Review Article

Tibetan Medicine: A Systematic Review of the Clinical Research Available in the West

Table 1

DIMDI HTA checklist items.

Item*Item no. (label)**

(A) Selection of participantsParticipants
(1) Were the criteria for in-/exclusion defined sufficiently and clearly?A1 (in-/exclusion)
(2) Were the criteria for in-/exclusion defined before intervention?A2 (predefined)
(3) Was the health status recorded in a valid and reliable way?A3 (health status)
(4) Were the diagnostic criteria of the disease described?A4 (diagnostic criteria)
(5) Were the studied/exposed patients representative for the majority of the exposed population or the “standard users” of the intervention?A5 (representativity)

(B) Allocation and study participationAllocation
(1) Were the exposed/cases and nonexposed/controls from the same base population?B1 (basic population)
(2) Were intervention/exposed and control/nonexposed groups comparable at baseline?B2 (comparable)
(3) Was allocation randomized, with a standardized procedure?B3 (randomization)
(4) Was randomization blinded?B4 (blinded randomization)
(5) Were known/possible confounders considered at baseline?B5 (confounders)

(C) Intervention/expositionIntervention
(1) Were intervention or exposition recorded in a valid, reliable, and similar way?C1 (recording)
(2) Apart from intervention, were intervention and control groups treated similarly?C2 (similar treatment)
(3) In case of other treatments, were they recorded in a valid and reliable way?C3 (other treatments)
(4) For RCTs: were placebos used for the control group?C4 (placebo use)
(5) For RCTs: was the way of placebo administration documented?C5 (placebo documented)

(D) Study administrationAdministration
(1) Are there indications for “overmatching”?D1 (overmatching)
(2) In multicentre studies: were the diagnostic and therapeutic methods and the outcome recording in the centres identical?D2 (multicentre)
(3) Was if assured that participants did not crossover between intervention and control group?D3 (no crossover)

(E) Outcome recordingOutcome
(1) Were patient-centred outcome parameters used?E1 (patient-centred)
(2) Were the outcomes recorded in a valid and reliable way?E2 (recording)
(3) Was outcome recording blinded?E3 (blinded outcomes)
(4) For case series: was the distribution of prognostic factors recorded sufficiently?E4 (prognostic factors)

(F) Drop-outsDrop-outs
(1) Was the response rate in intervention/control group sufficient, or, for cohort studies, could a sufficient part of the cohort be tracked for the full study duration?F1 (evaluable number)
(2) Were the reasons for the dropouts of participants stated?F2 (reasons)
(3) Were the outcomes of dropouts described and included in the analysis?F3 (outcomes)
(4) If differences were found: were they significant?F4 (significance)
(5) If differences were found: were they relevant?F5 (relevance)

(G) Statistical analysisStatistics
(1) Were the described analytic methods correct and the information sufficient for a flawless analysis?G1 (correct)
(2) Were confidence intervals given for means and for significance tests?G2 (CIs given)
(3) Were the results presented in graphical form, and were the underlying values stated?G3 (graphics)

Translated from [35], used in Table 3.