Recommendations on Imaging Diagnosis in Chinese Clinical Practice Guidelines: A Cross-sectional Study_Chinese Journal of Evidence-Based Medicine

Authors：

 PEICai-xia ¹ ^# ,  WANGMeng-shu ² ^# , LILe ¹ , ZHANGHong-xia ³ , LIRui ³ , CHANGXiao-nan ¹ , WANGYin-zhong ² , DULiang ⁴ , YANGKe-hu ^5,6,7 ,  LEIJun-qiang ² , CHENYao-long ^5,6,7

1. The First Clinical Medical College of Lanzhou University, Lanzhou 730000, China;
2. The First Hospital of Lanzhou University, Lanzhou 730000, China;
3. The Second Clinical Medical College of Lanzhou University, Lanzhou 730000, China;
4. Chinese Evidence-based Center, West China Hospital, Sichuan University, Chengdu 610041, China;
5. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China;
6. Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, China;
7. Chinese GRADE Center, Lanzhou University, Lanzhou 730000, China;

Corresponding?author：

LEIJun-qiang, Email: leijq1990@163.com

Keywords：

Clinical practice guideline; Imaging diagnosis; Recommendation; Quality of evidence

DOI：

10.7507/1672-2531.20160023

Video：

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Objective To investigate the recommendations on imaging diagnosis in Chinese clinical practice guidelines (CPGs). Methods We electronically searched WanFang Data, VIP, CNKI and CBM databases from inception to December 31, 2014. Two reviewers independently screened literature and extracted data. The method of bibliometrics was used to analyze the data (including basic characteristics, strength of recommendation, quality of evidence, etc.). Results A total of 341 CPGs formulating the recommendations on diagnosis were included. 48.7% (166/341) guidelines developed the recommendations on imaging diagnosis (a total of 534). 25.7% (137/534) recommendations were with the symbols of quality of evidence and strength of recommendation, and 18.9% (101/534) with special words such as recommend, suggest. 22.3% (119/534) recommendations reported the strength of recommendation. Of which, 38.7% (46/119) were strong and 16.0% (19/119) were weak. However, 23.9% (11/46) strong recommendations were based on low quality of evidence. And 42.1% (8/19) weak recommendations were based on high quality of evidence. Conclusion Among Chinese CPGs formulating the recommendations on diagnosis, the number of CPGs with recommendations on imaging is about 50%. And the quantity increases by years. The proportions of recommendations on imaging which report the strength of recommendation and/or quality of evidence are low. Meanwhile, the rating systems are uniform. Then the developers do not report the explanation for the strong recommendations based on low quality of evidence or the weak recommendations based on high quality of evidence in guideline.

Citation： PEICai-xia, WANGMeng-shu, LILe, ZHANGHong-xia, LIRui, CHANGXiao-nan, WANGYin-zhong, DULiang, YANGKe-hu, LEIJun-qiang, CHENYao-long. Recommendations on Imaging Diagnosis in Chinese Clinical Practice Guidelines: A Cross-sectional Study. Chinese Journal of Evidence-Based Medicine, 2016, 16(2): 130-134. doi: 10.7507/1672-2531.20160023 Copy

