Quality Evaluation of Clinical Practice Guidelines Published in Journals of Mainland China during 2012-2013_Chinese Journal of Evidence-Based Medicine

Authors：

 LINan ¹ , YAOLiang ^2,3 , WUQiong-fang ⁴ , WEIDang ^2,3 , WANGQi ^2,3 , WANGXiao-qin ^2,3 , YANGKe-hu ^2,3 ,  CHENYao-long ^2,3

1. Second Affiliated Hospital of Lanzhou University, Lanzhou 730000, China;
2. Evidence-based Medicine Center/Chinese GRADE Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China;
3. Key Laboratory of Clinical Translational Research and Evidence-based Medicine of Gansu Province, Lanzhou 730000, China;
4. First Affiliated Hospital of Lanzhou University, Lanzhou 730000, China;

Corresponding?author：

CHENYao-long, Email: chenyaolong21@163.com

Keywords：

Clinical practice guideline; Evidence-based medicine; Quality assessment; AGREE Ⅱ

DOI：

10.7507/1672-2531.20150045

Video：

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Objective To evaluate the quality of Chinese clinical practice guidelines published in domestic medical journals from 2012 to 2013 and compare with the quality of guidelines published before. Methods CNKI, CBM and WanFang Data were searched to collect guidelines from January 1^st, 2012 to December 31^st, 2013. Two reviewers independently screened literature according to the inclusion and exclusion criteria and extracted data. The AGREE Ⅱ instrument was applied to assess methodological quality of included guidelines. Results A total of 78 guidelines were identified. Among them, 37 guidelines were published in 2012, and 41 in 2013. The scores of 6 domains' scores of AGREE Ⅱ were as follows:scope and purpose (24%), stakeholder involvement (11%), rigour of development (7%), clarity of presentation (32%), applicability (7%), and editorial independence (4%). The results of subgroup analysis indicated that, the scores in 5 domains (except applicability) of the guidelines published in CSCD journals were higher than those of non CSCD journals; the scores in 4 domains (except stakeholder involvement and applicability) of the guidelines received funds were higher than those of guidelines with no funds; and the scores in 5 domains (except editorial independence) of the guidelines published in 2013 were higher than those in 2012. Conclusion The guidelines published from 2012 to 2013 have higher quality than guidelines published before 2012, but great discrepancies exist when comparing with international guidelines of average level. Chinese guidelines developers should attach importance to international methodology to develop guidelines, and use the AGREE Ⅱ instrument to develop and report guidelines.

Citation： LINan, YAOLiang, WUQiong-fang, WEIDang, WANGQi, WANGXiao-qin, YANGKe-hu, CHENYao-long. Quality Evaluation of Clinical Practice Guidelines Published in Journals of Mainland China during 2012-2013. Chinese Journal of Evidence-Based Medicine, 2015, 15(3): 259-263. doi: 10.7507/1672-2531.20150045 Copy

