循证中医临床路径的报告规范

doi:10.3736/jcim20100903

Abstract

Clinical pathway (CP), as a standardized approach and clinical management process for disease diagnosing and treating, is being widely used with more relevant publications reported gradually. But different forms of CP reports may prevent the evaluation and spreading of CP. The authors recommend guidelines for evidence-based Chinese medicine CP report, including 18 items which form 5 big sections, by precise item selection and rigorous expert consensus. All these items can embody the principles of Chinese medicine and comply with the requirements of the clinical practice of Chinese medicine. All above are based on synthesizing the published literature systematically and analyzing the current status in this field, also according to the characteristics of Chinese medicine and methodology requirement of evidence-based medicine.

Key words: evidence-based medicine, Chinese medicine, clinical pathway, guidelines

Si-cheng Wang, Jian-ping Liu, Hui Li, He Yu. Guidelines for evidence-based Chinese medicine clinical pathway report. Journal of Chinese Integrative Medicine, 2010, 8(9): 819-823.

/ / Recommend

Add to citation manager EndNote| Reference Manager|ProCite|BibTeX|RefWorks

URL: http://www.jcimjournal.com/EN/10.3736/jcim20100903

http://www.jcimjournal.com/EN/Y2010/V8/I9/819

TrendMD

Figures/Tables 1

条目	主题	注释
1	标题	明确本路径报告的名称,是否中医临床路径,针对的主要临床疾病（或环节）
2	摘要	提供包括路径发表日期、版本及报告的结构性摘要,包括背景、目的、资料来源、制订过程等
3	制定者	明确制定组织的责任,提供制定小组的成员姓名、资质等信息
4	目标	介绍遵循路径预期可达到的目标,包括制定路径的总体指导思想和中医特点
5	适用范围	描述路径的适用范围,包括卫生保健服务提供者的类别及适用单位、机构条件资质等
6	目标病种/人群	明确路径适用的疾病病种（包括西医病种与中医病证）以及符合纳入路径标准的人群
7	中医干预	介绍中医药在该路径中的地位与作用,明确中医干预的环节与方法
8	证据收集	说明临床证据的来源与获取方法,如文献资料,应明确文献检索的时间、文献库范围、检索策略、筛选标准等
9	证据评价	描述证据的合成与评价方法,说明证据质量的评价标准,提供临床证据的分级推荐标准与推荐等级
10	预试结果	路径发布前制定者对该路径的评价、测试方法与结果
11	更新计划	表明路径的更新计划与周期
12	潜在的获益与风险	描述执行路径的预期获益和潜在的风险
13	路径标准操作流程	注明路径的适用对象、诊断依据、治疗方案的选择、诊疗方案、标准住院日、进入路径标准、检查项目、出院标准、变异及原因分析等内容,并可根据路径描述的实施步骤与决策绘制路径实施流程图
14	医师版临床路径表	以时间为横轴、诊疗项目为纵轴的表格,将临床路径确定的诊疗任务依时间顺序以表格清单的形式罗列出来
15	患者版临床路径告知单	用于向患者告知其需要接受的诊疗服务过程的表单。以通俗易懂的语言向患者介绍具体的治疗过程
16	变异记录单	记录和分析临床路径实施过程中的变异情况,记录的内容将作为分析路径实施效果的重要参考依据
17	临床诊疗规范化文件	包括临床诊疗标准操作规程,疾病诊断、中医辨证标准,疗效评价标准,治疗方案和操作标准等
18	管理文件	包括法律法规、医院规章制度和职责类文件、医院管理和评价指南类文件等

