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Table 1 Checklist for CER relevant aspects for acupuncture clinical studies

From: Effectiveness guidance document (EGD) for acupuncture research - a consensus document for conducting trials

Designing CER studies

Stakeholder involvement

□ All relevant stakeholders are involved in

□ Identification of research topic

□ Plan and design of CER

□ Interpretation of results

Efficacy-effectiveness continuum

□ Study location on the efficacy-effectiveness continuum is determined for participant selection/eligibility criteria, treatment protocol, practitioner expertise, outcomes, setting in which the study is conducted.

Study population

Eligibility criteria

□ Study population reflects those who usually receive this treatment

□ Study population includes both acupuncture- naïve and acupuncture-non-naïve patients

Patient recruitment

□ Patients are recruited from site where the treatment is usually employed

Treatment protocol, expertise, and setting

Acupuncture intervention

□ Adequate consensus procedure is used to define intervention

Comparison groups

□ Adequate consensus procedure used to define comparison(s)

□ Definitions and details for terms such as “usual care” provided

Treatment documentation

□ Documentation reflects which treatments were received in all groups (interventions and co-interventions)

Outcomes

Measures

□ Widely accepted or standardized outcome measure used

□ Secondary outcomes capture relevant patient-centered dimensions for the condition under study

Timing

□ Assessment schedule is balanced gaining study relevant data without substantially disrupting treatment protocol or setting

Study design and statistical analysis

Allocation

□ Allocation is concealed

□ Stratification for subgroups or dynamic allocation for key characteristics used

Blinding

□ Outcome data inaccessible to practitioners

□ Blinded outcome rater, if possible, used

Preferences/ expectation

□ Preferences and expectations measured at baseline

Sample size

□ Sample size takes patient heterogeneity into account

□ Required sample size is feasible

□ Study has enough power for planned subgroup analyses

Subgroups

□ Relevant subgroups preplanned (e.g. gender)

□ Exploratory subgroup analysis mentioned in study aims

Statistical analysis

□ Intention-to-treat analyses planned

□ Relevant subgroup analyses planned

□ Adjusted for stratification variables, baseline differences and relevant confounders

 

□ Setting reflects reality in clinical practice

Methodological approach

□ Standard methods for economic evaluations used

□ Sensitivity analysis for all relevant stakeholder perspectives

□ Relevant subgroups identified

Observation time

□ In chronic diseases long-term observation (≥ 12 months), if possible, planned

Guidelines

□ Relevant guidelines (e.g. CONSORT) consulted and followed

Content

□ Stated how and why this is CER

□ Study setting (incl. procedure of practitioner selection) described in detail

□ Treatment group description from informed consent provided

□ Comparison groups described in detail

□ Data provided on all interventions and co-interventions received

 

□ Relevant subgroup analyses reported