Evidence Map

As a contribution to facilitate access to available evidence, as well as to identify knowledge gaps, the TCMI Americas Network, the Brazilian Academic Consortium of Integrative Health (CABSIn) and BIREME/PAHO/WHO, have joined efforts to systematize the scientific evidence on Traditional, Complementary, and Integrative Medicine (TCIM) through evidence maps. The maps aim to supporting health professionals, decision-makers, and researchers in the construction of evidence-based health actions.

The evidence maps present, in a matrix of interventions and outcomes, an overview and a graphic synthesis of the evidence on interventions of TCIM-related medical systems and therapeutic methods for specific health problems. The maps are prepared in a process that involves a systematic search of documents in the main databases, study selection according to inclusion criteria, and subsequent characterization.

How to use the evidence maps?

Contributions of Traditional, Complementary and Integrative Medicine (TCIM) in the context of the pandemic for COVID-19

mtci_coronavirus

This map presents an overview of possible TCIM contributions to various dimensions of the COVID-19 pandemic. These contributions are organized into three categories: enhanced immunity / antiviral effect against respiratory viruses; complementary treatment of respiratory infections’ symptoms; and mental health in crisis situations. For the map, 127 systematic reviews and controlled clinical studies were characterized, distributed in a matrix with 62 interventions for the three mentioned categories. The interventions especially represent medicinal herbs, Traditional Chinese Medicine, mind-body therapies such as meditation and yoga, probiotics and other nutritional supplements, and homeopathic formulations.

Disclaimer: At the date of this evidence map´s publication, there is NO EVIDENCE of specific treatments for COVID-19. This map organizes useful information about symptoms management (especially on dimensions related to mental health and mild viral respiratory infections), as well as immune system strengthening. This information is directed to researchers and health professionals specialized in TCIM. This information may be useful to guide new research, but not necessarily to support a therapeutic recommendation.
Any suspicion of COVID-19 infection should follow the protocols recommended by the health authorities of each country/region.

Clinical Effectiveness of Meditation

meditacaoThe map provides an overview of the evidence on the effects of Meditation for various clinical and health conditions of the general population. From a wide bibliographic search of published and unpublished studies, 191 reviews were included in the Map: 78 systematic reviews, 110 meta-analyzes, 2 meta-syntheses and 1 integrative review. About types of meditation: 147 reviews evaluated results for mindfulness techniques or derivatives, 34 reviews evaluated general meditation, 8 reviews transcendental meditation, 3 compassion technique and 1 review evaluated practices of focused attention. All studies were selected, evaluated, characterized and categorized by pairs of researchers in the area of ​​Meditation.

Clinical Effectiveness of Yoga Practice

iogaThe map provides an overview of the evidence on clinical effects of Yoga practice on various health conditions, quality of life and well-being. From a wide bibliographic search, 150 studies of systematic review were included in the map. All studies were evaluated, characterized and categorized by a group of researchers in Yoga.

Clinical Effectiveness of Medicinal Plants and Phytotherapy for Mental Health and Quality of Life

plantas_saudementalThe map presents an overview of the evidence on the effects of Medicinal Plants and Phytotherapy for mental health and quality of life. From a wide bibliographic search, 37 systematic review studies were included in the map. All studies were evaluated, characterized and categorized by a group of researchers from the Research & Development Laboratory for Integrative and Complementary Practices (LabPICs) at the Faculty of Pharmacy, Federal University of Rio de Janeiro.

Clinical Effectiveness of Medicinal Plants and Phytotherapy for Metabolism and Physiological Disorders

Plantas Medicinais e Fitoterapia para Distúrbios Metabólicos e Fisiológicos

The map presents an overview of the evidence on the effects of Medicinal Plants and Phytotherapy for Metabolic and Physiological Disorders. From a wide bibliographic search, 48 systematic review studies were included in the map. All studies were evaluated, characterized and categorized by a group of researchers from the Research & Development Laboratory for Integrative and Complementary Practices (LabPICs) at the Faculty of Pharmacy, Federal University of Rio de Janeiro.

Clinical Effectiveness of Medicinal Plants and Phytotherapy for Chronic Diseases and Pain

plantasmedicinaisThe map presents an overview of the evidence on the effects of Medicinal Plants and Phytotherapy for pain and chronic diseases. From a wide bibliographic search, 49 systematic review studies were included in the map. All studies were evaluated, characterized and categorized by a group of researchers from the Research & Development Laboratory for Integrative and Complementary Practices (LabPICs) at the Faculty of Pharmacy, Federal University of Rio de Janeiro.

Clinical Application of Oral Ozone Therapy

OZONIOTERAPIA_bucalThis map displays an overview of the evidence on the effects of oral ozone therapy for various clinical and health conditions from the characterization of 15 review studies, graphically distributed in a matrix with 6 interventions in a series of clinical results grouped in 9 categories. Most studies focus on intervention with topical ozonized water and topical oxygen-ozone gas mixture applied in the treatment of caries, pain, scarring and inflammation. The Map had collaboration of researchers from "Centro de Excelencia Prótese Implante" of the Dentistry Faculty of the University of São Paulo (FOUSP) colaborated in this Map.

Clinical Effectiveness of Shantala

shantala

The Map presents evidence on the clinical effectiveness of Shantala systematized from 38 review studies. Most of the evidence is concentrated on massage therapy applied to newborns hospitalized by health professionals for the following outcomes: pain reduction, improvement in growth, neuropsychomotor development, length of hospital stay, immunity, stress and quality of sleep.

Clinical Effectiveness of Reflexology

reflexologia

The map provides an overview of the evidence on the effects of Reflexology for various people's health and clinical conditions. From a wide bibliographic search of published and unpublished studies between 2000 and 2019, 18 systematic reviews were included in the Map, which were evaluated, characterized and categorized by the Research Group on Health Promotion and Integrative and Complementary Practices of the Federal University of São Paulo (GPPIC / Unifesp).

Clinical Effectiveness of Mind and Body Practices of Traditional Chinese Medicine

mente_corpo

The map provides an overview of the evidence on the effects of the Mind and Body Practices of Traditional Chinese Medicine for various clinical and health conditions of people. From a wide bibliographic search of published and unpublished studies, between 1989 and 2019, 180 systematic reviews were included in the Map, which were evaluated, characterized and categorized by the Research Group on Health Promotion and Integrative and Complementary Practices (GPPIC/ Unifesp).

Clinical Effectiveness of Auriculotherapy

The map provides an overview of the evidence on the effects of Auriculotherapy for different clinical and health conditions of people. From a wide bibliographic search, 38 studies of systematic review, integrative review, scope review and meta-analysis were included in the map. All studies were evaluated, characterized and categorized into 4 groups of interventions: Acupressure, Auriculopuncture, Electropuncture and Photobiostimulation. This map had the collaboration of a group of researchers coordinated by the Federal University of Santa Catarina (UFSC).

Clinical Effectiveness of Ozone Therapy

ozonioterapiaThis map provides an overview of the evidence and gaps that exist on the effects of Medical Ozone Therapy for various clinical and health conditions of people. From a broad bibliographic search of published and unpublished studies between 2000 and mid-2019, 14 systematic reviews were included in the map. All studies were evaluated, characterized and categorized by the Brazilian Society of Medical Ozone Therapy (SOBOM) with support from the World Federation of Ozone Therapy (WFOT).