References 18

[1]	Graybeal KB, Gheen M, McKenna B .Clinical pathway development: the Overlake Model[J]. Nurs Manage, 1993,24(4):42-45 pmid: 8474749
[2]	Coffey RJ, Richards JS, Remmert CS, LeRoy SS, Schoville RR, Baldwin PJ .An introduction to critical paths[J]. Qual Manag Health Care, 1992,1(1):45-54
[3]	Zhang HY, Dong J . Application of clinical pathways on hospital management[J]. Guo Wai Yi Xue Yi Yuan Guan Li Feng Ce, 2001,18(3):98-101
	张宏雁, 董军 . 临床途径在医院管理中的应用[J]. 国外医学:医院管理分册, 2001,18(3):98-101
[4]	Zander K .Integrated care pathways: eleven international trends[J].J Integr Care Path, 2002, 6: 101-107 doi: 10.1177/147322970200600302
[5]	Hindle D, Yazbeck AM . Clinical pathways in 17 European Union countries: a purposive survey[J]. Aust Health Rev, 2005,29(1):94-104 doi: 10.1071/ah050094 pmid: 15683361
[6]	Vanhaecht K, Bollmann M, Bower K, Gallagher C, Gardini A, Guezo J, Jansen U, Massoud R, Moody K, Sermeus W, Zelm RV, Whittle C, Yazbeck AM, Zander K, Panella M .Prevalence and use of clinical pathways in 23 countries: an international survey by the European Pathway Association[J].J Integr Care Path, 2006, 10: 28-34
[7]	Vanhaecht K, De Witte K, Depreitere R, Van Zelm R, De Bleser L, Proost K, Sermeus W . Development and validation of a care process self-evaluation tool[J]. Health Serv Manage Res, 2007,20(3):189-202 doi: 10.1258/095148407781395964 pmid: 17683658
[8]	Hedman P, Palmer JS . A critical pathway for successful outpatient ureteral reimplantation: a nursing perspective[J]. J Perianesth Nurs, 2009,24(3):163-166 doi: 10.1016/j.jopan.2009.03.009 pmid: 19500749
[9]	Kinsman L, James E, Ham J . An interdisciplinary, evidence-based process of clinical pathway implementation increases pathway usage[J]. Lippincotts Case Manag, 2004,9(4):184-196 doi: 10.1097/00129234-200407000-00006
[10]	De Bleser L, Depreitere R, De Waele K, Vanhaecht K, Vlayen J, Sermeus W . Defining pathways[J]. J Nurs Manag, 2006,14(7):553-563 doi: 10.1111/jnm.2006.14.issue-7
[11]	Kang Y, Zhang ZY . Basic problem of clinical pathways implementation: quality and application of clinical path chart[J]. Zhongguo Wei Sheng Zhi Liang Guan Li, 2005,12(4):23-24 doi: 10.3969/j.issn.1006-7515.2005.04.010
	康颖, 张志英 . 实施临床路径基础问题——临床路径图质量与应用[J]. 中国卫生质量管理, 2005,12(4):23-24 doi: 10.3969/j.issn.1006-7515.2005.04.010
[12]	Zhou BL, Ying LP. Application guide for clinical pathways[M]. Beijing: Peking University Medical Press,2007: 22-23
	周保利, 英立平 . 临床路径应用指南[M]. 北京: 北京大学医学出版社,2007: 22-23
[13]	Cui SQ, Liang WN. The clinical guideline application manual[M]. Beijing: People’s Medical Publishing House,2003: 112-113
	崔树起, 梁万年 . 临床指南实用手册[M]. 北京: 人民卫生出版社,2003: 112-113
[14]	Ministry of Health of the People’s Republic of China. Management guiding principle of clinical pathways (trial implementation).[ 2010-02-18].
	中华人民共和国卫生部. 临床路径管理指导原则(试行).[ 2010-02-18].
[15]	Wang SC, Han M, Liu JP . Summary of clinical pathways and clinical application in traditional Chinese medicine[J]. Zhongguo Zhong Xi Yi Jie He Za Zhi, 2009,29(12):1067-1069
	王思成, 韩梅, 刘建平 . 临床路径概要及中医临床应用思路[J]. 中国中西医结合杂志, 2009,29(12):1067-1069
[16]	Liu JP . Body composition of traditional medical evidence and evidence grading of recommendations[J]. Zhongguo Zhong Xi Yi Jie He Za Zhi, 2007,27(12):1061-1063 doi: 10.3321/j.issn:1003-5370.2007.12.001
	刘建平 . 传统医学证据体的构成及证据分级的建议[J]. 中国中西医结合杂志, 2007,27(12):1061-1063 doi: 10.3321/j.issn:1003-5370.2007.12.001
[17]	Kan QC . The application of PDCA cycle in hospitals strategic management[J]. Zhongguo Yi Yuan Guan Li, 2009,29(8):47-49 doi: 10.3969/j.issn.1001-5329.2009.08.021
	阚全程 . PDCA循环在医院战略管理中的运用[J]. 中国医院管理, 2009,29(8):47-49 doi: 10.3969/j.issn.1001-5329.2009.08.021
[18]	Gray M, Tang JL. Evidence-based medicine: evidence-based health care decision-making[M]. Beijing: Peking University Medical Press,2004: 21-31
	Gray M, 唐金陵. 循证医学:循证医疗卫生决策[M]. 北京: 北京大学医学出版社,2004: 21-31

