Evidence-based Guidelines on Medication Therapy for Children with Rheumatic Fever: A Systematic Review_Chinese Journal of Evidence-Based Medicine

Authors：

 LIURu-ming ¹ , LIXiao-su ¹ , WANGLu-jie ¹ ,  ZHANGJun ¹ , ZHANGLing-li ^2,3 , LIYou-ping ⁴ , LIUDan ^2,3

1. Department of Clinical Pharmacy, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China;
2. Department of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu 610041, China;
3. Evidence-based Pharmacy Center, West China Second University Hospital, Sichuan University, Chengdu 610041, China;
4. Chinese Evidence-based Medicine Center, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

ZHANGJun, Email: sy-nawy@sina.com

Keywords：

Children; Rheumatic fever; Evidence-based guideline; Systematic review; AGREE

DOI：

10.7507/1672-2531.20150007

Video：

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Objective To systematically assess the quality of evidence-based clinical guidelines and to compare the differences and similarities between recommendations, so as to provide references for clinical application. Methods Databases such as the TRIP, PubMed, CNKI, VIP, WanFang Data, CBM, National Guideline Clearinghouse and Guidelines International Network were searched to collect evidence-based guidelines on medication therapy for children with rheumatic fever. Methodological quality of included guidelines was assessed according to the AGREE Ⅱ instrument, and differences and similarities among recommendations were compared. Results Only one evidence-based clinical guideline from Australia was included. Among 6 domains which were rated using the AGREE Ⅱ instrument, "scope and purpose", "stakeholder involvement", "rigor of development", "clarity and presentation" and "applicability" were scored more than 50%; while "editorial independence" was scored less than 50%. Conclusion The included guideline is of relatively high quality; however, its application among Chinese population still has limitations. Thus, the development of national guidelines is urgently needed.

Citation： LIURu-ming, LIXiao-su, WANGLu-jie, ZHANGJun, ZHANGLing-li, LIYou-ping, LIUDan. Evidence-based Guidelines on Medication Therapy for Children with Rheumatic Fever: A Systematic Review. Chinese Journal of Evidence-Based Medicine, 2015, 15(1): 23-27. doi: 10.7507/1672-2531.20150007 Copy

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6.	Zadvinskis IM, Grudell BA. Clinical practice guideline appraisal using the AGREE instrument:renal screening. Clin Nurse Spec, 2010, 24(4):209-214.
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12.	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.
13.	唐杨琛, 沈干, 胡世莲, 等. 中国基层临床指南现状分析及评价. 中华高血压杂志, 2013, 21(1):48-52.
14.	胡晶,詹思延. 中国临床实践指南制定的现状与建议. 中国循证心血管医学杂志, 2013, 5(3):217-218.
15.	杨玲蓉, 江米足. 伴或不伴呕吐的急性腹泻患儿的循证治疗指南. 实用儿科临床杂志, 2010, 25(7):533-536.
16.	卫生部新生儿疾病重点实验室, 复旦大学附属儿科医院,《中国循证儿科杂志》编辑部, 等. 足月儿缺氧缺血性脑病循证治疗指南(2011-标准版). 中国循证儿科杂志, 2011, 6(5):327-335.
17.	卫茂玲, 刘鸣. 中国临床指南循证制定的方法学现状分析. 中国循证医学杂志, 2013, 13(8):927-932.
18.	汪受传, 虞舜, 赵霞, 等. 循证性中医临床诊疗指南研究的现状与策略. 中华中医药杂志, 2012, 27(11):2759-2763.
19.	张伶俐, 李幼平, 张川, 等. 中国儿童临床指南现状分析及循证临床指南评价. 中国循证医学杂志, 2011, 11(9):991-999.
20.	Vincenzi B, Napolitano A, Santini D, et al. Evidence-based guidelines:improving AGREEment on consistence evaluation. Journal of Bone Oncology, 2012, 1(1):30-34.

1. 中华医学会风湿病学分会. 风湿热诊治指南(草案). 中华风湿病学杂志, 2004, 8(8):504-506.
2. 中华医学会湿病学分会. 风湿热诊断和治疗指南. 中华风湿病学杂志, 2011, 15(7):483-486.
3. Carapetis JR, Brown A, Wilson NJ, et al. An Australian guideline for rheumatic fever and rheumatic heart disease:an abridged outline. Med J Aust, 2007, 186(11):581-586.
4. AGREE Next Steps Consortium (2009). The AGREE Ⅱ Instrument[Electronic version], 2011. Accessed at:http://www.agreetrust.org.
5. Burls A. AGREE Ⅱ-improving the quality of clinical care. Lancet, 2010, 376(9747):1128-1129.
6. Zadvinskis IM, Grudell BA. Clinical practice guideline appraisal using the AGREE instrument:renal screening. Clin Nurse Spec, 2010, 24(4):209-214.
7. Field MJ, Lohr KN. Guidelines for clinical practice:from development to use. Washington:National Academy Press, 1992.
8. Smolen JS, Boers M, Abadie EC, et al. Recommendations for an update of 2003 European regulatory requirements for registration of drugs to be used in the treatment of RA. Curr Med Res Opin, 2011, 27(2):315-325.
9. Working Group on Pediatric Acute Rheumatic Fever and Cardiology Chapter of Indian Academy of Pediatrics, Saxena A, Kumar RK, et al. Consensus guidelines on pediatric acute rheumatic fever and rheumatic heart disease. Indian Pediatr, 2008, 45(7):565-73.
10. Dajani A, Taubert K, Ferrieri P, et al. Treatment of acute streptococcal pharyngitis and prevention of rheumatic fever:a statement for health professionals. Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young, the American Heart Association. Pediatrics, 1995, 96(4):758-764.
11. RHDAustralia (ARF/RHD writing group), National Heart Foundation of Australia, Cardiac Society of Australia and New Zealand. Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease (2nd edition). Casuarina (Australia):RHDAustralia, 2012:134.
12. 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.
13. 唐杨琛, 沈干, 胡世莲, 等. 中国基层临床指南现状分析及评价. 中华高血压杂志, 2013, 21(1):48-52.
14. 胡晶,詹思延. 中国临床实践指南制定的现状与建议. 中国循证心血管医学杂志, 2013, 5(3):217-218.
15. 杨玲蓉, 江米足. 伴或不伴呕吐的急性腹泻患儿的循证治疗指南. 实用儿科临床杂志, 2010, 25(7):533-536.
16. 卫生部新生儿疾病重点实验室, 复旦大学附属儿科医院,《中国循证儿科杂志》编辑部, 等. 足月儿缺氧缺血性脑病循证治疗指南(2011-标准版). 中国循证儿科杂志, 2011, 6(5):327-335.
17. 卫茂玲, 刘鸣. 中国临床指南循证制定的方法学现状分析. 中国循证医学杂志, 2013, 13(8):927-932.
18. 汪受传, 虞舜, 赵霞, 等. 循证性中医临床诊疗指南研究的现状与策略. 中华中医药杂志, 2012, 27(11):2759-2763.
19. 张伶俐, 李幼平, 张川, 等. 中国儿童临床指南现状分析及循证临床指南评价. 中国循证医学杂志, 2011, 11(9):991-999.
20. Vincenzi B, Napolitano A, Santini D, et al. Evidence-based guidelines:improving AGREEment on consistence evaluation. Journal of Bone Oncology, 2012, 1(1):30-34.

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