A clinical practice guideline for temporomandibular disorders in traditional Korean medicine: An evidence-based approach
Open accessAbstract
In overseas reports, temporomandibular disorders (TMDs) are said to affect 5–12% of the population, and the number of TMD patients seeking treatment in Korea is on the rise. Even though Korean medicine (KM) treatments are commonly used for TMDs in clinical practice, clinical practice guidelines (CPGs) for TMDs in traditional KM have not yet been established. This evidence-based KM CPG on TMDs was therefore established. The key questions of the KM CPG on TMDs were determined based on clinical practice surveys on the use of KM for TMDs and expert opinion from the relevant academic societies by the CPG development committee. Then, a systematic literature review of KM treatments for TMDs was conducted for each key question, and the guideline draft was created in accordance with the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) levels of evidence and grades of recommendation. Official consensus was achieved using the Delphi method on the draft, and the draft was further revised through external review to produce the final guideline, which was certified by the relevant academic societies. A total of 15 recommendations are established to address the 13 key clinical questions about the clinical efficacy of 9 types of KM treatments for TMD, including grades and levels of evidence. The present guideline is expected to aid in the decision-making process of physicians and TMD patients, improve the overall quality of KM practice, and suggest subjects for future clinical research.
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The 2018 guideline from the Korea Standard CPG Development Agency conducted systematic reviews to identify evidence but only considered Korean medicine treatments.
“The exception, the 2018 guideline from the Korea Standard CPG Development Agency, conducted systematic reviews of the literature to identify evidence to inform their recommendations, but only considered Korean medicine treatments.”
From Management of chronic pain associated with temporomandibular disorders: a clinical practice guideline (2023) · cites this paper as [26]
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- Authors
- Kim, K.-W., Ha, I.-H., Lee, Y. J., Kim, M.-R., Shin, B.-C., Song, M.-Y., & Cho, J.-H.
- Affiliations
- Kyung Hee University (KR)
- Jaseng Medical Foundation (KR)
- Pusan National University Korean Medicine Hospital (KR)
- Corresponding author
- Cho, Jae-Heung
- Venue
- European Journal of Integrative Medicine
- Publisher
- Elsevier BV
- Published
- 2018-10
- Volume
- 23
- Pages
- 123-133
- ISSN
- 1876-3820 (ISSN-L)
- OpenAlex
- W2897361220
- Cited by
- 18
- References
- 109
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 1 · 2023: 4 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 2
- FWCI
- 2.42
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- European Journal of Integrative Medicine (publishedVersion, cc-by-nc-nd)
- Funders
- Ministry of Health and Welfare (HB16C0059)
- Topics
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Medicine › Complementary and alternative medicine › Traditional Chinese Medicine Studies
- Keywords
- temporomandibular disorders, traditional Korean medicine, Korean medicine treatment, evidence-based medicine, treatment efficacy, Delphi consensus
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