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Building a strategic framework for comparative effectiveness research in complementary and integrative medicine
Claudia M Witt1, Margaret Chesney, Richard Gliklich
1Institute for Social Medicine, Epidemiology and Health Economics, Charité University Medical Center, Berlin, Germany ; Center for Integrative Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Evidence-Based Complementary and Alternative Medicine : Ecam
|January 25, 2013
Summary
Patients increasingly use complementary and integrative medicine (CIM) for chronic diseases. Research recommendations emphasize prioritizing comparative effectiveness research (CER) and engaging stakeholders to improve evidence-based care.
Area of Science:
- Integrative Medicine
- Health Services Research
Background:
- Chronic diseases pose significant challenges to healthcare systems.
- Patients frequently seek complementary and integrative medicine (CIM) for managing chronic conditions.
- Limited clinical research evidence exists to guide CIM use in standard patient care.
Purpose of the Study:
- To outline research recommendations for comparative effectiveness research (CER) in complementary and integrative medicine (CIM).
- To address the need for improved quality and relevance of clinical research in CIM for chronic diseases.
Main Methods:
- Recommendations were derived from a CIM Stakeholder Symposium focused on CER.
- The symposium involved key stakeholders in discussing and defining future research priorities.
Main Results:
- Prioritize CER studies in CIM.
- Engage stakeholders throughout the research process.
- Focus CER designs on effectiveness over efficacy.
- Develop clear research questions for appropriate study design selection.
- Foster shared understanding and tools for CER methods within the CIM community.
- Create Effectiveness Guidance Documents for methodological standards.
Conclusions:
- Comparative Effectiveness Research (CER) is crucial for advancing complementary and integrative medicine (CIM).
- Systematic guidance is needed to shape future CER strategies within CIM.
- This symposium represents a foundational step towards developing robust CER in CIM.
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