Intervention–analog association between traditional Chinese medicine syndrome load and lipid/C-reactive protein biomarkers: a single-center retrospective cohort study using target trial emulation - Scorecard - MDSpire

Intervention–analog association between traditional Chinese medicine syndrome load and lipid/C-reactive protein biomarkers: a single-center retrospective cohort study using target trial emulation

  • By

  • Yu-Xuan Guo

  • Chao Han

  • Xin Xiang

  • Sheng Wang

  • Li Yang

  • Shuang-Jian Li

  • July 6, 2026

  • 0 min

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Clinical Scorecard: Association of Traditional Chinese Medicine Syndrome Load with Lipid and C-Reactive Protein Biomarkers: A Retrospective Cohort Study Utilizing Target Trial Emulation at a Single Center

At a Glance

CategoryDetail
ConditionTraditional Chinese Medicine Syndrome
Key MechanismsAssociation with lipid and inflammatory biomarkers.
Target PopulationAdults with structured TCM assessments.
Care SettingSingle-center retrospective cohort study.

Key Highlights

  • Higher syndrome load associated with increased triglycerides, LDL-C, and CRP levels.
  • Study included 1,472 adults with repeated biochemical measurements over 90 days.
  • CFA/IRT models demonstrated good fit and supported metric/scalar invariance.

Guideline-Based Recommendations

Diagnosis

  • Utilize syndrome differentiation for individualized diagnosis in TCM.

Management

  • Consider syndrome load in cardiometabolic risk stratification.

Monitoring & Follow-up

  • Monitor lipid and CRP levels in patients with higher syndrome load.

Risks

  • Increased risk of dyslipidemia and elevated CRP associated with higher syndrome load.

Patient & Prescribing Data

Adults, particularly those aged ≥65 years, with diabetes or BMI ≥ 28.

Syndrome load may inform personalized management strategies.

Clinical Best Practices

  • Employ target trial emulation for observational analyses.
  • Use double machine learning and inverse probability of treatment weighting for robust estimations.
  • Validate syndrome load index for integration into conventional risk assessments.

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