Quality Evaluation of Clinical Practice Guidelines Published in Journals of Mainland China during 2012-2013_Chinese Journal of Evidence-Based Medicine

Authors：

 LINan ¹ , YAOLiang ^2,3 , WUQiong-fang ⁴ , WEIDang ^2,3 , WANGQi ^2,3 , WANGXiao-qin ^2,3 , YANGKe-hu ^2,3 ,  CHENYao-long ^2,3

1. Second Affiliated Hospital of Lanzhou University, Lanzhou 730000, China;
2. Evidence-based Medicine Center/Chinese GRADE Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China;
3. Key Laboratory of Clinical Translational Research and Evidence-based Medicine of Gansu Province, Lanzhou 730000, China;
4. First Affiliated Hospital of Lanzhou University, Lanzhou 730000, China;

Corresponding author：

CHENYao-long, Email: chenyaolong21@163.com

Keywords：

Clinical practice guideline; Evidence-based medicine; Quality assessment; AGREE Ⅱ

DOI：

10.7507/1672-2531.20150045

Video：

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Objective To evaluate the quality of Chinese clinical practice guidelines published in domestic medical journals from 2012 to 2013 and compare with the quality of guidelines published before. Methods CNKI, CBM and WanFang Data were searched to collect guidelines from January 1^st, 2012 to December 31^st, 2013. Two reviewers independently screened literature according to the inclusion and exclusion criteria and extracted data. The AGREE Ⅱ instrument was applied to assess methodological quality of included guidelines. Results A total of 78 guidelines were identified. Among them, 37 guidelines were published in 2012, and 41 in 2013. The scores of 6 domains' scores of AGREE Ⅱ were as follows:scope and purpose (24%), stakeholder involvement (11%), rigour of development (7%), clarity of presentation (32%), applicability (7%), and editorial independence (4%). The results of subgroup analysis indicated that, the scores in 5 domains (except applicability) of the guidelines published in CSCD journals were higher than those of non CSCD journals; the scores in 4 domains (except stakeholder involvement and applicability) of the guidelines received funds were higher than those of guidelines with no funds; and the scores in 5 domains (except editorial independence) of the guidelines published in 2013 were higher than those in 2012. Conclusion The guidelines published from 2012 to 2013 have higher quality than guidelines published before 2012, but great discrepancies exist when comparing with international guidelines of average level. Chinese guidelines developers should attach importance to international methodology to develop guidelines, and use the AGREE Ⅱ instrument to develop and report guidelines.

Citation： LINan, YAOLiang, WUQiong-fang, WEIDang, WANGQi, WANGXiao-qin, YANGKe-hu, CHENYao-long. Quality Evaluation of Clinical Practice Guidelines Published in Journals of Mainland China during 2012-2013. Chinese Journal of Evidence-Based Medicine, 2015, 15(3): 259-263. doi: 10.7507/1672-2531.20150045 Copy

1.	IOM (Institute of Medicine). 2011. Clinical Practice Guidelines We Can Trust. Washington, DC:The National Academies Press.
2.	郑志红, 崔树起, 黄芳, 等. 中国指南开发现状分析与评价——影响力和时效性分析. 中国卫生事业管理, 2011, 28(3):230-232.
3.	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.
4.	韦当, 王小琴, 吴琼芳, 等. 2011年中国临床实践指南质量评价. 中国循证医学杂志, 2013, 13(6):760-763.
5.	IOM (Institute of Medicine). Clinical practice guidelines:directions for a new program. Washington, DC:National Academy Press, 1990.
6.	IOM (Institute of Medicine). Guidelines for clinical practice:From development to use. Washington, DC:National Academy Press, 1992.
7.	IOM (Institute of Medicine). Setting priorities for clinical practice guidelines. Washington, DC:National Academy Press, 1995.
8.	IOM (Institute of Medicine). Clinical Practice Guidelines We Can Trust. Washington, DC:The National Academies Press, 2011.
9.	谷景亮, 赵芳, 曹先平, 等. 三大中文期刊数据库收录期刊重复情况探究. 医学信息学杂志, 2011, 32(8):26-28.
10.	Brouwers MC, Kho ME, Browman GP, et al. AGREE Ⅱ:advancing guideline development, reporting, and evaluation in health care. Preventive Medicine, 2010, 51(5):421-424.
11.	中华医学会心血管病学分会, 中华心血管病杂志编辑委员会. 非ST段抬高急性冠状动脉综合征诊断和治疗指南. 中华心血管病杂志, 2012, 40(5):353-367.
12.	中华医学会皮肤性病学分会免疫学组. 皮肤型红斑狼疮诊疗指南(2012). 临床皮肤科杂志, 2012, 41(6):390-392.
13.	中华医学会外科学分会血管外科学组. 深静脉血栓形成的诊断和治疗指南(第2版). 中华外科杂志, 2012, 50(7):611-614.
14.	中华医学会神经病学分会睡眠障碍学组. 中国成人失眠诊断与治疗指南. 中华神经科杂志, 2012, 45(7):534-540.
15.	中华医学会血液学分会, 中国医师协会血液科医师分会. 中国中性粒细胞缺乏伴发热患者抗菌药物临床应用指南. 中华血液学杂志, 2012, 33(8):693-696.
16.	《中华烧伤杂志》编辑委员会. 成人烧伤疼痛管理指南(2013版). 中华烧伤杂志, 2013, 29(3):225-231.
17.	中华医学会重症医学分会. 呼吸机相关性肺炎诊断、预防和治疗指南(2013). 中华内科杂志, 2013, 52(6):524-543.
18.	中华人民共和国国家卫生和计划生育委员会. 结肠癌规范化诊疗指南(试行). 中国医学前沿杂志(电子版), 2013, (8):50-55.
19.	中华医学会呼吸病学分会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南(2013年修订版). 中华结核和呼吸杂志, 2013, 36(4):255-264.
20.	中华医学会妇产科学分会产科学组. 乙型肝炎病毒母婴传播预防临床指南(第1版). 中华妇产科杂志, 2013, 48(2):151-154.
21.	潘晓平, 倪宗瓒. 组内相关系数在信度评价中的应用. 华西医科大学学报, 1999, 30(1):62-63.
22.	余红梅, 罗艳虹, 萨建, 等. 组内相关系数及其软件实现. 中国卫生统计, 2011, 28(5):497-500.
23.	中华医学会外科学分会疝和腹壁外科学组. 腹壁切口疝诊疗指南(2012年版). 中华外科杂志, 2013, 51(1):7-9.
24.	中华医学会妇产科学分会产科学组. 前置胎盘的临床诊断与处理指南. 中华妇产科杂志, 2013, 48(2):148-150.
25.	中国医师协会肿瘤医师分会, 中国抗癌协会肿瘤临床化疗专业委员会. 中国表皮生长因子受体基因突变和间变淋巴瘤激酶融合基因阳性非小细胞肺癌诊断治疗指南(2013版). 中华肿瘤杂志, 2013, 35(6):478-480.
26.	中华医学会消化病学分会胰腺疾病学组, 中华胰腺病杂志编辑委员会, 中华消化杂志编辑委员会等. 中国急性胰腺炎诊治指南(2013年,上海). 中华消化杂志, 2013, 33(4):217-222.
27.	中华预防医学会, 梁晓峰. ACYW135群脑膜炎球菌多糖疫苗应用指南. 中华流行病学杂志, 2012, 33(9):941-944.
28.	中华医学会内分泌学分会, 中华医学会外科学分会内分泌学组, 中国抗癌协会头颈肿瘤专业委员会等. 甲状腺结节和分化型甲状腺癌诊治指南. 中华内分泌代谢杂志, 2012, 28(10):779-797.
29.	中华医学会内分泌学分会, 中华医学会围产医学分会. 妊娠和产后甲状腺疾病诊治指南. 中华内分泌代谢杂志, 2012, 28(5):354-371.
30.	丁樱, 任献青, 韩改霞, 等. 维生素D缺乏性佝偻病中医诊疗指南. 中医儿科杂志, 2012, 8(1):1-3.
31.	中华医学会重症医学分会. 呼吸机相关性肺炎诊断、预防和治疗指南(2013). 中华内科杂志, 2013, 52(6):524-543.
32.	中国人民解放军医学会儿科分会肾脏病学组. 急性肾小球肾炎的循证诊治指南. 临床儿科杂志, 2013, (6):561-564.
33.	Alonso-Coello P, Irfan A, Solà I, et al. The quality of clinical practice guidelines over the last two decades:a systematic review of guideline appraisal studies. Qual Saf Health Care, 2010, 19(6):e58.
34.	AGREE Next Steps Consortium (2009). The AGREE Ⅱ Instrument[Electronic version], 2011. Available at:http://www.agreetrust.org. (Accessed January, 01, 2014).

