Suggestions for developing and writing the acupuncture prescription in the recommendations of clinical practice guidelines_Chinese Journal of Evidence-Based Medicine

Authors：

GAO Yicheng ^1,2,3 , CHAI Qianyun ^1,2,3 , LUO Minjing ^1,2,3 , TAO Liyuan ⁴ , FENG Yuting ^1,2,3 , CAO Rui ^1,2,3 , LIU Zhihan ^1,2,3 , FANG Rui ⁵ , DU Shihao ⁶ ,  FEI Yutong ^1,2,3

1. Centre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, P. R. China;
2. Institute for Excellence in Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, P. R. China;
3. Beijing GRADE Center, Beijing University of Chinese Medicine, Beijing 100029, P. R. China;
4. Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing 100191, P. R. China;
5. Affiliated Hospital of Traditional Chinese Medicine, Xinjiang Medical University, Wulumuqi 830000, P. R. China;
6. Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, P. R. China;

Corresponding author：

FEI Yutong, Email: yutong_fei@163.com

Keywords：

Acupuncture prescription; Recommendation; Methodology; Clinical practice guideline

DOI：

10.7507/1672-2531.202303079

Video：

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Currently, the recommendations of the clinical practice guidelines related to acupuncture in China and abroad are opaque to the source of the acupuncture prescription, there is a lack of comprehensive evaluation of the rationality of the acupuncture prescription, and the standards for the selection of the acupuncture prescription are opaque and nonstandard, and the writing and reporting details are insufficient, thus affecting the clinical applicability of the guidelines. To a certain extent, the utilization rate of the recommendations of the guidelines is low. This paper discusses the origin, rationality comprehensive evaluation, priority selection, writing and reporting of acupuncture prescriptions, and puts forward detailed methodological suggestions, to provide guidance makers of methodological optimization thoughts and suggestions for the evaluation, selection and writing of acupuncture prescriptions in the recommendations.

Citation： GAO Yicheng, CHAI Qianyun, LUO Minjing, TAO Liyuan, FENG Yuting, CAO Rui, LIU Zhihan, FANG Rui, DU Shihao, FEI Yutong. Suggestions for developing and writing the acupuncture prescription in the recommendations of clinical practice guidelines. Chinese Journal of Evidence-Based Medicine, 2023, 23(10): 1236-1240. doi: 10.7507/1672-2531.202303079 Copy

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2.	Guo Y, Zhao H, Wang F, et al. Recommendations for acupuncture in clinical practice guidelines of the national guideline clearinghouse. Chin J Integr Med, 2017, 23(11): 864-870.
3.	Zhang YQ, Lu L, Xu N, et al. Increasing the usefulness of acupuncture guideline recommendations. BMJ, 2022, 376: e070533.
4.	国瑶, 赵宏, 朱民, 等. 美国临床实践指南中对针灸疗法的推荐意见现状分析. 中医药导报, 2017, 23(13): 1-5,10.
5.	Tang X, Shi X, Zhao H, et al. Characteristics and quality of clinical practice guidelines addressing acupuncture interventions: a systematic survey of 133 guidelines and 433 acupuncture recommendations. BMJ Open, 2022, 12(2): e058834.
6.	靳英辉, 黄瑞秀, 靳永萍, 等. 临床实践指南制定方法—指南推荐意见的撰写及呈现. 中国循证心血管医学杂志, 2018, 10(8): 897-902.
7.	陈滢如, 杨莉, 王莹莹, 等. 针灸治疗肩周炎循证临床实践指南. 世界针灸杂志(英文版), 2017, 27(3): 1-8.
8.	储浩然, 胡进, 孙奎, 等. 针灸治疗神经根型颈椎病临床实践指南. 世界针灸杂志(英文版), 2017, 27(1): 3-11.
9.	赵宏, 刘保延, 刘志顺, 等. 针灸治疗腰痛临床指南. 世界针灸杂志(英文版), 2016, 26(4): 1-14.
10.	赵吉平, 王军. 基于《中风假性球麻痹针灸临床实践指南》的针灸治疗方案推荐. 北京: 第七届北京国际康复论坛论文集(上册), 2012: 485-487.
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12.	Neumann I, Schünemann HJ. Guideline groups should make recommendations even if the evidence is considered insufficient. CMAJ, 2020, 192(2): E23-E24.
13.	Neumann I, Alonso-Coello P, Vandvik PO, et al. Do clinicians want recommendations. A multicenter study comparing evidence summaries with and without GRADE recommendations. J Clin Epidemiol, 2018, 99: 33-40.
14.	Guyatt GH, Oxman AD, Vist G, et al. GRADE guidelines: 4. Rating the quality of evidence-study limitations (risk of bias). J Clin Epidemiol, 2011, 64(4): 407-415.
15.	Jaeschke R, Guyatt GH, Dellinger P, et al. Use of GRADE grid to reach decisions on clinical practice guidelines when consensus is elusive. BMJ, 2008, 337: a744.
16.	师雨晴, 谢红艳, 陈青, 等. 基于中医临床指南探讨中医药领域证据分级体系的构建. 吉林中医药, 2020, 40(11): 1424-1428.
17.	陈薇, 方赛男, 刘建平. 基于证据体的中医药临床证据分级标准建议. 中国中西医结合杂志, 2019, 39(3): 358-364.
18.	张萌, 翟振国. 《中国肺动脉高压诊断与治疗指南(2021版)》解读—指南撰写的方法学. 中国实用内科杂志, 2021, 41(7): 590-592.
19.	杨思红. 中医药临床实践指南中“从证据到推荐”制订的方法研究. 北京: 北京中医药大学, 2021.
20.	王云云, 靳英辉, 陈耀龙, 等. 循证临床实践指南推荐意见形成的方法分析. 中国循证医学杂志, 2017, 17(9): 1085-1092.
21.	Xie R, Xia Y, Chen Y, et al. The RIGHT extension statement for traditional Chinese medicine: development, recommendations, and explanation. Pharmacol Res, 2020, 160: 105178.
22.	Tang C, Duan Y, Zhang Y, et al. RIGHT for acupuncture: an extension of the RIGHT statement for clinical practice guidelines on acupuncture. J Clin Epidemiol, 2021, 139: 330-339.