1.	IOM (Institute of Medicine). 2011. Clinical Practice Guidelines We Can Trust. Washington, DC:The National Academies Press.
2.	鄭志紅, 崔樹起, 黃芳, 等. 中國指南開發現狀分析與評價——影響力和時效性分析. 中國衛生事業管理, 2011, 28(3):230-232.
3.	Chen YL, Yao L, Xiao XJ, et al. Quality assessment of clinical guidelines in China:1993-2010. Chin Med J, 2012, 125(20):3660-3664.
4.	韋當, 王小琴, 吳瓊芳, 等. 2011年中國臨床實踐指南質量評價. 中國循證醫學雜志, 2013, 13(6):760-763.
5.	IOM (Institute of Medicine). Clinical practice guidelines:directions for a new program. Washington, DC:National Academy Press, 1990.
6.	IOM (Institute of Medicine). Guidelines for clinical practice:From development to use. Washington, DC:National Academy Press, 1992.
7.	IOM (Institute of Medicine). Setting priorities for clinical practice guidelines. Washington, DC:National Academy Press, 1995.
8.	IOM (Institute of Medicine). Clinical Practice Guidelines We Can Trust. Washington, DC:The National Academies Press, 2011.
9.	谷景亮, 趙芳, 曹先平, 等. 三大中文期刊數據庫收錄期刊重復情況探究. 醫學信息學雜志, 2011, 32(8):26-28.
10.	Brouwers MC, Kho ME, Browman GP, et al. AGREE Ⅱ:advancing guideline development, reporting, and evaluation in health care. Preventive Medicine, 2010, 51(5):421-424.
11.	中華醫學會心血管病學分會, 中華心血管病雜志編輯委員會. 非ST段抬高急性冠狀動脈綜合征診斷和治療指南. 中華心血管病雜志, 2012, 40(5):353-367.
12.	中華醫學會皮膚性病學分會免疫學組. 皮膚型紅斑狼瘡診療指南(2012). 臨床皮膚科雜志, 2012, 41(6):390-392.
13.	中華醫學會外科學分會血管外科學組. 深靜脈血栓形成的診斷和治療指南(第2版). 中華外科雜志, 2012, 50(7):611-614.
14.	中華醫學會神經病學分會睡眠障礙學組. 中國成人失眠診斷與治療指南. 中華神經科雜志, 2012, 45(7):534-540.
15.	中華醫學會血液學分會, 中國醫師協會血液科醫師分會. 中國中性粒細胞缺乏伴發熱患者抗菌藥物臨床應用指南. 中華血液學雜志, 2012, 33(8):693-696.
16.	《中華燒傷雜志》編輯委員會. 成人燒傷疼痛管理指南(2013版). 中華燒傷雜志, 2013, 29(3):225-231.
