| PurposeThe author tries to estimate the quality and methods of essays abouttraditional Chinese medicine (TCM) treatment on chronic renal failure (CRF)which were published in domestic journals in the past five years. Then theauthor analyzes the present conditions and the problems of the research methodsabout all the researches. Finally, the author tries to estimate these essays'degree of reliability and the clinical values, and guide some clinicaltreatment according to these proofs.Method1. Firstly the author retrieves the essays about Chinese medicine treatmenton CRF with the data base of CBM (2002-2006). The following are the key wordsfor retrieval: CRF/chronic/the treatment of massage, the treatment ofacupuncture point, the treatment of acupuncture, the treatment of combinationof TCM with western medicine, the treatment of theory of TCM and traditionalChinese drug, the treatment of traditional Chinese drug only and the treatmentof TCM only AND Year＞=2002. Then another retrieval is carried out on essaysof the same contents on data base of TCMARS(2002-2006).The retrieving key wordsare as the following: CRF or Chronic Renal Failure or Chronic kidney failureor "CRF"/title AND (Year＞=2002)/Year.2. The author selects the essays according to the rules of adoption andrejection.3. The author makes the "Estimating Table about Systematic Review of TCM onChronic Renal Failure", then he tries to estimate every essay according tothe tables from the following aspects: The entirety conditions, the desireof the researches, the methods dealing with statistics and the induction ofthe conclusion. 4. The author builds up the data base and manages all the data with the softwareExcel.Results1. On research methods: Firstly, the word "randomization" appears in everyessay, but 206(92.7％) essays do not describe the detailed methods. Five ofthem (2.3％) are with wrong randomization. None of them describes the concealedrandom assignment. Secondly, 217(97.7％) essays haven't the description ofblind method. Thirdly, only 4 (1.8％) essays mention the follow-up visiting.Fourthly, 91(41.0％) essays do not set up statistic methods before hand. Fifthly,only 12(5.4％) essays make the conclusions according to the results of treatmentand only 22(10.0％) records can discuss the results with the representativeof the samples. And lastly, 79(35.6％) records do not mention the clinical andstatistic significance of the results.2. On professional techniques: First, almost all the essays are not rigorouswith the sample selection. Most of them can use some established diagnosticcriteria to determine the research target, but 55(24.8％) do not mentiondiagnostic criteria and 20(9.0％) use diagnostic criteria made by themselves,133(59.9％) essays do not have the standards on adoption while 159(71.6％)haven't the standards on rejection. Second, not enough attention is paid tothe formulation of standards on syndrome and disease differentiation of TCM.Only 58(26.1％) essays have their standards on it. Third, on treatment measure,172(77.5％) essays use fixed prescription and 135(60.8％) use fixed measure.Fourth, 166(52.3％) essays use self made curative effect criteria. Fifth,49(22.1％) essays fail to distinguish the primary outcomes from the secondaryones. And lastly, little attention is paid on the description of adversereaction, 197(88.7％) essays do not mention it.ConclusionAs the estimating results of the essays show, some problems remain on boththe research methods and the professional techniques. Thus knowledge aboutepidemiology and Evidence-based Medicine (EBM) should made popular toresearches of the TCM Treatment on CRF so as to improve the quality of essaysin this field and have better guidance on clinical practice.
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