1. Greenlee H, DuPont-Reyes MJ, Balneaves LG, et al. Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. CA Cancer J Clin, 2017, 67(3): 194-232.
2. Guo Y, Zhao H, Wang F, et al. Recommendations for acupuncture in clinical practice guidelines of the national guideline clearinghouse. Chin J Integr Med, 2017, 23(11): 864-870.
3. Zhang YQ, Lu L, Xu N, et al. Increasing the usefulness of acupuncture guideline recommendations. BMJ, 2022, 376: e070533.
4. 国瑶, 赵宏, 朱民, 等. 美国临床实践指南中对针灸疗法的推荐意见现状分析. 中医药导报, 2017, 23(13): 1-5,10.
5. Tang X, Shi X, Zhao H, et al. Characteristics and quality of clinical practice guidelines addressing acupuncture interventions: a systematic survey of 133 guidelines and 433 acupuncture recommendations. BMJ Open, 2022, 12(2): e058834.
6. 靳英辉, 黄瑞秀, 靳永萍, 等. 临床实践指南制定方法—指南推荐意见的撰写及呈现. 中国循证心血管医学杂志, 2018, 10(8): 897-902.
7. 陈滢如, 杨莉, 王莹莹, 等. 针灸治疗肩周炎循证临床实践指南. 世界针灸杂志(英文版), 2017, 27(3): 1-8.
8. 储浩然, 胡进, 孙奎, 等. 针灸治疗神经根型颈椎病临床实践指南. 世界针灸杂志(英文版), 2017, 27(1): 3-11.
9. 赵宏, 刘保延, 刘志顺, 等. 针灸治疗腰痛临床指南. 世界针灸杂志(英文版), 2016, 26(4): 1-14.
10. 赵吉平, 王军. 基于《中风假性球麻痹针灸临床实践指南》的针灸治疗方案推荐. 北京: 第七届北京国际康复论坛论文集(上册), 2012: 485-487.
11. 陈超. 针灸临床证据转化为推荐意见的关键因素研究. 北京: 中国中医科学院, 2019.
12. Neumann I, Schünemann HJ. Guideline groups should make recommendations even if the evidence is considered insufficient. CMAJ, 2020, 192(2): E23-E24.
13. Neumann I, Alonso-Coello P, Vandvik PO, et al. Do clinicians want recommendations. A multicenter study comparing evidence summaries with and without GRADE recommendations. J Clin Epidemiol, 2018, 99: 33-40.
14. Guyatt GH, Oxman AD, Vist G, et al. GRADE guidelines: 4. Rating the quality of evidence-study limitations (risk of bias). J Clin Epidemiol, 2011, 64(4): 407-415.
15. Jaeschke R, Guyatt GH, Dellinger P, et al. Use of GRADE grid to reach decisions on clinical practice guidelines when consensus is elusive. BMJ, 2008, 337: a744.
16. 师雨晴, 谢红艳, 陈青, 等. 基于中医临床指南探讨中医药领域证据分级体系的构建. 吉林中医药, 2020, 40(11): 1424-1428.
17. 陈薇, 方赛男, 刘建平. 基于证据体的中医药临床证据分级标准建议. 中国中西医结合杂志, 2019, 39(3): 358-364.
18. 张萌, 翟振国. 《中国肺动脉高压诊断与治疗指南(2021版)》解读—指南撰写的方法学. 中国实用内科杂志, 2021, 41(7): 590-592.
19. 杨思红. 中医药临床实践指南中“从证据到推荐”制订的方法研究. 北京: 北京中医药大学, 2021.
20. 王云云, 靳英辉, 陈耀龙, 等. 循证临床实践指南推荐意见形成的方法分析. 中国循证医学杂志, 2017, 17(9): 1085-1092.
21. Xie R, Xia Y, Chen Y, et al. The RIGHT extension statement for traditional Chinese medicine: development, recommendations, and explanation. Pharmacol Res, 2020, 160: 105178.
22. Tang C, Duan Y, Zhang Y, et al. RIGHT for acupuncture: an extension of the RIGHT statement for clinical practice guidelines on acupuncture. J Clin Epidemiol, 2021, 139: 330-339.

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