1.	IOM (Institute of Medicine). Clinical practice guidelines:directions for a new program. Washington, DC:National Academy Press, 1990.
2.	IOM (Institute of Medicine). Guidelines for clinical practice:From development to use. Washington, DC:National Academy Press, 1992.
3.	IOM (Institute of Medicine). Setting priorities for clinical practice guidelines. Washington, DC:National Academy Press, 1995.
4.	IOM (Institute of Medicine). Clinical Practice Guidelines We Can Trust. Washington, DC:The National Academies Press, 2011.
5.	Chen YL, Yao L, Xiao XJ, et al. Quality assessment of clinical guidelines in China:1993-2010. Chin Med J (Engl), 2012, 125(20): 3660-3664.
6.	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.
7.	陳耀龍,元博,孫麗娜, 等. 中國大陸臨床實踐指南引文分析. 中國循證兒科雜志, 2013, 8(6):467-470.
8.	李楠, 姚亮, 王琪, 等. 中國臨床實踐指南證據檢索策略報告情況調查. 中國循證醫學雜志, 2014, 14(12):1510-1513.
9.	李楠, 姚亮, 吳瓊芳, 等. 2012~2013年中國大陸期刊發表臨床實踐指南質量評價. 中國循證醫學雜志, 2015, 15(3):259-263.
10.	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.
11.	郝純毅, 沈琳, 顧晉, 等. 北京大學臨床腫瘤學院大腸癌肝轉移診療指南(2007). 中國實用外科雜志, 2008, 28(7):517-522.
12.	中華醫學會外科學分會胃腸外科學組, 中華醫學會外科學分會結直腸肛門外科學組, 中國抗癌協會大腸癌專業委員會, 等. 結直腸癌肝轉移診斷和綜合治療指南(V 2010). 中華胃腸外科雜志, 2010, 13(6):457-470.
13.	中華醫學會外科學分會胃腸外科學組, 中華醫學會外科學分會結直腸肛門外科學組, 中國抗癌協會大腸癌專業委員會, 等. 結直腸癌肝轉移診斷和綜合治療指南(V 2013). 中華胃腸外科雜志, 2013, 16(8):780-788.
14.	中國兒科腸內腸外營養支持臨床應用指南. 中國兒科腸內腸外營養支持臨床應用指南. 中華兒科雜志, 2010, 48(6):436-441.
15.	AGREE Next Steps Consortium. The AGREE II Instrument (Electronic version). 2009. Available at:http://www.Agreetrust.org.
16.	Available at:http://www.agreetrust.org/agree-research-projects/current-research-projects/agree-rex-recommendation-excellence/.
17.	Alexander PE, Bero L, Montori VM, et al. World Health Organization recommendations are often strong based on low confidence in effect estimates. J Clin Epidemiol, 2014, 67(6):629-634.

1. IOM (Institute of Medicine). Clinical practice guidelines:directions for a new program. Washington, DC:National Academy Press, 1990.
2. IOM (Institute of Medicine). Guidelines for clinical practice:From development to use. Washington, DC:National Academy Press, 1992.
3. IOM (Institute of Medicine). Setting priorities for clinical practice guidelines. Washington, DC:National Academy Press, 1995.
4. IOM (Institute of Medicine). Clinical Practice Guidelines We Can Trust. Washington, DC:The National Academies Press, 2011.
5. Chen YL, Yao L, Xiao XJ, et al. Quality assessment of clinical guidelines in China:1993-2010. Chin Med J (Engl), 2012, 125(20): 3660-3664.
6. 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.
7. 陳耀龍,元博,孫麗娜, 等. 中國大陸臨床實踐指南引文分析. 中國循證兒科雜志, 2013, 8(6):467-470.
8. 李楠, 姚亮, 王琪, 等. 中國臨床實踐指南證據檢索策略報告情況調查. 中國循證醫學雜志, 2014, 14(12):1510-1513.
9. 李楠, 姚亮, 吳瓊芳, 等. 2012~2013年中國大陸期刊發表臨床實踐指南質量評價. 中國循證醫學雜志, 2015, 15(3):259-263.
10. 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.
11. 郝純毅, 沈琳, 顧晉, 等. 北京大學臨床腫瘤學院大腸癌肝轉移診療指南(2007). 中國實用外科雜志, 2008, 28(7):517-522.
12. 中華醫學會外科學分會胃腸外科學組, 中華醫學會外科學分會結直腸肛門外科學組, 中國抗癌協會大腸癌專業委員會, 等. 結直腸癌肝轉移診斷和綜合治療指南(V 2010). 中華胃腸外科雜志, 2010, 13(6):457-470.
13. 中華醫學會外科學分會胃腸外科學組, 中華醫學會外科學分會結直腸肛門外科學組, 中國抗癌協會大腸癌專業委員會, 等. 結直腸癌肝轉移診斷和綜合治療指南(V 2013). 中華胃腸外科雜志, 2013, 16(8):780-788.
14. 中國兒科腸內腸外營養支持臨床應用指南. 中國兒科腸內腸外營養支持臨床應用指南. 中華兒科雜志, 2010, 48(6):436-441.
15. AGREE Next Steps Consortium. The AGREE II Instrument (Electronic version). 2009. Available at:http://www.Agreetrust.org.
16. Available at:http://www.agreetrust.org/agree-research-projects/current-research-projects/agree-rex-recommendation-excellence/.
17. Alexander PE, Bero L, Montori VM, et al. World Health Organization recommendations are often strong based on low confidence in effect estimates. J Clin Epidemiol, 2014, 67(6):629-634.

Chinese Journal of Evidence-Based Medicine

Recommendations on Imaging Diagnosis in Chinese Clinical Practice Guidelines: A Cross-sectional Study

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