دورية أكاديمية
Prioritizing Chinese Medicine Clinical Research Questions in Cancer Palliative Care: International Delphi Survey.
| العنوان: | Prioritizing Chinese Medicine Clinical Research Questions in Cancer Palliative Care: International Delphi Survey. |
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| المؤلفون: | Wong CHL; Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Shatin, Hong Kong; Hong Kong Institute of Integrative Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong., Wu IXY; Xiang-Ya School of Public Health, Central South University, Changsha, China., Balneaves LG; College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada., Lo RSK; Hospice and Palliative Care, New Territories East Cluster, Hospital Authority, Kowloon, Hong Kong., Witt CM; Institute for Complementary and Integrative Medicine, University Hospital Zurich and University Zurich, Zurich, Switzerland., Wu JCY; Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Shatin, Hong Kong; Hong Kong Institute of Integrative Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong., Leung TH; School of Chinese Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong., Chung VCH; School of Chinese Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong; Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong. Electronic address: vchung@cuhk.edu.hk. |
| المصدر: | Journal of pain and symptom management [J Pain Symptom Manage] 2019 Dec; Vol. 58 (6), pp. 1002-1014.e7. Date of Electronic Publication: 2019 Aug 09. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 8605836 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-6513 (Electronic) Linking ISSN: 08853924 NLM ISO Abbreviation: J Pain Symptom Manage Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York, NY : Elsevier Original Publication: [Madison, WI : Dept. of Anesthesiology, University of Wisconsin--Madison, 1986- |
| مواضيع طبية MeSH: | Medicine, Chinese Traditional* , Palliative Care* , Research Design*, Neoplasms/*therapy, Acupuncture Therapy ; Adult ; Aged ; Attitude of Health Personnel ; China ; Delphi Technique ; Drugs, Chinese Herbal/adverse effects ; Drugs, Chinese Herbal/therapeutic use ; Female ; Humans ; Male ; Middle Aged ; Nurses ; Physicians ; Surveys and Questionnaires |
| مستخلص: | Context: Chinese medicine modalities, including acupuncture and Chinese herbal medicine (CHM), have been used as palliative interventions among cancer patients. More research should be conducted to confirm their effectiveness. Objectives: The objective of this study was to prioritize Chinese medicine clinical research questions for cancer palliative care. Methods: Twelve international experts, including physicians, Chinese medicine practitioners, nurses, and clinical research methodologists (n = 3 from each category), from Asia, North America, Australia, and Europe participated in a two-round Delphi survey for prioritizing 29 research questions identified from existing systematic reviews. The experts were asked to 1) rate clinical importance of answering the questions on a nine-point Likert scale; 2) provide qualitative comments on their ratings; and 3) suggest outcome measurement approaches. Results: Eight research priorities reached positive consensus after the two-round Delphi survey. Six of the priorities focused on acupuncture and related therapies, of which median ratings on importance ranged from 7.0 to 8.0 (interquartile range: 1.00 to 2.50), and the percentage agreement ranged from 75.0% to 91.7%. The remaining two priorities related to CHM, with median ratings ranged from 7.0 to 8.0 (interquartile range: 1.00 to 1.50) and percentage agreement ranged from 75.0% to 83.3%. Neither positive nor negative consensus was established among the remaining 21 questions. Conclusion: The findings will inform rational allocation of scarce research funding for evaluating the effectiveness of Chinese medicine for cancer palliative care, especially on acupuncture and related therapies. Further research on herb safety and herb-drug interaction should be performed before conducting international trials on CHM. (Copyright © 2019 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Delphi technique; Palliative care; integrative medicine; research priorities |
| المشرفين على المادة: | 0 (Drugs, Chinese Herbal) |
| تواريخ الأحداث: | Date Created: 20190813 Date Completed: 20201013 Latest Revision: 20201013 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.jpainsymman.2019.08.002 |
| PMID: | 31404640 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1873-6513 |
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| DOI: | 10.1016/j.jpainsymman.2019.08.002 |