Início A viabilidade da metodologia Pragmatic Randomized Clinical Trials (PRCT) à pesquisa de Medicina Tradicional Chinesa
ensaio clínico pragmático
A viabilidade da metodologia Pragmatic Randomized Clinical Trials (PRCT) à pesquisa de Medicina Tradicional Chinesa
Resumo:
Introduction: Traditional Chinese Medicine (TCM) is an Integrative and Complementary Practice and employs an integrative and complex view of the subject. Randomized Controlled Trials' methodology does not address the complex view of TCM. However, other methods such as pragmatic randomized controlled trials seem to be more appropriate. Objective of this work was to systematize and discuss the articles that used the Pragmatic Randomized Controlled Trials methodology with TCM practices. Review: A systematic review of the literature of clinical trials using the PRCT methodology was performed. Articles from the databases were collected: PubMed, Scielo, Mosaico, Web Of Science and Cochrane. Discussion: The 17 selected studies found efficacy of TCM compared to the usual biomedical treatment. The PRCT seems to be a very appropriate methodology for conducting clinical trials and producing evidence regarding TCM practices and other integrative and complementary practices. Final considerations: the PRCT method allows the implication of a multidimensional and singular view of the subject, offering the benefit of not excluding the complexity of the therapy and the singular view of the health professional in relation to the patients treated in the research.
Keywords: complementary therapies, integrative medicine, pragmatic clinical trial, medicine, chinese traditional, methods, research design.
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