World Federation of Acupuncture-Moxibustion Societies(WFAS)Clinical Practice Guideline on Acupuncture and Moxibustion:Allergic Rhinitis recommendation summaries

世界针灸学会联合会《针灸临床实践指南:过敏性鼻炎》推荐意见概述

Clinical Practice Guideline on Acupuncture and Moxibustion:Allergic Rhinitis was revised and released by the Standards Working Committee of World Federation of Acupuncture-Moxibustion Societies(WFAS)on October 9,2023.This is the first clinical practice guideline(CPG)on acupuncture and moxibustion for allergic rhinitis approved by an international academic organization,which provides evidence-based recommendations and the practical therapeutic protocols for acupuncture practitioners globally.This CPG was developed by following Grades of Recommendation,Assessment,Development,and Evaluation(GRADE)methodology,and the principles of the World Health Organization Handbook for Guideline Development.The members in the guideline development group(GDG)were from different countries,with different professions,and they played a critical role in the development of clinical questions,recommendations,and therapeutic protocols.Recommendations are the core of a CPG and the direct answers to clinical questions,due to which this article focuses on the recommendations of this CPG.The recommendations were developed by using the modified Delphi method and the GRADE grid rules,based on the updated systematic reviews of clinical evidence.A total of 15 recommendations for 15 clinical questions were developed in this CPG,including one strong recommendation for intervention based on high-quality evidence,three conditional recommendations for either the intervention or the comparison based on very low quality of evidence,and 11 conditional recommendations for the intervention based on very low quality of evidence.

《针灸临床实践指南:过敏性鼻炎》于2023年10月9日,经世界针灸学会联合会(WFAS)标准工作委员会审议通过、发布。这是首部由国际学术组织发布的过敏性鼻炎针灸临床实践指南(CPG),将为国际针灸临床从业者提供过敏性鼻炎的循证推荐意见及切实可行的推荐方案。本部指南的编研严格遵循《世界卫生组织指南制定手册》,采用GRADE方法,充分依靠指南制定小组(GDG)成员不同国家、不同专业的代表性。推荐意见是CPG的核心内容,亦是对临床问题的直接解答,故本文重点介绍本指南的推荐意见。本指南的推荐意见是根据最新的系统评价,通过改良德尔菲共识法和GRADE网格法制定的。针对15个临床问题提出了15条推荐意见,包括1条基于高质量证据的强推荐干预措施,3条基于极低质量证据的条件性推荐干预或对照措施,以及11条基于极低质量证据的条件性推荐干预措施。