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Journal of Chinese Integrative Medicine ›› 2011, Vol. 9 ›› Issue (8): 813-818.doi: 10.3736/jcim20110801

• Editorial •     Next Articles

Introduce the idea of comparative effectiveness research to clinical research of Chinese medicine

Yan-ming Xie, Xing Liao(), Yong-yan Wang   

  1. Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China
  • Received:2011-07-05 Accepted:2011-07-21 Online:2011-08-20 Published:2011-08-15

Comparative effectiveness research (CER) has gained more and more popularity, which brought great response in the USA and other developed Western countries. There is no doubt that CER is a new idea and a milestone in health care research. CER is also known as “patient-centered outcomes research”, which means patient is the core element in the whole system of CER. Chinese medicine could make new achievements and further development by introducing CER into clinical research. This article mainly introduced the background, features and contents of CER and summarized how to conduct CER in Chinese medicine by referring to some published literature in order to enlighten Chinese medicine researchers.

Key words: comparative effectiveness research, traditional Chinese medicine science, evaluation studies, treatment outcome, research methods

[1] Steinbrook R . Health care and the American Recovery and Reinvestment Act. N Engl J Med. 2009; 360(11):1057-1060.
[2] National Information Center on Health Services Research and Health Care Technology (NICHSR). Comparative effectiveness research ( CER) (Also known as patient- centered outcomes research). ( 2010 -07-28) [2011-05- 16].
[3] The Congress of the United States,Congressional Budget Office. Research on the comparative effectiveness of medical treatments: issues and options for an expanded federal role. ( 2007 -12) [2011-05-16].
[4] Wen ZH .Thinking of Chinese medicine clinical therapeutic efficacy contents and research strategies. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2011; 31(4):452-454. Chinese with abstract inEnglish.
doi: 10.1007/s10008-010-1224-4
温泽淮 . 中医临床疗效评价内容与研究策略的思考.中国中西医结合杂志. 2011; 31(4):452-454.
doi: 10.1007/s10008-010-1224-4
[5] Wu DR .Thinking of basic problems for Chinese medicine clinical therapeutic efficacy assessement. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2011; 31(4):455-458. Chinese with abstract inEnglish.
吴大嵘 . 中医临床疗效评价基础性问题思考.中国中西医结合杂志. 2011; 31(4):455-458
[6] Ye LS, Liu YD . Experience from American CER and GWTG. Zhongguo Yi Yao Dao Bao. 2009; 6(34):120-123. Chinese.
doi: 10.3969/j.issn.1673-7210.2009.34.070
叶林书, 刘永东 . 美国CER和GWTG研究择撷与教益.中国医药导报. 2009; 6(34):120-123.
doi: 10.3969/j.issn.1673-7210.2009.34.070
[7] Sackett DL, Straus S, Richardson S, Rosenberg W, Haynes RB . Evidence-based medicine : how to practice and teach EBM. 2nd ed. London: Churchill Livingstone. 2000.
[8] Wu YQ, Hu YH . Application of pragmatic clinical trials in clinical evaluation of Chinese medicine. Zhongguo Zhong XiYi Jie He Za Zhi. 2011; 30(12):1241-1244. Chinese with abstract inEnglish.
武轶群, 胡永华 . 实用性临床试验在中医疗效评价中的应用.中国中西医结合杂志. 2011; 30(12):1241-1244.
[9] Manchikanti L, Falco FJ, Boswell MV, Hirsch JA . Facts, fallacies, and politics of comparative effectiveness research: Part I. Basic considerations. Pain Physician. 2010; 13(1) : E23-E54.
[10] Comparative effectiveness: its origin, evolution,influence on health care. J Oncol Pract. 2009; 5(2):80-82.
doi: 10.1200/JOP.0926001 pmid: 2790638
[11] Patient-Centered Outcomes Research Institute . About PCOR.[ 2011-05-16]. . About PCOR. [2011-05-16]. .
[12] U.S. Government Accountability Office. GAO announces appointments to new Patient-Centered Outcomes Research Institute ( PCORI) Board of Governors. ( 2010 -09-23) [2011-05-16].
[13] Patel K . Health reform’s tortuous route to the patient- centered outcomes research institute. Health Aff (Milwood). 2010; 29(10):1777-1782.
doi: 10.1377/hlthaff.2010.0874 pmid: 20921475
[14] Center for Medical Technology Policy. Overview of the Patient-Centered Outcomes Research Institute. ( 2008) [ 2011-05-16].
[15] Medicare Payment Advisory Commission,Miller ME. Report to the Congress: reforming the delivery system. ( 2008 -09-16) [2011-05-16].
[16] Federal Coordinating Council for Comparative Effectiveness Research. Report to the President and the Congress. ( 2009 -06-30) [2011-05-16].
[17] American College of Physicians. Information on cost- effectiveness: an essential product of a national comparative effectiveness program. Ann Intern Med. 2008 ; 148(12):956-961.
doi: 10.7326/0003-4819-148-12-200806170-00222
[18] Sculpher M . Subgroups and heterogeneity in cost- effectiveness analysis. Pharmacoeconomics. 2008; 26(9):799-806.
[19] Committee on Comparative Effectiveness Research Prioritization,Institute of Medicine of the National Academies. Initial national priorities for comparative effectiveness research. Washington, D. C.: National Academies Press .. 2009.
doi: 10.17226/12648
[20] Center for Medical Technology Policy. Comparative effectiveness definitions. ( 2008)[ 2011-05-16]. 2008) [2011-05-16]. .
[21] Aickin M . Comparative effectiveness research and CAM.[J] Altern Complement Med. 2010; 16(1):1-2.
doi: 10.1089/acm.2009.0718 pmid: 3116569
[22] Drozda JP, Bufalino VJ, Fasules JW, Peterson ED, Redberg RF, Wright JS, Allen JM . ACC 2009 Advocacy Position Statement: Principles for comparative effectiveness research. J Am Coll Cardiol. 2009; 54(18):1744-1746.
[23] Witt CM . Clinical research on acupuncture — Concepts and guidance on efficacy and effectiveness research. Chin J Integr Med. 2011; 17(3):166-172.
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