What traditional, complementary, and integrative medicine recommendations exist across osteoporosis clinical practice guidelines? A systematic review and quality assessment

Background: Traditional, complementary and integrative medicine (TCIM) is sought by more than 50% of patients with osteoporosis. Despite this, many healthcare providers lack the knowledge to adequately counsel patients on safe and effective TCIM use. The purpose of this study was to determine the qu...

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Autores principales:	Jeremy Y Ng, Arwa Hilal, Ishana Maini
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Osteoporosis Skeletal disorder Complementary and alternative medicine Systematic review Clinical practice guideline Miscellaneous systems and treatments RZ409.7-999
Acceso en línea:	https://doaj.org/article/c1fe41456c29431aa317f72113abddf4
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spelling	oai:doaj.org-article:c1fe41456c29431aa317f72113abddf42021-11-20T05:05:58ZWhat traditional, complementary, and integrative medicine recommendations exist across osteoporosis clinical practice guidelines? A systematic review and quality assessment2213-422010.1016/j.imr.2021.100803https://doaj.org/article/c1fe41456c29431aa317f72113abddf42022-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213422021000901https://doaj.org/toc/2213-4220Background: Traditional, complementary and integrative medicine (TCIM) is sought by more than 50% of patients with osteoporosis. Despite this, many healthcare providers lack the knowledge to adequately counsel patients on safe and effective TCIM use. The purpose of this study was to determine the quantity and quality of TCIM recommendations in clinical practice guidelines (CPGs) for the treatment and/or management of osteoporosis. Methods: MEDLINE, EMBASE and CINAHL databases, in addition to the Guidelines International Network, and the National Center for Complementary and Integrative Health website were searched from 2009–2020. CPGs making TCIM recommendations for the treatment/management of osteoporosis were assessed with the AGREE II instrument. Results: Of 536 unique search results, 27 osteoporosis CPGs made mention of TCIM therapies. From highest to lowest, scaled domain percentages of all eligible CPGs averaged to 92.59% for scope and purpose, 88.79% for clarity in presentation, 55.04% for stakeholder involvement, 47.84% for editorial independence, 46.53% for rigor of development, and 36.96% for applicability. Of the 27 CPGs assessed, 4 CPGs were recommended as is by both appraisers, while 23 CPGs were recommended with modifications. Conclusions: Recommendations pertaining to calcium and vitamin D supplementation and exercise were favorably recommended across nearly all CPGs. In the case of other TCIM interventions, recommendations varied greatly, which may present challenges for CPGs target users due to a lack of consistency. Given the varying quality of osteoporosis CPGs found, those requiring improvement may benefit from their guideline development panel utilizing the AGREE II instrument to inform future updates.Jeremy Y NgArwa HilalIshana MainiElsevierarticleOsteoporosisSkeletal disorderComplementary and alternative medicineSystematic reviewClinical practice guidelineMiscellaneous systems and treatmentsRZ409.7-999ENIntegrative Medicine Research, Vol 11, Iss 2, Pp 100803- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Osteoporosis Skeletal disorder Complementary and alternative medicine Systematic review Clinical practice guideline Miscellaneous systems and treatments RZ409.7-999
spellingShingle	Osteoporosis Skeletal disorder Complementary and alternative medicine Systematic review Clinical practice guideline Miscellaneous systems and treatments RZ409.7-999 Jeremy Y Ng Arwa Hilal Ishana Maini What traditional, complementary, and integrative medicine recommendations exist across osteoporosis clinical practice guidelines? A systematic review and quality assessment
description	Background: Traditional, complementary and integrative medicine (TCIM) is sought by more than 50% of patients with osteoporosis. Despite this, many healthcare providers lack the knowledge to adequately counsel patients on safe and effective TCIM use. The purpose of this study was to determine the quantity and quality of TCIM recommendations in clinical practice guidelines (CPGs) for the treatment and/or management of osteoporosis. Methods: MEDLINE, EMBASE and CINAHL databases, in addition to the Guidelines International Network, and the National Center for Complementary and Integrative Health website were searched from 2009–2020. CPGs making TCIM recommendations for the treatment/management of osteoporosis were assessed with the AGREE II instrument. Results: Of 536 unique search results, 27 osteoporosis CPGs made mention of TCIM therapies. From highest to lowest, scaled domain percentages of all eligible CPGs averaged to 92.59% for scope and purpose, 88.79% for clarity in presentation, 55.04% for stakeholder involvement, 47.84% for editorial independence, 46.53% for rigor of development, and 36.96% for applicability. Of the 27 CPGs assessed, 4 CPGs were recommended as is by both appraisers, while 23 CPGs were recommended with modifications. Conclusions: Recommendations pertaining to calcium and vitamin D supplementation and exercise were favorably recommended across nearly all CPGs. In the case of other TCIM interventions, recommendations varied greatly, which may present challenges for CPGs target users due to a lack of consistency. Given the varying quality of osteoporosis CPGs found, those requiring improvement may benefit from their guideline development panel utilizing the AGREE II instrument to inform future updates.
format	article
author	Jeremy Y Ng Arwa Hilal Ishana Maini
author_facet	Jeremy Y Ng Arwa Hilal Ishana Maini
author_sort	Jeremy Y Ng
title	What traditional, complementary, and integrative medicine recommendations exist across osteoporosis clinical practice guidelines? A systematic review and quality assessment
title_short	What traditional, complementary, and integrative medicine recommendations exist across osteoporosis clinical practice guidelines? A systematic review and quality assessment
title_full	What traditional, complementary, and integrative medicine recommendations exist across osteoporosis clinical practice guidelines? A systematic review and quality assessment
title_fullStr	What traditional, complementary, and integrative medicine recommendations exist across osteoporosis clinical practice guidelines? A systematic review and quality assessment
title_full_unstemmed	What traditional, complementary, and integrative medicine recommendations exist across osteoporosis clinical practice guidelines? A systematic review and quality assessment
title_sort	what traditional, complementary, and integrative medicine recommendations exist across osteoporosis clinical practice guidelines? a systematic review and quality assessment
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/c1fe41456c29431aa317f72113abddf4
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What traditional, complementary, and integrative medicine recommendations exist across osteoporosis clinical practice guidelines? A systematic review and quality assessment

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