Current situation and research prospects of adaptation guidelines_Chinese Journal of Evidence-Based Medicine

Authors：

NIU Zhen ¹ , LIU Zhen ¹ , CHE Gang ¹ , TAO Juan ¹ , CHEN Tao ¹ , MA Yuan ³ , QIN Jiaxin ¹ , ZHANG Yuan ⁴ , TONG Jinghan ⁵ , TAI Jun ⁶ ,  LIU Yali ⁷

1. The First Clinical Medical College of Lanzhou University, Lanzhou 730000, P.R.China;
2. The First People's Hospital of Jiayuguan City, Jiayuguan 735100, P.R.China;
3. Respiratory Division of Zhongshan Hospital, Fudan University, Shanghai Respiratory Research Institute, Shanghai 200032, P.R.China;
4. Dalian Medical University, Dalian 116044, P.R.China;
5. Capital Medical University, Beijing 100045, P.R.China;
6. Department of Otolaryngology, Children's Hospital Affiliated to Capital Institute of Pediatrics, Beijing 100020, P.R.China;
7. National Children's Medical Center, Beijing Children's Hospital, Capital Medical University, Center for Clinical Epidemiology and Evidence-Based Medicine, Beijing 100045, P.R.China;

Corresponding?author：

LIU Yali, Email: lyl_201006@126.com

Keywords：

Adaptation guideline; ADAPTE; GRADE-Adolopment; Status analysis

DOI：

10.7507/1672-2531.202107134

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Objective To analyze the current situation of adaptation guidelines. Methods CBM, CNKI, VIP, WanFang Data, PubMed, EMbase, GIN, SIGN, NICE and AHRQ databases were electronically searched to collect studies related to adaptation guidelines from inception to August 31^th, 2020. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of included studies. Descriptive analysis was then conducted on the general situation of the adaptation guidelines. Results A total of 83 studies were included, involving 63 full-text studies, 16 methodological studies and 4 secondary studies. The quantity of published articles of the adapted guidelines had an overall upward trend, and 48.39% of the adapted guidelines were published in UK-hosted journals. 51.81% of the adapted guidelines reported receiving funding or project funding during the development process, and 67.46% reported information of conflict of interests. Among the 33 adaptation guidelines published in the past five years, 33.34% reported their methodology used ADAPTE, 6.1% reported their methodology used GRADE-Adolopment, and 60.56% did not report the adaptation method. Conclusions At present, the international research on the adapted guideline is extensive, however, it is still in its infancy in China. The adaptation guideline is also required to be based on a theoretical framework, standardize the development of methodology, and ensure the quality of the adaptation guideline.

Citation： NIU Zhen, LIU Zhen, CHE Gang, TAO Juan, CHEN Tao, MA Yuan, QIN Jiaxin, ZHANG Yuan, TONG Jinghan, TAI Jun, LIU Yali. Current situation and research prospects of adaptation guidelines. Chinese Journal of Evidence-Based Medicine, 2021, 21(11): 1339-1343. doi: 10.7507/1672-2531.202107134 Copy

