 471）是治疗这些疾病时研究最多的传统医学模式。根据AMSTAR 2标准，纳入的系统评价的方法学质量相当低。
本证据图谱全面概述了针对各种健康状况的传统医学模式现有研究的范围和性质。它为刻画全球证据基础和勾勒现有证据中的空白迈出了第一步。我们认为本研究为未来传统医学模式的研究奠定了基础。
本图谱的方案已在国际前瞻性系统评价注册库（PROSPERO）中注册（CRD42023416355）。