17.	中華醫學會重癥醫學分會. 呼吸機相關性肺炎診斷、預防和治療指南(2013). 中華內科雜志, 2013, 52(6):524-543.
18.	中華人民共和國國家衛生和計劃生育委員會. 結腸癌規范化診療指南(試行). 中國醫學前沿雜志(電子版), 2013, (8):50-55.
19.	中華醫學會呼吸病學分會慢性阻塞性肺疾病學組. 慢性阻塞性肺疾病診治指南(2013年修訂版). 中華結核和呼吸雜志, 2013, 36(4):255-264.
20.	中華醫學會婦產科學分會產科學組. 乙型肝炎病毒母嬰傳播預防臨床指南(第1版). 中華婦產科雜志, 2013, 48(2):151-154.
21.	潘曉平, 倪宗瓚. 組內相關系數在信度評價中的應用. 華西醫科大學學報, 1999, 30(1):62-63.
22.	余紅梅, 羅艷虹, 薩建, 等. 組內相關系數及其軟件實現. 中國衛生統計, 2011, 28(5):497-500.
23.	中華醫學會外科學分會疝和腹壁外科學組. 腹壁切口疝診療指南(2012年版). 中華外科雜志, 2013, 51(1):7-9.
24.	中華醫學會婦產科學分會產科學組. 前置胎盤的臨床診斷與處理指南. 中華婦產科雜志, 2013, 48(2):148-150.
25.	中國醫師協會腫瘤醫師分會, 中國抗癌協會腫瘤臨床化療專業委員會. 中國表皮生長因子受體基因突變和間變淋巴瘤激酶融合基因陽性非小細胞肺癌診斷治療指南(2013版). 中華腫瘤雜志, 2013, 35(6):478-480.
26.	中華醫學會消化病學分會胰腺疾病學組, 中華胰腺病雜志編輯委員會, 中華消化雜志編輯委員會等. 中國急性胰腺炎診治指南(2013年,上海). 中華消化雜志, 2013, 33(4):217-222.
27.	中華預防醫學會, 梁曉峰. ACYW135群腦膜炎球菌多糖疫苗應用指南. 中華流行病學雜志, 2012, 33(9):941-944.
28.	中華醫學會內分泌學分會, 中華醫學會外科學分會內分泌學組, 中國抗癌協會頭頸腫瘤專業委員會等. 甲狀腺結節和分化型甲狀腺癌診治指南. 中華內分泌代謝雜志, 2012, 28(10):779-797.
29.	中華醫學會內分泌學分會, 中華醫學會圍產醫學分會. 妊娠和產后甲狀腺疾病診治指南. 中華內分泌代謝雜志, 2012, 28(5):354-371.
30.	丁櫻, 任獻青, 韓改霞, 等. 維生素D缺乏性佝僂病中醫診療指南. 中醫兒科雜志, 2012, 8(1):1-3.
31.	中華醫學會重癥醫學分會. 呼吸機相關性肺炎診斷、預防和治療指南(2013). 中華內科雜志, 2013, 52(6):524-543.
32.	中國人民解放軍醫學會兒科分會腎臟病學組. 急性腎小球腎炎的循證診治指南. 臨床兒科雜志, 2013, (6):561-564.
33.	Alonso-Coello P, Irfan A, Solà I, et al. The quality of clinical practice guidelines over the last two decades:a systematic review of guideline appraisal studies. Qual Saf Health Care, 2010, 19(6):e58.
34.	AGREE Next Steps Consortium (2009). The AGREE Ⅱ Instrument[Electronic version], 2011. Available at:http://www.agreetrust.org. (Accessed January, 01, 2014).