Related Articles 15

[1]	Wan-jun Guo, Yi Wang, Yu Deng, Lin-yan Cheng, Xin Liu, Ruo-fan Xi, Sheng-jie Zhu, Xin-yi Feng, Liang Hua, Kan Ze, Jian-yong Zhu, Dong-jie Guo, Fu-lun Li. Therapeutic effects of the extract of Sancao Formula, a Chinese herbal compound, on imiquimod-induced psoriasis via cysteine-rich protein 61. Journal of Integrative Medicine, 2022, 20(4): 376-384.
[2]	Shang-jin Song, Xuan Liu, Qing Ji, Da-zhi Sun, Li-juan Xiu, Jing-yu Xu, Xiao-qiang Yue. Ziyin Huatan Recipe, a Chinese herbal compound, inhibits migration and invasion of gastric cancer by upregulating RUNX3 expression. Journal of Integrative Medicine, 2022, 20(4): 355-364.
[3]	Marisa Casal. Improving the health and treatment success rates of in vitro fertilization patients with traditional chinese medicine: need for more robust evidence and innovative approaches. Journal of Integrative Medicine, 2022, 20(3): 187-192.
[4]	Ning Guo, Fei Wu, Mei Wu, Yuan Wang, Qing Lang, Xiao Lin, Yi Feng. Progress in the design and quality control of placeboes for clinical trials of traditional Chinese medicine . Journal of Integrative Medicine, 2022, 20(3): 204-212.
[5]	Yan-jun Lin, Kun-li Jiao, Bo Liu, Lu Fang, Shu Meng. Antiplatelet and myocardial protective effect of shexiang tongxin dropping pill in patients undergoing percutaneous coronary intervention: A randomized controlled trial. Journal of Integrative Medicine, 2022, 20(2): 126-134.
[6]	Ofer Baranovitch, Meirav Wolff-Bar, Meora Feinmesser, Chen Sade-Zaltz, Ilan Tsarfaty, Victoria Neiman. Searching for the emotional roots of breast cancer: A cross-disciplinary analysis integrating psychology, Chinese medicine, and oncology biomarkers. Journal of Integrative Medicine, 2022, 20(1): 57-64.
[7]	Jia-jia Li, Qing Liang, Guang-chun Sun. Traditional Chinese medicine for prevention and treatment of hepatocellular carcinoma: A focus on epithelial-mesenchymal transition. Journal of Integrative Medicine, 2021, 19(6): 469-477.
[8]	Rui-jin Qiu, Min Li, Jia-yuan Hu, Jing Chen, Hong-cai Shang. Methods for development of a core outcome set for clinical trials integrating traditional Chinese medicine and Western medicine. Journal of Integrative Medicine, 2021, 19(5): 389-394.
[9]	Mao-xing Pan, Chui-yang Zheng, Yuan-jun Deng, Kai-rui Tang, Huan Nie, Ji-qian Xie, Dong-dong Liu, Gui-fang Tu, Qin-he Yang, Yu-pei Zhang. Hepatic protective effects of Shenling Baizhu powder, a herbal compound, against inflammatory damage via TLR4/NLRP3 signalling pathway in rats with nonalcoholic fatty liver disease . Journal of Integrative Medicine, 2021, 19(5): 428-438.
[10]	Ning Zhang, Xiao-he Xiao. Integrative medicine in the era of cancer immunotherapy: Challenges and opportunities. Journal of Integrative Medicine, 2021, 19(4): 291-294.
[11]	Thomas Efferth, An-long Xu, Roxana Damiescu, Mita Banerjee, Norbert W. Paul, David Y.W. Lee. Can eastern wisdom resolve western epidemics? Traditional chinese medicine therapies and the opioid crisis. Journal of Integrative Medicine, 2021, 19(4): 295-299.
[12]	Hui Chen, Wei Feng, Ye Lu, Yi Yang, Zhong-hai Xin, Man Li, Li Xin, Ying-di Gong. Effects and mechanism of Chinese medicine Jiawei Yupingfeng in a mouse model of allergic rhinitis. Journal of Integrative Medicine, 2021, 19(4): 354-361.
[13]	Si-qi Tang, Yun-liang Wang, Zi-ye Xie, Yang Zhang, Yi Guo, Kang-li Gao, Tang-you Mao, Chun-e Xie, Jun-xiang Li, Xiao-yan Gao. Serum metabolic profiling of traditional Chinese medicine syndromes in patients with diarrhea-predominant irritable bowel syndrome. Journal of Integrative Medicine, 2021, 19(3): 274-281.
[14]	Miao-yan Shi, Shi-qi Sun, Wei Zhang, Xing Zhang, Gui-hua Xu, Xuan Chen, Zi-jian Su, Xiu-ming Song, Lu-jiong Liu, Yi-bao Zhang, Yi-le Zhang, Meng Sun, Qi Chen, Yan Xue, Hua Lü, Wei-an Yuan, Xiao-rong Chen, Yun-fei Lu. Early therapeutic interventions of traditional Chinese medicine in COVID-19 patients: a retrospective cohort study. Journal of Integrative Medicine, 2021, 19(3): 226-231.
[15]	Shu-jun Wei, Qing-man He, Qing Zhang, Kang-hua Fu, Ruo-lan Li, Wei Peng, Yong-xiang Gao. Traditional Chinese medicine is a useful and promising alternative strategy for treatment of Sjogren's syndrome: A review. Journal of Integrative Medicine, 2021, 19(3): 191-202.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed

