Traditional Chinese medicine (phytotherapy): Health Technology Assessment report - selected aspects.
OBJECTIVE
A summary of main aspects from a Health Technology Assessment report on Traditional Chinese Medicine (TCM) in Switzerland concerning effectiveness and safety is given.


METHODS
Literature search was performed through 13 databases, by scanning reference lists of articles and by contacting experts. Assessed were quality of documentation, internal and external validity.


RESULTS
Effectiveness: 43 articles concerning 'gastrointestinal tract and liver' were assessed. The studies covering 7,436 patients were undertaken in China (35), Japan (3), USA (2) and Australia (3); 33/43 being controlled studies. 34/40 show significantly better results in the TCM-treated group. A comparison of studies on results of treatment based on a diagnosis according to TCM criteria and studies on results of treatment according to Western diagnosis shows that treatment based on TCM diagnosis improves the result. The comparison of treatment by individual medication and standard medication showed a trend in favor of individual medication.


RESULTS
TCM training and practice for physicians in Switzerland are officially regulated. Side effects occur, but no severe effects have been registered up to now in Switzerland. TCM medicinals are imported; admission regulations are being installed. Problems due to production abroad, Internet trade, self-medication or admixtures are possible.


CONCLUSIONS
The evaluation of the literature search provides evidence for a basic clinical effectiveness of TCM therapy. Severe side effects were not observed in Switzerland. Regulations for trading and use of medicinals prevent treatment risks. Further clinical studies in a Western context are required.
Maxion-Bergemann
Stefanie
S
PanMedion Foundation, Zurich, Switzerland.
Bornhöft
Gudrun
G
Sonderegger
Emanuel
E
Renfer
Adrian
A
Matthiessen
Peter F
PF
Wolf
Ursula
U
D004365:Drugs, Chinese Herbal / Q000627:therapeutic use*; D019317:Evidence-Based Medicine; D006801:Humans; D008516:Medicine, Chinese Traditional / Q000009:adverse effects / Q000592:standards*; D017060:Patient Satisfaction; D008517:Phytotherapy; D013557:Switzerland; D013673:Technology Assessment, Biomedical; D016896:Treatment Outcome
D004365:Drugs, Chinese Herbal