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Table 3 Summaries of the flaws and solutions for improving the study quality of systematic review in traditional medicine

From: Problems lowering the study quality in traditional medicine, introspection from an example of meta-analysis of acupuncture

Problems

Flaws caused by the problems

Solutions

Systematic problems

 Subjective assessments of symptoms

High heterogeneity

Objectification of the assessments of symptoms

 Individual treatments.

Difficult to practice blinding and allocation concealment

Non-systematic problems

 Lack of reporting of adverse events

Lower the reliability of the traditional medicine

Improving the spontaneous reporting system of adverse event; education and training the medical stuff.

 Lack of follow -up

Lack of the data of long-term efficacy, lower the evidence of efficacy regarding a therapy of traditional medicine.

Improve the experimental design, adding the contents of follow-up.

Other problems

 Placebo effects

Exaggeration of the efficacy

Adoption of the experimental design using T + C vs. C + P

 Small sample size

Lower the reliability of the traditional medicine

Improve the experimental design guided by a statistician.

  1. T: therapy of traditional medicine; C: conventional therapy; P: placebo