1. IOM (Institute of Medicine). 2011. Clinical Practice Guidelines We Can Trust. Washington, DC:The National Academies Press.
2. 鄭志紅, 崔樹起, 黃芳, 等. 中國指南開發現狀分析與評價——影響力和時效性分析. 中國衛生事業管理, 2011, 28(3):230-232.
3. Chen YL, Yao L, Xiao XJ, et al. Quality assessment of clinical guidelines in China:1993-2010. Chin Med J, 2012, 125(20):3660-3664.
4. 韋當, 王小琴, 吳瓊芳, 等. 2011年中國臨床實踐指南質量評價. 中國循證醫學雜志, 2013, 13(6):760-763.
5. IOM (Institute of Medicine). Clinical practice guidelines:directions for a new program. Washington, DC:National Academy Press, 1990.
6. IOM (Institute of Medicine). Guidelines for clinical practice:From development to use. Washington, DC:National Academy Press, 1992.
7. IOM (Institute of Medicine). Setting priorities for clinical practice guidelines. Washington, DC:National Academy Press, 1995.
8. IOM (Institute of Medicine). Clinical Practice Guidelines We Can Trust. Washington, DC:The National Academies Press, 2011.
9. 谷景亮, 趙芳, 曹先平, 等. 三大中文期刊數據庫收錄期刊重復情況探究. 醫學信息學雜志, 2011, 32(8):26-28.
10. Brouwers MC, Kho ME, Browman GP, et al. AGREE Ⅱ:advancing guideline development, reporting, and evaluation in health care. Preventive Medicine, 2010, 51(5):421-424.
11. 中華醫學會心血管病學分會, 中華心血管病雜志編輯委員會. 非ST段抬高急性冠狀動脈綜合征診斷和治療指南. 中華心血管病雜志, 2012, 40(5):353-367.
12. 中華醫學會皮膚性病學分會免疫學組. 皮膚型紅斑狼瘡診療指南(2012). 臨床皮膚科雜志, 2012, 41(6):390-392.
13. 中華醫學會外科學分會血管外科學組. 深靜脈血栓形成的診斷和治療指南(第2版). 中華外科雜志, 2012, 50(7):611-614.
14. 中華醫學會神經病學分會睡眠障礙學組. 中國成人失眠診斷與治療指南. 中華神經科雜志, 2012, 45(7):534-540.
15. 中華醫學會血液學分會, 中國醫師協會血液科醫師分會. 中國中性粒細胞缺乏伴發熱患者抗菌藥物臨床應用指南. 中華血液學雜志, 2012, 33(8):693-696.
16. 《中華燒傷雜志》編輯委員會. 成人燒傷疼痛管理指南(2013版). 中華燒傷雜志, 2013, 29(3):225-231.
17. 中華醫學會重癥醫學分會. 呼吸機相關性肺炎診斷、預防和治療指南(2013). 中華內科雜志, 2013, 52(6):524-543.
18. 中華人民共和國國家衛生和計劃生育委員會. 結腸癌規范化診療指南(試行). 中國醫學前沿雜志(電子版), 2013, (8):50-55.
19. 中華醫學會呼吸病學分會慢性阻塞性肺疾病學組. 慢性阻塞性肺疾病診治指南(2013年修訂版). 中華結核和呼吸雜志, 2013, 36(4):255-264.
20. 中華醫學會婦產科學分會產科學組. 乙型肝炎病毒母嬰傳播預防臨床指南(第1版). 中華婦產科雜志, 2013, 48(2):151-154.
21. 潘曉平, 倪宗瓚. 組內相關系數在信度評價中的應用. 華西醫科大學學報, 1999, 30(1):62-63.
22. 余紅梅, 羅艷虹, 薩建, 等. 組內相關系數及其軟件實現. 中國衛生統計, 2011, 28(5):497-500.
23. 中華醫學會外科學分會疝和腹壁外科學組. 腹壁切口疝診療指南(2012年版). 中華外科雜志, 2013, 51(1):7-9.
24. 中華醫學會婦產科學分會產科學組. 前置胎盤的臨床診斷與處理指南. 中華婦產科雜志, 2013, 48(2):148-150.
25. 中國醫師協會腫瘤醫師分會, 中國抗癌協會腫瘤臨床化療專業委員會. 中國表皮生長因子受體基因突變和間變淋巴瘤激酶融合基因陽性非小細胞肺癌診斷治療指南(2013版). 中華腫瘤雜志, 2013, 35(6):478-480.
26. 中華醫學會消化病學分會胰腺疾病學組, 中華胰腺病雜志編輯委員會, 中華消化雜志編輯委員會等. 中國急性胰腺炎診治指南(2013年,上海). 中華消化雜志, 2013, 33(4):217-222.
27. 中華預防醫學會, 梁曉峰. ACYW135群腦膜炎球菌多糖疫苗應用指南. 中華流行病學雜志, 2012, 33(9):941-944.
28. 中華醫學會內分泌學分會, 中華醫學會外科學分會內分泌學組, 中國抗癌協會頭頸腫瘤專業委員會等. 甲狀腺結節和分化型甲狀腺癌診治指南. 中華內分泌代謝雜志, 2012, 28(10):779-797.
29. 中華醫學會內分泌學分會, 中華醫學會圍產醫學分會. 妊娠和產后甲狀腺疾病診治指南. 中華內分泌代謝雜志, 2012, 28(5):354-371.
30. 丁櫻, 任獻青, 韓改霞, 等. 維生素D缺乏性佝僂病中醫診療指南. 中醫兒科雜志, 2012, 8(1):1-3.
31. 中華醫學會重癥醫學分會. 呼吸機相關性肺炎診斷、預防和治療指南(2013). 中華內科雜志, 2013, 52(6):524-543.
32. 中國人民解放軍醫學會兒科分會腎臟病學組. 急性腎小球腎炎的循證診治指南. 臨床兒科雜志, 2013, (6):561-564.
33. Alonso-Coello P, Irfan A, Solà I, et al. The quality of clinical practice guidelines over the last two decades:a systematic review of guideline appraisal studies. Qual Saf Health Care, 2010, 19(6):e58.
34. AGREE Next Steps Consortium (2009). The AGREE Ⅱ Instrument[Electronic version], 2011. Available at:http://www.agreetrust.org. (Accessed January, 01, 2014).

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