Background
Methods
Constructing the system
System structure
Questionnaire consultation
Weight calculation [8]
n | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
---|---|---|---|---|---|---|---|---|---|
RI | 0 | 0 | 0.58 | 0.90 | 1.12 | 1.24 | 1.32 | 1.41 | 1.45 |
Testing the system based on the clinical cases
The evaluation of CPG of TCM
Cases used for the system testing
Evaluation method
Comparison object conversion
Questionnaire design
Traditional AHP Saaty Scale | Converted to consistency evaluation | ||
---|---|---|---|
Importance on scale | Definition | Consistency degree between CPG and Clinical Practice(%) | Score in the system |
1 | Compared to B, A is of equal importance | 50 | 1 |
3 | Compared to B, A is slightly more important | 62.5 | 3 |
5 | Compared to B, A is more important | 75 | 5 |
7 | Compared to B, A is much more important | 87.5 | 7 |
9 | Compared to B, A is extremely important | 100 | 9 |
2, 4, 6, 8 | Compared to B, A is important with an intermediate value between the two judgments | – | 2, 4, 6, 8 |
1/3 | Compared to A, B is slightly more important | 37.5 | 1/3 |
1/5 | Compared to A, B is more important | 25 | 1/5 |
1/7 | Compared to A, B is much more important | 12.5 | 1/7 |
1/9 | Compared to A, B is extremely important | 0 | 1/9 |
1/2,1/4,1/6,1/8 | Compared to A, B is important with intermediate values between the two judgments | – | 1/2,1/4,1/6,1/8 |
Establishment of the assessment group
Principles of evaluation
Evaluation standards for clinical effects and safety
Sample size estimation
Data management and statistical analysis
Ethics approval and consent to participate
Results
Weightings of indexes and the evaluation system
Index layer(level 3) | level 3 weight | Index layer (level 2) | level 2 weight | Index layer (level 1) | level 1 weight | Total |
---|---|---|---|---|---|---|
Western medicine diagnosis | 0.13214 | Western medicine diagnosis | 0.13214 | Diagnosis | 0.553124 | 1 |
TCM diagnosis | 0.163026 | TCM diagnosis | 0.163026 | |||
Syndrome classification | 0.115915 | Syndrome classification determination | 0.257958 | |||
Syndrome key point | 0.14203 | |||||
TCM decoction | 0.21166 | therapeutic principle | 0.290852 | treatment | 0.44931 | |
TCM particular treatment | 0.079236 | |||||
Recuperation and prevention | 0.158458 | recuperation and prevention | 0.158458 |
150 Angina pectoris cases and its overall consistency evaluation
Category | Number(Ratio) | consistency degree(%) |
z
|
P
| |
---|---|---|---|---|---|
Gender (number) | male (%) | 77(51.33) | 41.92 ± 6.66 | −0.722 | 0.471 |
female (%) | 73 (48.67) | 42.74 ± 7.24 | |||
Age | age (year) | 68.43 ± 11.45 | |||
Hospital stay | hospital stay (day) | 7.05 ± 2.53 | |||
Western medicine diagnosis (number) | stable angina (%) | 85 (56.67) | 42.58 ± 7.02 | 0.523 | 0.602 |
unstable angina (%) | 65 (43.33) | 41.98 ± 6.87 | |||
PCI operation (number) | PCI surgery before hospitalization (%) | 39 (26.00) | 42.68 ± 6.99 | 0.207 | 0.814 |
PCI surgery during hospitalization (%) | 41 (27.33) | 41.74 ± 6.26 | |||
no PCI surgery (%) | 70 (46.67) | 42.45 ± 6.94 | |||
CCS classification | class 1 | 9 | 44.28 ± 8.52 | 0.800 | 0.496 |
class 2 | 54 | 41.25 ± 5.98 | |||
class 3 | 26 | 42.56 ± 6.59 | |||
class 4 | 61 | 42.87 ± 7.63 |
Consistency, based on each tertiary index
Tertiary index | minimum | maximum | consistency (%) |
---|---|---|---|
TCM diagnosis (%) | 100.00 | 100.00 | 100.00 ± 0.00 |
Western medicine diagnosis (%) | 100.00 | 100.00 | 100.00 ± 0.00 |
Syndrome classification (%) | 25.00 | 50.00 | 38.25 ± 4.40 |
Syndrome key point (%) | 12.50 | 62.50 | 34.17 ± 8.15 |
TCM decoction (%) | 0.00 | 100.00 | 31.08 ± 23.64 |
TCM particular treatment(%) | 0.00 | 87.50 | 7.92 ± 19.13 |
Recuperation and prevention (%) | 0.00 | 0.00 | 0.00 ± 0.00 |
Syndrome classification and dialectical point
Syndrome distribution | Syndrome classification | number | percentage (%) |
---|---|---|---|
Major Syndrome distribution among 150 cases | Qi deficiency, phlegm and blood stasis | 124 | 82.7 |
Qi and yin deficiency, phlegm-blood stasis | 11 | 7.3 | |
Qi deficiency, phlegm and heat block meridians | 7 | 4.7 | |
Major Syndromes recommended in the CPG among the 150 cases | Heart blood stasis syndrome | 140 | 93.33 |
Phlegm-turbidity blockage syndrome | 145 | 96.67 | |
Qi and yin deficiency | 12 | 8.00 |
Syndrome classification | number | overall consistency (%) |
z
|
P
|
---|---|---|---|---|
Qi deficiency, phlegm and blood stasis | 124 | 41.30 ± 5.72 | −2.35 | 0.019 |
Non qi deficiency, phlegm and blood stasis | 26 | 47.15 ± 9.83 |
Application of TCM decoctions
Primary TCM decoction | frequency | percentage (%) | |
---|---|---|---|
TCM decoction distribution | Wendan decoction | 64 | 42.7 |
Gualou xiebai decoction | 31 | 20.7 | |
Erchen decoction | 9 | 6.0 | |
Shengmai san | 7 | 4.7 | |
Frequency of TCM decoction recommendations | Gualou xiebai decoction | 31 | 20.7 |
Shengmai San | 7 | 4.7 | |
Shengmai san combined with gualou xiebai decoction | 3 | 2.0 | |
Taohongsiwu decoction | 1 | 0.7 |
Main TCM decoction | “TCM decoction” consistency (%) | overall consistency (%) |
---|---|---|
Used Wendan decoction | 29.02 ± 11.75 | 40.06 ± 3.63 |
Used other decoctions | 44.60 ± 27.03 | 46.77 ± 8.41 |
Did not use TCM decoction | 0 ± 0 | 37.33 ± 2.41 |
Z
| 64.002 | 47.716 |
P
| 0.000 | 0.000 |
TCM particular treatment
Particular treatment (Non TCM decoction) | frequency | percentage (%) |
---|---|---|
Cinnamon and/or Xiebai external application | 86 | 57.3 |
Auricular needle | 24 | 16.0 |
Electrical stimulation | 4 | 2.7 |
Other | 2 | 1.3 |
Did not use Particular TCM therapies | 34 | 22.7 |
Total | 150 | 100.0 |