Evaluation Of TCM Clinical Effect Based On Literature Methodology

With the development of medicine, a large number of Chinese clinical literature produced. The clinical literature has a huge role in promoting the development of Chinese medicine,By studying the factors that affect the quality of the clinical literature, we evaluated the clinical medicine literature. This is the premise of the TCM clinical literature analysis, also the basis for improving clinical evaluation system We hope that the previous clinical evaluation study of TCM can provide us a simple and effective method of TCM evaluating method, including TCM diagnosis and clinical trial design,TCM clinical efficacy assessment and TCM clinical security assessment.1 Research BackgroundAademy of Traditional Chinese Medicine Research Institute has done a lot of work in the literature-based evaluation of clinical effects of TCM. We studied the Chinese journal evaluation methods, data evaluation methods Traditional clinical literature, on the basis of which, we study TCM clinical trial design evaluation methods, clinical efficiency evaluation and clinical safety assessment of TCM.On this basis, we establish the clinical evaluation system for TCM according to research in the literature and clinician feedback.2 Research Content2.1 Research WaysWe first select major evaluation index through expert Assessment and the literature research, then ask experts to determine the weight of each index, in order to establish a macro and suitalbe the evaluation system. 2.2 Theory BasisThis comprehensive evaluation system is based on the basic ideas and principles of the system theory, and coincides with the whole concept of TCM.2.3 Model Constructing PrincipleComprehensiveness principle, objectivity principle, the principle of simple and practical, inclusive principles, operational principles2.4 Model Constructing StepsStep One:Determine the current generally recognized and used Quality assessment methods or concepts.Step Two:Determine clinical evaluation areas.Step Three:Determine clinical evaluation index.Step Four:Release the expert questionnaire, and rate the importance of the assessment.Step five:Select the index weight evaluation method.Step Six:Create a comprehensive evaluation model.2.5 Main Research MethodsExpert assessment, literature survey, questionnaire2.6 Index Selection1) Journal evaluation2) The literature citations, download situation, whether it belongs the Fund papers, etc.3) Dialectic treatment4) Clinical efficacy evaluation of TCM5) Evaluation of clinical trial design of TCM6) Clinical safety evaluation of TCM7) Western disease diagnosis basis and clinical examination index, etc.8) Life quality Scale form or the patient reported outcomes (PRO) area 2.7 Expert Questionnaire ConstructingWe select many clinical experts with more than 20 years. In explaining the purpose of this study, we invite experts choose from the evaluation questionnaire scores for each evaluation index based on their experience. We collect expert advice, and determine 8 index by sorting and statistic analysis.2.8 Determining of IndexThere are many method of determining of weights at present, summing up the subjective rating method and objective rating method.rights. Subjective Rating Method include expert scoring, paired comparison, Saaty weight method. Objective Rating Method include the fuzzy rating method, RSR, Correlation coefficient method,Entropy MethodHere we use direct scoring, paired comparison method and Saaty weight methodto determine the weights evaluation indexes.2.9 Intial Weighing Result1,Discussion of the clinical program 0.1422,Discussion of the clinical efficacy 0.1353,Dialectic treatment Discussion 0.1314,Core journal 0.1245,Cited Literature 0.1236,Security discussion 0.1227,PRO 0.1128,Western Medicine Discussion 0.1113 Summary and PerspectiveIdentification of the quality of TCM clinical literature is a very complicated system.In future work, we must continue to focus on methods of quality selection of literature for the user, so that the study is more index, more suitable for promotion.It is not hard to see, like in other studies, there are still many problems in the quality of TCM literature, which will affect the evaluation of clinical efficacy. We should strengthen the importance of research methodology study, develop the specifications for the standards, and set strict quality control, so that more evidence can be provided for medical research.