Comments

Recommended 10

[1]	Jin-rong Fu. Establishment of multivariate diagnosis and treatment system of modern gynecology of traditional Chinese medicine. Journal of Chinese Integrative Medicine, 2008, 6(1): 22-24
[2]	Hao Li, Ming-jiang Yao, Wen-ming Zhao, Jie Guan, Lin-lin Cai, Ling Cui. A randomized, controlled, double-blind trial of Huannao Yicong capsule in senile patients with mild cognitive impairment. Journal of Chinese Integrative Medicine, 2008, 6(1): 25-31
[3]	Zhi-chun Jin. Problems in establishing clinical guideline for integrated traditional Chinese and Western medicine. Journal of Chinese Integrative Medicine, 2008, 6(1): 5-8
[4]	SUN Ming-yu, ZUO Jian, DUAN Ji-feng, HAN Jun, FAN Shi-ming, ZHANG Wei, ZHU Li-fang, YAO Ming-hui. Antitumor activities of kushen flavonoids in vivo and in vitro. Journal of Chinese Integrative Medicine, 2008, 6(1): 51-59
[5]	Min Cheng, Qiong Feng, Shu-wen Qian, Hui Gao, Cui-qing Zhu. Preliminary assay of p-amyloid binding elements in heart-beneficial recipe. Journal of Chinese Integrative Medicine, 2008, 6(1): 68-72
[6]	Ning-qun Wang, Liang-duo Jiang, Zong-xing Li. Research progress in asthma-related quality of life. Journal of Chinese Integrative Medicine, 2008, 6(1): 93-97
[7]	Jing-yuan Mao, Chang-xiao Liu, Heng-he Wang, Guang-li Wei , Zhen-peng Zhang, Jie Xing, Wang Xian liang , Ying-fei Bi . Effects of Shenmai Injection on serum concentration and pharmacokinetics of digoxin in dogs with heart failure. Journal of Chinese Integrative Medicine, 2010, 8(11): 1070-1074
[8]	Zhi-mei Wang, Bin Zhang. A study on translation of ellipses in Huangdi Neijing from perspective of hermeneutic theory. Journal of Chinese Integrative Medicine, 2010, 8(11): 1097-1100
[9]	Gui Yu, Jie Wang. Thinking on building the network cardiovasology of Chinese medicine. Journal of Chinese Integrative Medicine, 2012, 10(11): 1206-1210
[10]	Pedro Saganha João, Doenitz Christoph, Greten Tobias, Efferth Thomas, J. Greten Henry. Qigong therapy for physiotherapists suffering from burnout: a preliminary study. Journal of Chinese Integrative Medicine, 2012, 10(11): 1233-1239

Guidelines for evidence-based Chinese medicine clinical pathway report

RichHTML

PDF (PC)

Like