Clinical applicability of guidelines evaluation index system: a systematic review_Chinese Journal of Evidence-Based Medicine

Authors：

SHI Yuqing ^1,2,3,4,5 , DIAO Sha ^2,3,4,5 , ZENG Linan ^2,3,4,5 , YI Qiusha ^2,3,4,5 , LI Hailong ^2,3,4,5 , YANG Xice ⁶ , HE Miao ⁷ , GUO Jiaping ⁸ , HUANG Chao ⁹ ,  WANG Qiang ⁹ ,  ZHANG Lingli ^2,3,4,5,10

1. West China School of Pharmacy, Sichuan University, Chengdu 610041, P. R. China;
2. Department of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu 610041, P. R. China;
3. Evidence-based Pharmacy Center, West China Second University Hospital, Sichuan University, Chengdu 610041, P. R. China;
4. NMPA Key Laboratory for Technical Research on Drug Products in vitro and in vivo Correlation, Chengdu 610041, P. R. China;
5. Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Chengdu 610041, P. R. China;
6. West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
7. Huangshi Central Hospital, Affiliated Hospital of Hubei Polytechnic University, Huangshi 435000, P. R. China;
8. The First Affiliated Hospital of Gannan Medical University, Ganzhou 341000, P. R. China;
9. Medical Management Service Guidance Center, National Health Commission of the People’s Republic of China, Beijing 100044, P. R. China;
10. Chinese Evidence-based Medicine Center, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

WANG Qiang, Email: jason2019@sina.cn; ZHANG Lingli, Email: zhanglingli@scu.edu.cn

Keywords：

Guideline; Clinical applicability; Evaluation items; Systematic review

DOI：

10.7507/1672-2531.202306030

Video：

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Objective To systematically review the clinical applicability of the global guidelines evaluation index system, and to provide some foundation for the evidence-based establishment of the clinical applicability evaluation index system in China. Methods The PubMed, Embase, Cochrane Library, CNKI, WanFang and VIP databases were electronically searched to collect literature on the clinical applicability evaluation index system of guidelines from inception to November 2022. Two reviewers independently screened literature, extracted data and then organized the data to form the evaluation items pool through qualitative systematic review and thematic synthesis. Results A total of 82 articles were finally included, and 141 clinical applicability evaluation indicators were obtained, including 5 third-level topics, 14 analytical topics and 141 descriptive topics. The third-level topics were availability, readability, feasibility, acceptability and overall evaluation. Influencing factors in the feasibility field were summarized as medical staff factors, patient/patient family factors, environmental factors and guideline factors. Conclusion This study systematically sort out the applicability evaluation items of the guidelines, which provide an evidence-based reference for the construction of relevant evaluation index systems in China.

Citation： SHI Yuqing, DIAO Sha, ZENG Linan, YI Qiusha, LI Hailong, YANG Xice, HE Miao, GUO Jiaping, HUANG Chao, WANG Qiang, ZHANG Lingli. Clinical applicability of guidelines evaluation index system: a systematic review. Chinese Journal of Evidence-Based Medicine, 2024, 24(1): 61-68. doi: 10.7507/1672-2531.202306030 Copy

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6.	曾力楠, 李幼平, 張伶俐, 等. 國內外制訂臨床指南的指南的循證評價. 中國循證醫學雜志, 2016, 16(11): 1322-1330.
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8.	Pronovost PJ. Enhancing physicians’ use of clinical guidelines. JAMA, 2013, 310(23): 2501-2502.
9.	Cabana MD, Rand CS, Powe NR, et al. Why don't physicians follow clinical practice guidelines. A framework for improvement. JAMA, 1999, 282(15): 1458-1465.
10.	Shiffman RN, Dixon J, Brandt C, et al. The guideline implementability appraisal (GLIA): development of an instrument to identify obstacles to guideline implementation. BMC Med Inform Decis Mak, 2005, 5(1): 23.
11.	Agree Collaboration. Appraisal of guidelines for research and evaluation in EuropeⅡ (AGREE-Ⅱ) instrument. 2009.
12.	季聰華, 曹毅, 張穎, 等. 中醫臨床診療指南臨床應用評價統計分析方法. 中華中醫藥雜志, 2015, 30(8): 2838-2840.

1. Institute of Medicine (US) Committee on standards for developing trustworthy clinical practice guidelines. Clinical practice guidelines we can trust. Washington: National Academies Press, 2011: 4.
2. 張悅, 我國臨床實踐指南評價指標體系構建研究. 武漢: 華中科技大學, 2016.
3. Gagliardi AR, Brouwers MC. Do guidelines offer implementation advice to target users. A systematic review of guideline applicability, BMJ Open, 2015, 5(2): e007047.
4. Attia A. Adaptation of international evidence based clinical practice guidelines: the ADAPTE process. Middle East Fertil Soc J, 2013, 18(2): 123-126.
5. 王強, 李幼平, 張伯禮, 等. 指南臨床適用性評價的問題與需求. 中國循證醫學雜志, 2020, 20(3): 249-251.
6. 曾力楠, 李幼平, 張伶俐, 等. 國內外制訂臨床指南的指南的循證評價. 中國循證醫學雜志, 2016, 16(11): 1322-1330.
7. Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol, 2008, 8(1): 45.
8. Pronovost PJ. Enhancing physicians’ use of clinical guidelines. JAMA, 2013, 310(23): 2501-2502.
9. Cabana MD, Rand CS, Powe NR, et al. Why don't physicians follow clinical practice guidelines. A framework for improvement. JAMA, 1999, 282(15): 1458-1465.
10. Shiffman RN, Dixon J, Brandt C, et al. The guideline implementability appraisal (GLIA): development of an instrument to identify obstacles to guideline implementation. BMC Med Inform Decis Mak, 2005, 5(1): 23.
11. Agree Collaboration. Appraisal of guidelines for research and evaluation in EuropeⅡ (AGREE-Ⅱ) instrument. 2009.
12. 季聰華, 曹毅, 張穎, 等. 中醫臨床診療指南臨床應用評價統計分析方法. 中華中醫藥雜志, 2015, 30(8): 2838-2840.

Chinese Journal of Evidence-Based Medicine

Clinical applicability of guidelines evaluation index system: a systematic review

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