9.自然醫學的療效評估

什麼是”有效” ? ~ 自然醫學的療效評估魏正宗 James Chung-Chung WEI, MD., PhD. 過敏免疫風濕科主任；中藥臨床試驗中心主任中山醫學大學附設醫院台灣，台中

The Science of Alternative Medicine December 2, 2002 Newsweek

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科學實證 Evidence-Based Medicine 是行銷的根本！國際化的入門！

What’s Science? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

實證醫學 Evidence-Based Medicine

[object Object],[object Object],[object Object],什麼是”有效” ?

從個案報告開始 ,[object Object],[object Object],[object Object]

“ 科學的”個案報告 Case report / Case series ,[object Object],[object Object],[object Object],[object Object]

結局指標 (Endpoints) ,[object Object],[object Object],[object Object],[object Object]

個案報告的缺點 Deficits of uncontrolled studies ,[object Object],[object Object],[object Object],[object Object],[object Object]

控制組 ( 對照組 ) 的重要 ,[object Object],[object Object],[object Object],[object Object],[object Object]

控制組 ( 對照組 ) 的選擇 Methods of control ,[object Object],[object Object],[object Object],[object Object]

隨機雙盲的重要 ,[object Object],[object Object]

Randomization ,[object Object],[object Object],[object Object],[object Object]

盲法（ Blind Method ） ,[object Object],[object Object],[object Object],[object Object],[object Object]

Structure of Randomized Control Trials Randomization Endpoints Trial subjects Treatment Control

受試對象 Indication / Trial subjects selection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Trial intervention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

如何選方 ? Intervention optimization ,[object Object],[object Object],[object Object],[object Object],[object Object]

A Randomized Trial of Tai Chi for Fibromyalgia Chenchen Wang. N Engl J Med 2010;363-8

Chung Shan Medical University Hospital Chinese Medicine Clinical Trial Center GCRC (General Clinical Research Center) ,[object Object],魏正宗中山醫學大學附設醫院中藥臨床試驗中心 SMO (site-management organization) GCRC (General Clinical Research Center) CMCTC Chinese Medicine Clinical Trial Center Administrative 2 assistants Clinical affairs 1 CRA/HN 4 CRC Data management 1 Statistic PhD 2 Statistic MS 2 MD 1 Pharmacist 20 Consultants

中山醫學大學附設醫院中藥臨床試驗中心研究重點 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Contact us: CSMUH Chinese Medicine Clinical Trial Center http://www.csh.org.tw/into/herb James Cheng-Chung Wei, MD, PhD ( 魏正宗 ) [email_address]

9.自然醫學的療效評估

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