1.	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.
2.	ADAPTE collaboration. The ADAPTE process: resource toolkit for guideline adaptation (version 2.0), 2009. Available at: https://g-i-n.net/document-store/working-groups-documents/adaptation/adapte-resource-toolkit-guideline-ad-aptation-2-0.pdf.
3.	Fervers B, Burgers JS, Voellinger R, et al. Guideline adaptation: an approach to enhance efficiency in guideline development and improve utilization. BMJ Qual Saf, 2011, 20: 228-236.
4.	Chen Y, Wang C, Shang H, et al. Clinical practice guidelines in China. BMJ, 2018, 360: j5158.
5.	Raine R, Sanderson C, Black N. Developing clinical guidelines: a challenge to current methods. BMJ, 2005, 331: 631-633.
6.	Shah MA, Oliver TK, Peterson DE, et al. ASCO clinical practice guideline endorsements and adaptations. J Clin Oncol, 2020, 38(8): 834-840.
7.	The ADAPTE Collaboration 2009. Guideline adaptation: a resource toolkit (version 2.0). Available at:http://www.g-i-n.net/document-store/working-groups-documents/adaptation/adapte-resource-toolkit-guideline-adaptation-2-0.pdf.
8.	王吉耀, 王強, 王小欽, 等. 中國臨床實踐指南評價體系的制定與初步驗證. 中華醫學雜志, 2018, 98(20): 1544-1548.
9.	Disantostefano J. International classification of diseases 10th revision (ICD-10). J Nurs Pract, 2009, 5(1): 56-57.
10.	Denduluri N, Somerfield MR, Eisen A, et al. Selection of optimal adjuvant chemotherapy regimens for human epidermal growth factor receptor 2 (HER2) -negative and adjuvant targeted therapy for HER2-positive breast cancers: an American society of clinical oncology guideline adaptation of the cancer care Ontario clinical practice guideline. J Clin Oncol, 2016, 34(20): 2416-2427.
11.	Bashiri FA, Hamad MH, Amer YS, et al. Management of convulsive status epilepticus in children: an adapted clinical practice guideline for pediatricians in Saudi Arabia. Neurosciences (Riyadh), 2017, 22(2): 146-155.
12.	Okely AD, Ghersi D, Hesketh KD, et al. A collaborative approach to adopting/adapting guidelines - The Australian 24-hour movement guidelines for the early years (birth to 5 years): an integration of physical activity, sedentary behavior, and sleep. BMC Public Health, 2017, 17(Suppl 5): 869.
13.	Selby P, Hunter K, Rogers J, et al. How to adapt existing evidence-based clinical practice guidelines: a case example with smoking cessation guidelines in Canada. BMJ Open, 2017, 7(11): e016124.
14.	Mack S, Hahn S, Palli C, et al. Adaptation of clinical practice guideline recommendations in hospitals for people living with dementia and their caregivers. Worldviews Evid Based Nurs, 2019, 16(1): 36-42.
15.	傅亮, 胡雁, 盧洪洲, 等. 高效聯合抗反轉錄病毒治療服藥依從性管理指南的構建研究. 中國實用護理雜志, 2016, 32(19): 1497-1501.
16.	楊漂羽, 施姝澎, 張玉俠, 等. 住院新生兒母乳喂養循證指南的改編及評價. 中華護理雜志, 2018, 53(1): 57-64.
17.	Graham ID, Harrison MB. Evaluation and adaptation of clinical practice guidelines. Evid Based Nurs, 2005, 8(3): 68-72.
18.	Schünemann HJ, Wiercioch W, Brozek J, et al. GRADE evidence to decision (EtD) frameworks for adoption, adaptation, and de novo development of trustworthy recommendations: GRADE-ADOLOPMENT. J Clin Epidemiol, 2017, 81: 101-110.
19.	Song Y, Darzi A, Ballesteros M, et al. Extending the RIGHT statement for reporting adapted practice guidelines in healthcare: the RIGHT-Ad@pt Checklist protocol. BMJ Open, 2019, 9(9): e031767.
20.	葉叢. 2019新型冠狀病毒肺炎疫情期湖北風濕免疫病患者隨訪和感染防治的專家建議(試行第一版). 內科急危重癥雜志, 2020, 26(2): 8-11.

