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KMID : 0615720090260050105
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Jouranl of Korean Acupuncture and Moxibustion society
2009 Volume.26 No. 5 p.105 ~ p.116
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An Analysis of Clinical Trials for Understanding and Application of Pragmatic Clinical Trial
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Yun Young-Ju
Choi Sun-Mi
Kang Kyung-won
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Abstract
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The use of acupuncutre has been increased worldwide, and large number of researches on acupuncture with improved quality has been conducted. Nevertheless, results of acupuncture treatment in those research tend to show mixed results, while many patients continuously seek acupuncture treatment as an adjuvant or alternatives for their health. Researchers and clinicians relevant to acupuncture are faced at this problematic discrepancy between the results of acupuncture in clinical trial including an randomized controlled trial and those of day-to-day clinical practice. The methodology of pragmatic clinical trial seems to be one of the promising research tools administering this problem especially in the area of complementary alternative medicine and traditional Korean medicine. In this study we first reviewed articles on the pragmatic clinical trial, summarized the essential concepts of ‘explanatory’ clinical trial ‘pragmatic’ clinical trial and then presented recent recommendations and arguments on this issue. We also analyzed and compared two similar pragmatic clinical trial protocols to show the readers the complexity of research designing. We hope more researchers in traditional Korean medicine will be interested in the methodology of pragmatic clinical trials and this study will serve to produce various high-quality clinical trials.
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KEYWORD
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Acupuncture, research methodology, pragmatic clinical trial
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