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Article: Agreements among traditional Chinese medicine practitioners in the diagnosis and treatment of irritable bowel syndrome

TitleAgreements among traditional Chinese medicine practitioners in the diagnosis and treatment of irritable bowel syndrome
Authors
Issue Date2004
PublisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/APT
Citation
Alimentary Pharmacology And Therapeutics, 2004, v. 20 n. 10, p. 1205-1210 How to Cite?
AbstractBackground: Traditional Chinese Medicine was frequently used by patients with irritable bowel syndrome. Aim: To evaluate the agreement on diagnoses and prescription of irritable bowel syndrome among Traditional Chinese Medicine practitioners. Methods: Consecutive irritable bowel syndrome patients were interviewed independently by four Traditional Chinese Medicine practitioners. The study was divided into three phases: (i) blinded individual assessment, (ii) discussion to achieve consensus on diagnosis and treatment, (iii) individual assessment based on consensual diagnostic criteria. Patients with other causes of diarrhoea were recruited as controls in phase (iii). Percentage agreement and kappa-value in diagnosis, treatment principle and regime were determined. Results: Thirty-nine irritable bowel syndrome patients were assessed in phase (i) whereas 65 irritable bowel syndrome patients and 17 non-irritable bowel syndrome controls were studied in phase (iii). The mean agreement rates in diagnosis, treatment principle and regimen were: 57, 58 and 52% for phase (i) and 80, 81 and 80% for phase (iii) (P = 0.002). Accordingly, there was significant improvement in the mean kappa-values in diagnosis (0.11-0.34, P = 0.015) and treatment principle (0.16-0.37, P = 0.002) but not in treatment regime. Conclusions: Variations in diagnosis and treatment principles do exist among Traditional Chinese Medicine practitioners. Concordant diagnosis can be reached by mutual understanding and converging opinion among Traditional Chinese Medicine practitioners.
Persistent Identifierhttp://hdl.handle.net/10722/162764
ISSN
2015 Impact Factor: 6.32
2015 SCImago Journal Rankings: 2.833
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorSung, JJYen_HK
dc.contributor.authorLeung, WKen_HK
dc.contributor.authorChing, JYLen_HK
dc.contributor.authorLao, Len_HK
dc.contributor.authorZhang, Gen_HK
dc.contributor.authorWu, JCYen_HK
dc.contributor.authorLiang, SMen_HK
dc.contributor.authorXie, Hen_HK
dc.contributor.authorHo, YPen_HK
dc.contributor.authorChan, LSen_HK
dc.contributor.authorBerman, Ben_HK
dc.contributor.authorChan, FKLen_HK
dc.date.accessioned2012-09-05T05:23:12Z-
dc.date.available2012-09-05T05:23:12Z-
dc.date.issued2004en_HK
dc.identifier.citationAlimentary Pharmacology And Therapeutics, 2004, v. 20 n. 10, p. 1205-1210en_HK
dc.identifier.issn0269-2813en_HK
dc.identifier.urihttp://hdl.handle.net/10722/162764-
dc.description.abstractBackground: Traditional Chinese Medicine was frequently used by patients with irritable bowel syndrome. Aim: To evaluate the agreement on diagnoses and prescription of irritable bowel syndrome among Traditional Chinese Medicine practitioners. Methods: Consecutive irritable bowel syndrome patients were interviewed independently by four Traditional Chinese Medicine practitioners. The study was divided into three phases: (i) blinded individual assessment, (ii) discussion to achieve consensus on diagnosis and treatment, (iii) individual assessment based on consensual diagnostic criteria. Patients with other causes of diarrhoea were recruited as controls in phase (iii). Percentage agreement and kappa-value in diagnosis, treatment principle and regime were determined. Results: Thirty-nine irritable bowel syndrome patients were assessed in phase (i) whereas 65 irritable bowel syndrome patients and 17 non-irritable bowel syndrome controls were studied in phase (iii). The mean agreement rates in diagnosis, treatment principle and regimen were: 57, 58 and 52% for phase (i) and 80, 81 and 80% for phase (iii) (P = 0.002). Accordingly, there was significant improvement in the mean kappa-values in diagnosis (0.11-0.34, P = 0.015) and treatment principle (0.16-0.37, P = 0.002) but not in treatment regime. Conclusions: Variations in diagnosis and treatment principles do exist among Traditional Chinese Medicine practitioners. Concordant diagnosis can be reached by mutual understanding and converging opinion among Traditional Chinese Medicine practitioners.en_HK
dc.languageengen_US
dc.publisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/APTen_HK
dc.relation.ispartofAlimentary Pharmacology and Therapeuticsen_HK
dc.subject.meshAdulten_US
dc.subject.meshAllied Health Personnel - Standardsen_US
dc.subject.meshConsensusen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIrritable Bowel Syndrome - Diagnosis - Therapyen_US
dc.subject.meshMaleen_US
dc.subject.meshMedicine, Chinese Traditional - Standardsen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshObserver Variationen_US
dc.subject.meshPhysical Examinationen_US
dc.titleAgreements among traditional Chinese medicine practitioners in the diagnosis and treatment of irritable bowel syndromeen_HK
dc.typeArticleen_HK
dc.identifier.emailLeung, WK: hku75407@hku.hken_HK
dc.identifier.emailLao, L: lxlao1@hku.hken_HK
dc.identifier.authorityLeung, WK=rp01479en_HK
dc.identifier.authorityLao, L=rp01784en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1365-2036.2004.02242.xen_HK
dc.identifier.pmid15569124en_HK
dc.identifier.scopuseid_2-s2.0-10644272866en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-10644272866&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume20en_HK
dc.identifier.issue10en_HK
dc.identifier.spage1205en_HK
dc.identifier.epage1210en_HK
dc.identifier.isiWOS:000226002200024-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridSung, JJY=35405352400en_HK
dc.identifier.scopusauthoridLeung, WK=7201504523en_HK
dc.identifier.scopusauthoridChing, JYL=7005086238en_HK
dc.identifier.scopusauthoridLao, L=7005681883en_HK
dc.identifier.scopusauthoridZhang, G=7405272323en_HK
dc.identifier.scopusauthoridWu, JCY=35977054300en_HK
dc.identifier.scopusauthoridLiang, SM=7402146582en_HK
dc.identifier.scopusauthoridXie, H=7401673075en_HK
dc.identifier.scopusauthoridHo, YP=25938154100en_HK
dc.identifier.scopusauthoridChan, LS=20933661600en_HK
dc.identifier.scopusauthoridBerman, B=35458606800en_HK
dc.identifier.scopusauthoridChan, FKL=7202586434en_HK

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