1. 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.
2. ADAPTE collaboration. The ADAPTE process: resource toolkit for guideline adaptation (version 2.0), 2009. Available at: https://g-i-n.net/document-store/working-groups-documents/adaptation/adapte-resource-toolkit-guideline-ad-aptation-2-0.pdf.
3. Fervers B, Burgers JS, Voellinger R, et al. Guideline adaptation: an approach to enhance efficiency in guideline development and improve utilization. BMJ Qual Saf, 2011, 20: 228-236.
4. Chen Y, Wang C, Shang H, et al. Clinical practice guidelines in China. BMJ, 2018, 360: j5158.
5. Raine R, Sanderson C, Black N. Developing clinical guidelines: a challenge to current methods. BMJ, 2005, 331: 631-633.
6. Shah MA, Oliver TK, Peterson DE, et al. ASCO clinical practice guideline endorsements and adaptations. J Clin Oncol, 2020, 38(8): 834-840.
7. The ADAPTE Collaboration 2009. Guideline adaptation: a resource toolkit (version 2.0). Available at:http://www.g-i-n.net/document-store/working-groups-documents/adaptation/adapte-resource-toolkit-guideline-adaptation-2-0.pdf.
8. 王吉耀, 王強, 王小欽, 等. 中國臨床實踐指南評價體系的制定與初步驗證. 中華醫學雜志, 2018, 98(20): 1544-1548.
9. Disantostefano J. International classification of diseases 10th revision (ICD-10). J Nurs Pract, 2009, 5(1): 56-57.
10. Denduluri N, Somerfield MR, Eisen A, et al. Selection of optimal adjuvant chemotherapy regimens for human epidermal growth factor receptor 2 (HER2) -negative and adjuvant targeted therapy for HER2-positive breast cancers: an American society of clinical oncology guideline adaptation of the cancer care Ontario clinical practice guideline. J Clin Oncol, 2016, 34(20): 2416-2427.
11. Bashiri FA, Hamad MH, Amer YS, et al. Management of convulsive status epilepticus in children: an adapted clinical practice guideline for pediatricians in Saudi Arabia. Neurosciences (Riyadh), 2017, 22(2): 146-155.
12. Okely AD, Ghersi D, Hesketh KD, et al. A collaborative approach to adopting/adapting guidelines - The Australian 24-hour movement guidelines for the early years (birth to 5 years): an integration of physical activity, sedentary behavior, and sleep. BMC Public Health, 2017, 17(Suppl 5): 869.
13. Selby P, Hunter K, Rogers J, et al. How to adapt existing evidence-based clinical practice guidelines: a case example with smoking cessation guidelines in Canada. BMJ Open, 2017, 7(11): e016124.
14. Mack S, Hahn S, Palli C, et al. Adaptation of clinical practice guideline recommendations in hospitals for people living with dementia and their caregivers. Worldviews Evid Based Nurs, 2019, 16(1): 36-42.
15. 傅亮, 胡雁, 盧洪洲, 等. 高效聯合抗反轉錄病毒治療服藥依從性管理指南的構建研究. 中國實用護理雜志, 2016, 32(19): 1497-1501.
16. 楊漂羽, 施姝澎, 張玉俠, 等. 住院新生兒母乳喂養循證指南的改編及評價. 中華護理雜志, 2018, 53(1): 57-64.
17. Graham ID, Harrison MB. Evaluation and adaptation of clinical practice guidelines. Evid Based Nurs, 2005, 8(3): 68-72.
18. Schünemann HJ, Wiercioch W, Brozek J, et al. GRADE evidence to decision (EtD) frameworks for adoption, adaptation, and de novo development of trustworthy recommendations: GRADE-ADOLOPMENT. J Clin Epidemiol, 2017, 81: 101-110.
19. Song Y, Darzi A, Ballesteros M, et al. Extending the RIGHT statement for reporting adapted practice guidelines in healthcare: the RIGHT-Ad@pt Checklist protocol. BMJ Open, 2019, 9(9): e031767.
20. 葉叢. 2019新型冠狀病毒肺炎疫情期湖北風濕免疫病患者隨訪和感染防治的專家建議(試行第一版). 內科急危重癥雜志, 2020, 26(2): 8-11.

Chinese Journal of Evidence-Based Medicine

Current situation and research prospects of adaptation guidelines

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