File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Improvement of agreement in TCM diagnosis among TCM practitioners for persons with the conventional diagnosis of rheumatoid arthritis: Effect of training

TitleImprovement of agreement in TCM diagnosis among TCM practitioners for persons with the conventional diagnosis of rheumatoid arthritis: Effect of training
Authors
Issue Date2008
PublisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/acm
Citation
Journal Of Alternative And Complementary Medicine, 2008, v. 14 n. 4, p. 381-386 How to Cite?
AbstractObjective: To investigate whether a training process that focused on consensus on Traditional Chinese Medicine (TCM) diagnostic criteria will improve the agreement of TCM diagnosis on patients with rheumatoid arthritis (RA). Design: The design was a prospective survey. Setting: The study was conducted at the General Clinical Research Center, University of Maryland Hospital System, Baltimore, MD. Subjects: The participants were 42 patients with RA. Practitioners: The practitioners included 3 licensed acupuncturists with a minimum of 5 years' licensure and education in Chinese herbs. Methods: A training session of TCM diagnostic procedures was conducted with an open case discussion and "real time" practice. After the training, 3 TCM practitioners examined the same 42 patients with RA separately. Patients filled out a questionnaire to serve as the data for the "Inquiry" component while physical examinations, including observations of tongue and palpation of radial pulse, were conducted by the 3 practitioners. Each practitioner provided a TCM diagnosis based upon the examination results. These diagnoses were then examined with respect to the rate of agreement among the 3 practitioners. Results: The average agreement with respect to the TCM diagnoses among the 3 pairs of TCM practitioners was 73% (64.3%-85.7%). Statistically significant differences were found between this study and the two previous studies (p < 0.001). Conclusions: After training focused on consensus on TCM diagnostic criteria, we found that these 3 same TCM practitioners who were used in phase II of the study produced a significantly higher agreement when compared to study phase I or phase II. Our study suggests that improved consensus on TCM diagnostic criteria results in increased agreement of diagnosis. © 2008 Mary Ann Liebert, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/188601
ISSN
2015 Impact Factor: 1.395
2015 SCImago Journal Rankings: 0.475
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorZhang, GGen_US
dc.contributor.authorSingh, Ben_US
dc.contributor.authorLee, Wen_US
dc.contributor.authorHandwerger, Ben_US
dc.contributor.authorLao, Len_US
dc.contributor.authorBerman, Ben_US
dc.date.accessioned2013-09-03T04:10:31Z-
dc.date.available2013-09-03T04:10:31Z-
dc.date.issued2008en_US
dc.identifier.citationJournal Of Alternative And Complementary Medicine, 2008, v. 14 n. 4, p. 381-386en_US
dc.identifier.issn1075-5535en_US
dc.identifier.urihttp://hdl.handle.net/10722/188601-
dc.description.abstractObjective: To investigate whether a training process that focused on consensus on Traditional Chinese Medicine (TCM) diagnostic criteria will improve the agreement of TCM diagnosis on patients with rheumatoid arthritis (RA). Design: The design was a prospective survey. Setting: The study was conducted at the General Clinical Research Center, University of Maryland Hospital System, Baltimore, MD. Subjects: The participants were 42 patients with RA. Practitioners: The practitioners included 3 licensed acupuncturists with a minimum of 5 years' licensure and education in Chinese herbs. Methods: A training session of TCM diagnostic procedures was conducted with an open case discussion and "real time" practice. After the training, 3 TCM practitioners examined the same 42 patients with RA separately. Patients filled out a questionnaire to serve as the data for the "Inquiry" component while physical examinations, including observations of tongue and palpation of radial pulse, were conducted by the 3 practitioners. Each practitioner provided a TCM diagnosis based upon the examination results. These diagnoses were then examined with respect to the rate of agreement among the 3 practitioners. Results: The average agreement with respect to the TCM diagnoses among the 3 pairs of TCM practitioners was 73% (64.3%-85.7%). Statistically significant differences were found between this study and the two previous studies (p < 0.001). Conclusions: After training focused on consensus on TCM diagnostic criteria, we found that these 3 same TCM practitioners who were used in phase II of the study produced a significantly higher agreement when compared to study phase I or phase II. Our study suggests that improved consensus on TCM diagnostic criteria results in increased agreement of diagnosis. © 2008 Mary Ann Liebert, Inc.en_US
dc.languageengen_US
dc.publisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/acmen_US
dc.relation.ispartofJournal of Alternative and Complementary Medicineen_US
dc.subject.meshAdulten_US
dc.subject.meshArthritis, Rheumatoid - Diagnosis - Therapyen_US
dc.subject.meshClinical Competenceen_US
dc.subject.meshDiagnosis, Differentialen_US
dc.subject.meshDrugs, Chinese Herbal - Therapeutic Useen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshInservice Training - Organization & Administrationen_US
dc.subject.meshMaleen_US
dc.subject.meshMarylanden_US
dc.subject.meshMedicine, Chinese Traditional - Utilizationen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPhysical Examination - Standardsen_US
dc.subject.meshPhysician's Practice Patterns - Organization & Administrationen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshQuality Assurance, Health Careen_US
dc.subject.meshReproducibility Of Resultsen_US
dc.subject.meshResearch Designen_US
dc.subject.meshUnited Statesen_US
dc.titleImprovement of agreement in TCM diagnosis among TCM practitioners for persons with the conventional diagnosis of rheumatoid arthritis: Effect of trainingen_US
dc.typeArticleen_US
dc.identifier.emailLao, L: lxlao1@hku.hken_US
dc.identifier.authorityLao, L=rp01784en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1089/acm.2007.0712en_US
dc.identifier.pmid18576921-
dc.identifier.scopuseid_2-s2.0-43749100920en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-43749100920&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume14en_US
dc.identifier.issue4en_US
dc.identifier.spage381en_US
dc.identifier.epage386en_US
dc.identifier.isiWOS:000256194200010-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridZhang, GG=7405272323en_US
dc.identifier.scopusauthoridSingh, B=7405639769en_US
dc.identifier.scopusauthoridLee, W=7407085578en_US
dc.identifier.scopusauthoridHandwerger, B=7003457500en_US
dc.identifier.scopusauthoridLao, L=7005681883en_US
dc.identifier.scopusauthoridBerman, B=35458606800en_US

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats