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Evaluating traditional and complementary medicines: Where do we go from here?

Lydia Wenxin Lin1, Aparna Ananthakrishnan2, Yot Teerawattananon1,2

  • 1Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.

International Journal of Technology Assessment in Health Care
|March 17, 2021
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Evaluating traditional and complementary medicines for COVID-19 presents challenges. Guidance on assessing safety, efficacy, and quality is needed to integrate these therapies into healthcare systems.

Keywords:
Clinical effectivenessGuidelinesPatient safetyTraditional medicineTreatment efficacy

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Area of Science:

  • Integrative medicine
  • Global health policy
  • Evidence-based practice

Background:

  • Traditional and complementary medicines (TCMs) are gaining attention for COVID-19 prevention and treatment.
  • Evaluating TCMs faces significant challenges in safety and efficacy assessment.
  • Member states report a need for technical guidance on TCM research and evaluation.

Purpose of the Study:

  • To summarize international and regional guidance documents on evaluating TCMs.
  • To identify gaps in current recommendations for TCM safety, efficacy, and quality.
  • To inform the evidence base for integrating TCMs into health systems.

Main Methods:

  • Systematic review and synthesis of 13 international and regional guidance documents.
  • Categorization of guidance based on safety, efficacy, and product quality assessment.
  • Analysis of identified gaps and challenges in TCM evaluation.

Main Results:

  • Paucity of updated international recommendations for TCM evaluation.
  • Consistent emphasis on the need for efficacy evidence, alongside cautions regarding methodological difficulties.
  • Significant gaps exist in guidance for market-based approval and distribution of TCMs.

Conclusions:

  • Improved evaluation methods for TCM efficacy and effectiveness are crucial.
  • Addressing evaluation challenges can support the integration of TCMs into healthcare.
  • Enhanced TCM evaluation contributes to the goal of Universal Health Coverage.