A comparative study on functional features and technical parameters of the global clinical guideline databases_Chinese Journal of Evidence-Based Medicine

Authors：

LONG Youlin ¹ , ZHANG Yonggang ^1,2 , LI Youping ¹ , HU Chuan ² , CHEN Yaolong ^3,4 , YAO Xun ⁵ ,  WANG Qiang ⁶ ,  HUANG Jin ⁷ ,  DU Liang ^1,2

1. Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
2. West China Medical Publishers, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
3. Evidence-Based Medicine Center, Lanzhou University, Lanzhou, 730000, P.R.China;
4. Chinese GRADE Center, Lanzhou University, Lanzhou, 730000, P.R.China;
5. West China School of Medicine, Sichuan University, Chengdu, 610041, P.R.China;
6. National Center for Medical Service Administration, National Health and Family Planning Commission, Beijing, 100044, P.R.China;
7. West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding?author：

WANG Qiang, Email: linweiwei115@163.com; HUANG Jin, Email: michael.huangjin@gmail.com; DU Liang, Email: dul@cjebm.org.cn

Keywords：

Clinical practice guideline; Guideline database; Web resource; Comparative study

DOI：

10.7507/1672-2531.201801110

Video：

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Objective To summarize and compare the functional characteristics and technical parameters of the comprehensive global clinical practice guideline (CPG) databases, so as to provide references for the construction of CPG database of China. Methods CPG databases were collected worldwide by discussing with experts in the guideline and database fields. Studies on guideline databases were searched in PubMed and CNKI to additionally collect CPG databases mentioned in these studies. Representative comprehensive CPG databases were finally selected by consulting relevant guideline experts. The basic information, functional characteristics (including column settings, service contents, and related file types) and technical parameter data were extracted and summarized. A descriptive analysis was conducted to compare different CPG databases. Results Nine guideline databases which are distributed in eight countries of the Americas, Europe, Oceania and Asia were included. The number of included guidelines of the nine databases ranged from 31 to 15 410. The earliest database was established in 1993. Except that the MINDS database didn’t provide search function, eight databases provided basic search function, and six provided further advanced search function. PDF and HTML formats of guidelines were available in most databases, but the XML format was only available in National Guideline Clearinghouse (NGC). Responsive Web design was an important feature for most websites of databases and four databases developed mobile applications. Local mainstream social media sharing function was provided by six databases. All databases’ construction was professional in technical parameters including network transmission, Web server, programming language and the selection of server room. Conclusion This study compares the functional features and technical parameters of the comprehensive global CPG databases, which provides important information that should be considered in establishing a guideline database, to strengthen the top-level design or to help optimize the functionality of a guideline database. It also helps guideline databases users to find more proper resources.

Citation： LONG Youlin, ZHANG Yonggang, LI Youping, HU Chuan, CHEN Yaolong, YAO Xun, WANG Qiang, HUANG Jin, DU Liang. A comparative study on functional features and technical parameters of the global clinical guideline databases. Chinese Journal of Evidence-Based Medicine, 2018, 18(3): 254-262. doi: 10.7507/1672-2531.201801110 Copy

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1. Graham R, Mancher M, Wolman DM, et al. Clinical practice guidelines we can trust. Washington (DC): National Academies Press (US), 2011: 4.
2. Davis D, Goldman J, Palda VA. Handbook on clinical practice guidelines. Ottawa: Canadian Medical Association, 2007: 2-3.
3. 劉淼, 孫點劍一, 呂筠, 等. 循證指南參考文獻分析在醫學研究產出評價中的應用. 中國循證醫學雜志, 2011, 11(9): 1090-1093.
4. Mcalister FA, Diepen SV, Padwal RS, et al. How evidence-based are the recommendations in evidence-based guidelines? PLoS Med, 2007, 4(8): e250.
5. 郭琴, 萬朝敏. 臨床實踐指南的循證評價和應用. 臨床兒科雜志, 2011, 29(3): 288-290.
6. Woolf SH, Grol R, Hutchinson A, et al. Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines. BMJ, 1999, 318(7182): 527-530.
7. Hoey J, Todkill AM, Elmslie T, et al. Time to weed the CPG garden. CMAJ, 2001, 165(2): 141.
8. Available at: https://www.guideline.gov/help-and-about.
9. Hu J, Chen R, Wu S, et al. The quality of clinical practice guidelines in China: a systematic assessment. J Eval Clin Pract, 2013, 19(5): 961-967.
10. Ren J, Li X, Sun J, et al. Is traditional Chinese medicine recommended in Western medicine clinical practice guidelines in China? A systematic analysis. BMJ Open, 2015, 5(6): e006572.
11. 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.
12. 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.
13. Zheng Z, Cui S, Lu X, et al. Analysis of the status of Chinese clinical practice guidelines development. BMC Health Serv Res, 2012, 12(1): 218.
14. 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.
15. 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.
16. 林夏, 楊克虎, 陳耀龍, 等. 中國臨床實踐指南的現狀與思考. 中國循證醫學雜志, 2017, 17(5): 497-500.
17. 陳耀龍, 王小琴, 吳瓊芳, 等. 中國臨床實踐指南更新情況調查. 中國循證醫學雜志, 2014, 14(2): 178-183.
18. UMLS Concepts. Available at: https://www.guideline.gov/help-and-about/search-browse/umls-concepts.
19. Patient booklets. Available at: http://www.sign.ac.uk/patient-publications.html.
20. 胡晶, 陳茹, 謝雁鳴, 等. 科學和規范的改編臨床實踐指南. 中國循證兒科雜志, 2012, 7(3): 226-230.
21. NICE pathways. Available at: https://www.nice.org.uk/About/What-we-do/Our-Programmes/About-NICE-Pathways.
22. Goolsby MJ. National guideline clearinghouse guideline synthses and comparisons. J Am Acad Nurse Pract, 2003, 15(3): 98-101.
23. 趙琨, 肖月, 池延花, 等. 英國 NICE 技術評估和臨床指南的實施對我們的啟示. 中國衛生資源, 2011, 14(3): 193-195.
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26. Guideline comparison template. Available at: https://www.guideline.gov/help-and-about/compare/guideline-comparison-template.
27. Template of guideline attributes. Available at: https://www.guideline.gov/help-and-about/summaries/template-of-guideline-attributes.
28. Guideline synthesis template. Available at: https://www.guideline.gov/syntheses/template.
29. Fitzpatrick RB. CMA infobase: clinical practice guidelines. Med Ref Serv Q, 2008, 27(4): 419-429.
30. The national guideline clearinghouse extent adherence to trustworthy standards (NEATS) assessments. Available at: https://www.guideline.gov/help-and-about/summaries/determining-extent-adherence-to-the-iom-standards-in-ngc.
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35. 《2017 微信用戶&生態研究報告》. Available at: http://tech.qq.com/a/20170424/004233.htm#p=1.

Chinese Journal of Evidence-Based Medicine

A comparative study on functional features and technical parameters of the global clinical guideline databases

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