Clinical practice guideline in China: current status and thoughts_Chinese Journal of Evidence-Based Medicine

Authors：

LIN Xia ¹ , YANG Kehu ² , CHEN Yaolong ² , WANG Qi ² ,  BAI Fei ¹

1. National Center for Medical Service Administration, National Health and Family Planning Commission, Beijing, 100000, P.R.China;
2. Evidence-based Medicine Center, Lanzhou University, Lanzhou, 730000, P.R.China;

Corresponding author：

BAI Fei, Email: gsyzbf@163.com

Keywords：

Clinical practice guideline; Guiding principle; Quality evaluation; Policy suggestion

DOI：

10.7507/1672-2531.201703130

Video：

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National Center for Medical Service Administration of National Health and Family Planning Commission of China was established at the beginning of 2015. It is mainly in charge of developing and managing standards of medical technology and organizing their implementation, and giving technical guidance and consulting for evaluation of medical institutions. The foundation of the center fills in the blank of lacking central administrative department of the guideline development and evaluation. This paper introduces the definition and the function of clinical practice guideline, and analyzes the current situation, problems and challenges of domestic guidelines, and proposes some potential suggestions on improving the quality of Chinese guidelines from national level for promoting the standardization, scientification and transparency of clinical practice guidelines in China.

Citation： LIN Xia, YANG Kehu, CHEN Yaolong, WANG Qi, BAI Fei. Clinical practice guideline in China: current status and thoughts. Chinese Journal of Evidence-Based Medicine, 2017, 17(5): 497-500. doi: 10.7507/1672-2531.201703130 Copy

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5.	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.
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7.	杨克虎, 陈耀龙, 李幼平, 等. 中国能否应对指南挑战?. 中国循证医学杂志, 2013, 13(6): 621-623.
8.	Available at: .
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11.	蒋朱明, 詹思延, 贾小魏, 等. 制订/修订《临床诊疗指南》的基本方法及程序. 中华医学杂志, 2016, 96(4): 250-253.
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13.	陈耀龙, 杨克虎, 姚亮, 等. GRADE 系统方法学进展. 中国循证儿科杂志, 2013, 8(1): 64-65.
14.	陈耀龙, 姚亮, Susan Norris, 等. GRADE 在系统评价中应用的必要性及注意事项. 中国循证医学杂志, 2013, 13(12): 1401-1404.
15.	Schünemann HJ, Al-Ansary LA, Forland F, et al. Guidelines international network: principles for disclosure of interests and management of conflicts in guidelines. Ann Intern Med, 2015, 163(7): 548-553.
16.	Brouwers M, Kho ME, Browman GP, et al. AGREE II: Advancing guideline development, reporting and evaluation in healthcare. J Clin Epidemol, 2010, 63(12): 1308-1311.
17.	韦当, 王聪尧, 肖晓娟, 等. 指南研究与评价(AGREE Ⅱ)工具实例解读. 中国循证儿科杂志, 2013, 8(4): 316-319.
18.	宇文亚, 韩学杰, 刘孟宇, 等. 中医临床实践指南评价的思路和方法. 中国医学创新, 2014, 11(3): 88-89.
19.	季聪华, 曹毅, 张颖, 等. 12 个病种中医临床诊疗指南适用性评价. 中医杂志, 2015, 30(10): 3577-3579.
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21.	陈耀龙, 陈恳, 叶志康, 等. 中国万古霉素治疗药物监测指南的制订. 中国循证医学杂志, 2015, 15(2): 236-239.
22.	陈恳, 王琪, 陈耀龙, 等. 《中国万古霉素治疗药物监测指南》推荐意见的外审调查. 中国循证医学杂志, 2015, 15(6): 719-722.

1. Available at: .
2. Available at: .
3. IOM. Clinical practice guidelines we can trust. Washington, DC: The National Academies Press, 2011.
4. 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.
5. 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.
6. 李楠, 姚亮, 吴琼芳, 等. 2012–2013 年中国大陆期刊发表临床实践指南质量评价. 中国循证医学杂志, 2015, 15(3): 259-263.
7. 杨克虎, 陈耀龙, 李幼平, 等. 中国能否应对指南挑战?. 中国循证医学杂志, 2013, 13(6): 621-623.
8. Available at: .
9. 陈耀龙, 杨克虎, 田金徽, 等. 循证实践指南的制订: 国际经验与中国实践. 兰州大学学报(医学版), 2016, 42(1): 29-35.
10. 丁泓帆, 常晓楠, 杨楠, 等. WHO 指南评审原则与方法. 中国循证医学杂志, 2016, 16(4): 478-481.
11. 蒋朱明, 詹思延, 贾小魏, 等. 制订/修订《临床诊疗指南》的基本方法及程序. 中华医学杂志, 2016, 96(4): 250-253.
12. Guyatt G, Oxman AD, Akl EA, et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. J Clin Epidemiol, 2011, 64(4): 383-394.
13. 陈耀龙, 杨克虎, 姚亮, 等. GRADE 系统方法学进展. 中国循证儿科杂志, 2013, 8(1): 64-65.
14. 陈耀龙, 姚亮, Susan Norris, 等. GRADE 在系统评价中应用的必要性及注意事项. 中国循证医学杂志, 2013, 13(12): 1401-1404.
15. Schünemann HJ, Al-Ansary LA, Forland F, et al. Guidelines international network: principles for disclosure of interests and management of conflicts in guidelines. Ann Intern Med, 2015, 163(7): 548-553.
16. Brouwers M, Kho ME, Browman GP, et al. AGREE II: Advancing guideline development, reporting and evaluation in healthcare. J Clin Epidemol, 2010, 63(12): 1308-1311.
17. 韦当, 王聪尧, 肖晓娟, 等. 指南研究与评价(AGREE Ⅱ)工具实例解读. 中国循证儿科杂志, 2013, 8(4): 316-319.
18. 宇文亚, 韩学杰, 刘孟宇, 等. 中医临床实践指南评价的思路和方法. 中国医学创新, 2014, 11(3): 88-89.
19. 季聪华, 曹毅, 张颖, 等. 12 个病种中医临床诊疗指南适用性评价. 中医杂志, 2015, 30(10): 3577-3579.
20. Available at: .
21. 陈耀龙, 陈恳, 叶志康, 等. 中国万古霉素治疗药物监测指南的制订. 中国循证医学杂志, 2015, 15(2): 236-239.
22. 陈恳, 王琪, 陈耀龙, 等. 《中国万古霉素治疗药物监测指南》推荐意见的外审调查. 中国循证医学杂志, 2015, 15(6): 719-722.

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