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Evidence‐based practice guideline on integrative medicine for stroke 2019

Xiaojia Ni, Hao Lin, Hui Li, Wenjing Liao, Xufei Luo, Darong Wu · Journal of Evidence-Based Medicine · 2020

AbstractObjectiveStroke is the leading cause of death and disability in China. Chinese medicine integrated with conventional medicine is now widely used in the prevention and treatment of stroke. A clinical practice guideline for the application of integrative medicine in stroke is urgently needed.MethodsThis guideline was developed following the methodology and procedures recommended in the World Health Organization Handbook for Guideline Development and the Guideline Development Handbook for Diagnosis and Therapy of Integrative Medicine. The quality of evidence and strength of recommendations were evaluated using the GRADE approach. The guideline followed the RIGHT statement and AGREE II was consulted to ensure its quality.ResultsA multidisciplinary working team was established. Eleven research questions from 15 clinical questions were identified by questionnaire surveys, face‐to‐face meetings, and analyzed by the working team. Fourteen recommendations regarding integrative medicine for ischemic stroke, hemorrhagic stroke, and complications of stroke were formulated from systematic reviews of the benefits, harms, cost‐effectiveness, quality of evidence, the values and preferences

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