Complementary and Alternative Medicine in Clinical Practice Guideline for Insomnia
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참고문헌
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초록
Objectives: The aim of this review was to investigate whether evidence of complementary and alter-native medicine (CAM) was reflected in clinical practice guidelines (CPGs) for insomnia based on rele-vant clinical trials.Methods: We conducted a systematic search on domestic and international CPG databases and medi-cal databases. In addition, we conducted manual searches of relevant articles. Three authors in-dependently searched and selected relevant studies; any disagreement was resolved by discussion. We extracted and analyzed the following data: published language, country, development group, partic-ipants, interventions, presence or absence of recommendations for CAM, level of evidence, grade of recommendation for CAM, and methods of development.Results: We identified 8,241 records from domestic and international databases, and 22 CPGs were included. Eleven of the 22 CPGs mentioned CAM interventions including herbal medicine, relaxation, acupuncture moxibustion, Tai Chi, meditation, hypnosis, biofeedback, Tuina, and external herbal medicine. However, most of the CPGs indicated 'no recommendation' or 'weak recommendation' for CAM interventions. Only Valeriana dageletiana Nakai and relaxation were considered to have ex-perimental evidence. Valeriana dageletiana Nakai was recommended for improvement of sleep la-tency, sleep maintenance, total sleeping time, and sleep cycle. Relaxation was recommended as effec-tive intervention for relieving physical and psychological arousal.Conclusions: Despite systematic reviews and randomized controlled trials on CAM for insomnia, most of the CPGs for insomnia did not reflect the evidence obtained. Further CPGs for insomnia should be developed by considering the current advanced studies in the field of CAM.
Abstract
Objectives: The aim of this review was to investigate whether evidence of complementary and alter-native medicine (CAM) was reflected in clinical practice guidelines (CPGs) for insomnia based on rele-vant clinical trials.Methods: We conducted a systematic search on domestic and international CPG databases and medi-cal databases. In addition, we conducted manual searches of relevant articles. Three authors in-dependently searched and selected relevant studies; any disagreement was resolved by discussion. We extracted and analyzed the following data: published language, country, development group, partic-ipants, interventions, presence or absence of recommendations for CAM, level of evidence, grade of recommendation for CAM, and methods of development.Results: We identified 8,241 records from domestic and international databases, and 22 CPGs were included. Eleven of the 22 CPGs mentioned CAM interventions including herbal medicine, relaxation, acupuncture moxibustion, Tai Chi, meditation, hypnosis, biofeedback, Tuina, and external herbal medicine. However, most of the CPGs indicated 'no recommendation' or 'weak recommendation' for CAM interventions. Only Valeriana dageletiana Nakai and relaxation were considered to have ex-perimental evidence. Valeriana dageletiana Nakai was recommended for improvement of sleep la-tency, sleep maintenance, total sleeping time, and sleep cycle. Relaxation was recommended as effec-tive intervention for relieving physical and psychological arousal.Conclusions: Despite systematic reviews and randomized controlled trials on CAM for insomnia, most of the CPGs for insomnia did not reflect the evidence obtained. Further CPGs for insomnia should be developed by considering the current advanced studies in the field of CAM.
참고문헌 (49)
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