Application of Grading of Recommendations Assessment, Development, and Evaluation (GRADE) to the guideline development for clinical practice with acupuncture and moxibustion

doi:10.1007/s11684-017-0537-4

Front. Med.

2017, Vol. 11

Issue (4) : 590-594 https://doi.org/10.1007/s11684-017-0537-4

COMMENTARY

Application of Grading of Recommendations Assessment, Development, and Evaluation (GRADE) to the guideline development for clinical practice with acupuncture and moxibustion

Hong Zhao^1,²(

), Fengxia Liang¹, Yigong Fang², Baoyan Liu³

¹. Hubei University of Chinese Medicine/Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture and Moxibustion, Wuhan 430061, China
². Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China
³. China Academy of Chinese Medical Sciences, Beijing 100700, China

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Abstract

Grading of Recommendations Assessment, Development, and Evaluation (GRADE) offers a worldwide approach to guideline development for clinical practice. For the clinical practice of acupuncture therapy, 18 evidence-based guidelines have been developed in China using GRADE. In this study, we review the advantages and limitations of the GRADE approach in the guideline development for acupuncture and moxibustion and propose some solutions to these limitations. Scientific advantages of rating the quality of evidence, outcome-centric direction, overall progression to develop recommendations, and strength of recommendations providing specific clinical guidance are the advantages of GRADE. The limitations of GRADE in the development of guidelines for acupuncture and moxibustion include rating the quality of evidence for ancient literature and literature on famous traditional Chinese medicine experts’ experiences and specific guidelines for formulating recommendations from evidence. In the guideline development for clinical practice with acupuncture and moxibustion, we suggest that a specific method should be explored based on the GRADE approach and the characteristics of acupuncture therapy.

Keywords guideline acupuncture GRADE

Corresponding Author(s): Hong Zhao

Just Accepted Date: 04 July 2017 Online First Date: 14 August 2017 Issue Date: 04 December 2017

Cite this article:

Hong Zhao,Fengxia Liang,Yigong Fang, et al. Application of Grading of Recommendations Assessment, Development, and Evaluation (GRADE) to the guideline development for clinical practice with acupuncture and moxibustion[J]. Front. Med., 2017, 11(4): 590-594.

URL:

https://academic.hep.com.cn/fmd/EN/10.1007/s11684-017-0537-4
https://academic.hep.com.cn/fmd/EN/Y2017/V11/I4/590

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