Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Appraisal of Guidelines for Research & Evaluation II Appraisal of Clinical Practice Guidelines for Traffic Injuries

Appraisal of Guidelines for Research & Evaluation (AGREE) II를 이용한 교통사고 상해증후군의 국내·외 기개발 임상진료지침의 평가

  • Park, Kyeong-Won (School of Korean Medicine, Pusan National University) ;
  • Lee, Jun-Seok (School of Korean Medicine, Pusan National University) ;
  • Kim, Hyun-Tae (Department of Korean Medicine Rehabilitation, Korean Medicine Hospital, Pusan National University) ;
  • Park, Sun-Young (School of Korean Medicine, Pusan National University) ;
  • Heo, In (School of Korean Medicine, Pusan National University) ;
  • Shin, Byung-Cheul (School of Korean Medicine, Pusan National University)
  • 박경원 (부산대학교 한의학전문대학원) ;
  • 이준석 (부산대학교 한의학전문대학원) ;
  • 김현태 (부산대학교한방병원 한방재활의학과) ;
  • 박선영 (부산대학교 한의학전문대학원) ;
  • 허인 (부산대학교 한의학전문대학원) ;
  • 신병철 (부산대학교 한의학전문대학원)
  • Received : 2021.09.07
  • Accepted : 2021.09.27
  • Published : 2021.10.31
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Abstract

Objectives This study was aimed to evaluate clinical practice guidelines (CPGs) of traffic injuries, which has already been developed at domestic or outside of country, and to explore the Korean medical treatments included in the CPGs. Methods Twelve electronic databases (PubMed, Cochrane library, China National Knowledge Infrastructure [CNKI {Chinese Academic Journals, CAJ}], Research Information Sharing Service [RISS], Oriental Medicine Advanced Searching Integrated System [OASIS], KoreaMed, Korean Medical Guideline Information [KoMGI), National Guideline Clearinghouse [AHRQ], Core Outcome Measures in Effectiveness Trials Initiative Website [COMET], Turning Research into Practice [TRIP], The National Institute for Health and Care Excellence [NICE], and Medical Research Information Center [MedRIC]) up to July 2021 were searched. Only systematically developed CPGs for traffic injuries were selected and appraised. The appraisal was conducted by using Appraisal of Guidelines for Research & Evaluation (AGREE) II tool. Results Six CPGs were included and evaluated. All CPGs were appraised as highly recommended because they exceeded 60% in more than 4 among 6 domains of AGREE II, including domain of 'rigor of development', and 30% in the rest. Recommendations related to Korean medicine treatments such as on manual therapy related to Chuna were given in 6 CPGs, 4 for acupuncture, 1 for Qigong and 1 for Taping. Conclusions The 6 CPGs were developed up to now through a systematic development methodology and there were many recommendations for Korean medical treatments related to manual (Chuna) treatment, acupuncture and Qigong. However, the evidence for the side effects and risk factors of Korean medical treatments was scantly reflected in CPGs. Therefore, it is considered that balanced CPG with benefits and risks should be developed, covering Korean medical diagnosis, treatment and prognosis.

Keywords

Acknowledgement

This work was supported by clinical research grant from Pusan National University Hospital in 2021. This study was also supported by the Traditional Korean Medicine R&D program funded by the Ministry of Health & Welfare through the Korea Health Industry Development Institute (KHIDI) (grant number: HB16C0013).

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