Aim: To develop a guideline for the applicability evaluation tool of the Diagnostic Criteria for Chinese Medicine Syndromes, aiming to enhance the clinical applicability of syndrome diagnostic criteria and promote their widespread adoption and application.
Methods: This guideline was developed using the Delphi method, with reference to the Guideline on Establishing Diagnostic Criteria of Chinese Medicine Syndromes, relevant international evaluation tools, and published diagnostic criteria for Chinese medicine syndromes.
Results: The guideline specifies the principles, procedures, and scoring criteria for evaluating the applicability of traditional Chinese medicine (TCM) syndrome diagnostic criteria. The guideline consists of 5 domains and 25 items: accessibility, readability, implementability, acceptability, and overall evaluation. Each item is assessed on a 5-point Likert scale, with higher scores indicating better applicability.
Conclusions: This guideline provides a systematic and evidence-based framework for evaluating the applicability of diagnostic criteria for Chinese medicine syndromes. It may help improve the clinical applicability of syndrome diagnostic criteria and support their dissemination and implementation in clinical practice.
| [1] |
World Federation of Chinese Medicine Societies, “Provincial-Ministerial Co-Construction Collaborative Innovation Center for Prevention and Treatment of Respiratory Diseases With Traditional Chinese Medicine, Henan University of Chinese Medicine, et al. Guideline on establishing diagnostic criteria of Chinese medicine syndromes,” Chinese Journal of Evidence-Based Medicine 23, no. 9 (2023): 993–998.
|
| [2] |
J. L. Zhang, Y. W. Zhang, M. Q. Wang, et al., “Current Status and Thoughts on the Development of Diagnostic Criteria for TCM Syndromes,” China Journal of Traditional Chinese Medicine and Pharmacy 39, no. 1 (2024): 33–38.
|
| [3] |
The Professional Committee of Lung Diseases of the Chinese Association of Traditional Chinese Medicine, The Lung Disease Branch of the Chinese National Medical Association, “Diagnostic Criteria for Traditional Chinese Medicine Syndromes of Bronchial Asthma (2016 Edition),” China Journal of Chinese Materia Medica 57, no. 22 (2016): 1978–1980.
|
| [4] |
Pulmonary Disease Branch of Chinese Association of Traditional Chinese Medicine, Internal Medicine Branch of Chinese Association of Traditional Chinese Medicine, Pulmonary Disease Branch of Chinese Ethnic Medicine Association, “Diagnostic Criteria for TCM Syndromes of Idiopathic Pulmonary Fibrosis (2019 Edition),” Journal of Traditional Chinese Medicine 61, no. 18 (2020): 1653–1656.
|
| [5] |
X. L. Xie, J. W. Deng, H. Zhou, et al., “Discussion on the Application of Applicability Evaluation in Traditional Chinese Medicine Diagnosis and Treatment Guidelines,” Lishizhen Medicine and Materia Medica Research 24, no. 4 (2013): 991–992.
|
| [6] |
Y. C. Shi, Y. S. Di, L. N. Zeng, et al., “Systematic Review of the Evaluation Index System for the Clinical Applicability of Guidelines,” Chinese Journal of Evidence-Based Medicine 24, no. 1 (2024): 61–68.
|
| [7] |
M. Kastner, O. Bhattacharyya, L. Hayden, et al., “Guideline Uptake Is Influenced by Six Implementability Domains for Creating and Communicating Guidelines: A Realist Review,” Journal of Clinical Epidemiology 68, no 5 (2015): 498–509.
|
| [8] |
Q. Wang, Y. P. Li, B. L. Zhang, et al., “Issues and Requirements for Evaluating the Clinical Applicability of Guidelines,” Chinese Journal of Evidence-Based Medicine 20, no. 3 (2020): 249–251.
|
| [9] |
Y. Zhang, Y. Y. Wang, X. Wang, et al., “Evaluation of the Scientificity, Transparency and Applicability of Chinese Traditional Medicine Guidelines and Consensuses (2022),” Chinese Journal of Evidence-Based Medicine 24, no. 8 (2024): 959–966.
|
| [10] |
Y. Yuwen, M. Y. Liu, X. Y. Zhao, et al., “Current Status of Real-World Applicability Evaluation of Clinical Practice Guidelines in Traditional Chinese Medicine,” China Journal of Traditional Chinese Medicine and Pharmacy 29, no. 4 (2014): 1098–1101.
|
| [11] |
L. N. Zeng, Q. S. Yi, C. Zhang, et al., “Development of a Clinical Applicability Evaluation Tool for Guidelines,” Chinese Journal of Evidence-Based Medicine 20, no. 4 (2020): 466–475.
|
| [12] |
H. Li, R. Xie, Y. Wang, et al., “A New Scale for the Evaluation of Clinical Practice Guidelines Applicability: Development and Appraisal,” Implementation Science 13, no. 1 (2018): 61–70.
|
| [13] |
S. Echevarría-Zuno, “The Clinical Practice Guidelines and Health Care Efficiency,” Revista Médica del Instituto Mexicano del Seguro Social 47, no. 1 (2009): 1–3.
|
| [14] |
National Committee for the Standardization of Scientific and Technological Terms, Terminology of Traditional Chinese Medicine (Science Press, 2005), p. 81.
|
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2026 The Author(s). Journal of Evidence-Based Medicine published by Chinese Cochrane Center, West China Hospital of Sichuan University and John Wiley & Sons Australia, Ltd.