1. IOM (Institute of Medicine). 2011. Clinical Practice Guidelines We Can Trust. Washington, DC:The National Academies Press.
2. 郑志红, 崔树起, 黄芳, 等. 中国指南开发现状分析与评价——影响力和时效性分析. 中国卫生事业管理, 2011, 28(3):230-232.
3. 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.
4. 韦当, 王小琴, 吴琼芳, 等. 2011年中国临床实践指南质量评价. 中国循证医学杂志, 2013, 13(6):760-763.
5. IOM (Institute of Medicine). Clinical practice guidelines:directions for a new program. Washington, DC:National Academy Press, 1990.
6. IOM (Institute of Medicine). Guidelines for clinical practice:From development to use. Washington, DC:National Academy Press, 1992.
7. IOM (Institute of Medicine). Setting priorities for clinical practice guidelines. Washington, DC:National Academy Press, 1995.
8. IOM (Institute of Medicine). Clinical Practice Guidelines We Can Trust. Washington, DC:The National Academies Press, 2011.
9. 谷景亮, 赵芳, 曹先平, 等. 三大中文期刊数据库收录期刊重复情况探究. 医学信息学杂志, 2011, 32(8):26-28.
10. Brouwers MC, Kho ME, Browman GP, et al. AGREE Ⅱ:advancing guideline development, reporting, and evaluation in health care. Preventive Medicine, 2010, 51(5):421-424.
11. 中华医学会心血管病学分会, 中华心血管病杂志编辑委员会. 非ST段抬高急性冠状动脉综合征诊断和治疗指南. 中华心血管病杂志, 2012, 40(5):353-367.
12. 中华医学会皮肤性病学分会免疫学组. 皮肤型红斑狼疮诊疗指南(2012). 临床皮肤科杂志, 2012, 41(6):390-392.
13. 中华医学会外科学分会血管外科学组. 深静脉血栓形成的诊断和治疗指南(第2版). 中华外科杂志, 2012, 50(7):611-614.
14. 中华医学会神经病学分会睡眠障碍学组. 中国成人失眠诊断与治疗指南. 中华神经科杂志, 2012, 45(7):534-540.
15. 中华医学会血液学分会, 中国医师协会血液科医师分会. 中国中性粒细胞缺乏伴发热患者抗菌药物临床应用指南. 中华血液学杂志, 2012, 33(8):693-696.
16. 《中华烧伤杂志》编辑委员会. 成人烧伤疼痛管理指南(2013版). 中华烧伤杂志, 2013, 29(3):225-231.
17. 中华医学会重症医学分会. 呼吸机相关性肺炎诊断、预防和治疗指南(2013). 中华内科杂志, 2013, 52(6):524-543.
18. 中华人民共和国国家卫生和计划生育委员会. 结肠癌规范化诊疗指南(试行). 中国医学前沿杂志(电子版), 2013, (8):50-55.
19. 中华医学会呼吸病学分会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南(2013年修订版). 中华结核和呼吸杂志, 2013, 36(4):255-264.
20. 中华医学会妇产科学分会产科学组. 乙型肝炎病毒母婴传播预防临床指南(第1版). 中华妇产科杂志, 2013, 48(2):151-154.
21. 潘晓平, 倪宗瓒. 组内相关系数在信度评价中的应用. 华西医科大学学报, 1999, 30(1):62-63.
22. 余红梅, 罗艳虹, 萨建, 等. 组内相关系数及其软件实现. 中国卫生统计, 2011, 28(5):497-500.
23. 中华医学会外科学分会疝和腹壁外科学组. 腹壁切口疝诊疗指南(2012年版). 中华外科杂志, 2013, 51(1):7-9.
24. 中华医学会妇产科学分会产科学组. 前置胎盘的临床诊断与处理指南. 中华妇产科杂志, 2013, 48(2):148-150.
25. 中国医师协会肿瘤医师分会, 中国抗癌协会肿瘤临床化疗专业委员会. 中国表皮生长因子受体基因突变和间变淋巴瘤激酶融合基因阳性非小细胞肺癌诊断治疗指南(2013版). 中华肿瘤杂志, 2013, 35(6):478-480.
26. 中华医学会消化病学分会胰腺疾病学组, 中华胰腺病杂志编辑委员会, 中华消化杂志编辑委员会等. 中国急性胰腺炎诊治指南(2013年,上海). 中华消化杂志, 2013, 33(4):217-222.
27. 中华预防医学会, 梁晓峰. ACYW135群脑膜炎球菌多糖疫苗应用指南. 中华流行病学杂志, 2012, 33(9):941-944.
28. 中华医学会内分泌学分会, 中华医学会外科学分会内分泌学组, 中国抗癌协会头颈肿瘤专业委员会等. 甲状腺结节和分化型甲状腺癌诊治指南. 中华内分泌代谢杂志, 2012, 28(10):779-797.
29. 中华医学会内分泌学分会, 中华医学会围产医学分会. 妊娠和产后甲状腺疾病诊治指南. 中华内分泌代谢杂志, 2012, 28(5):354-371.
30. 丁樱, 任献青, 韩改霞, 等. 维生素D缺乏性佝偻病中医诊疗指南. 中医儿科杂志, 2012, 8(1):1-3.
31. 中华医学会重症医学分会. 呼吸机相关性肺炎诊断、预防和治疗指南(2013). 中华内科杂志, 2013, 52(6):524-543.
32. 中国人民解放军医学会儿科分会肾脏病学组. 急性肾小球肾炎的循证诊治指南. 临床儿科杂志, 2013, (6):561-564.
33. Alonso-Coello P, Irfan A, Solà I, et al. The quality of clinical practice guidelines over the last two decades:a systematic review of guideline appraisal studies. Qual Saf Health Care, 2010, 19(6):e58.
34. AGREE Next Steps Consortium (2009). The AGREE Ⅱ Instrument[Electronic version], 2011. Available at:http://www.agreetrust.org. (Accessed January, 01, 2014).

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