A comparative study on operative mechanism of the global clinical guideline databases_Chinese Journal of Evidence-Based Medicine

Authors：

LONG Youlin ¹ , ZHANG Yonggang ^1,2 , LI Youping ¹ , HU Chuan ² , CHEN Yaolong ^3,4 , YAO Xun ⁵ ,  WANG Qiang ⁶ ,  HUANG Jin ⁷ ,  DU Liang ^1,2

1. Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
2. West China Medical Publishers, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
3. Evidence-Based Medicine Center, Lanzhou University, Lanzhou, 730000, P.R.China;
4. Chinese GRADE Center, Lanzhou University, Lanzhou, 730000, P.R.China;
5. West China School of Medicine, Sichuan University, Chengdu, 610041, P.R.China;
6. Department of Standardization, National Center for Medical Service Administration, National Health Commission of the People’s Republic of China, Beijing, 100000, P.R.China;
7. West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

WANG Qiang, Email: jason2019@sina.cn; HUANG Jin, Email: michael.huangjin@gmail.com; DU Liang, Email: duliang0606@vip.sina.com

Keywords：

Clinical practice guideline; Guideline database; Web resource; Operating mechanism

DOI：

10.7507/1672-2531.201805128

Video：

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Objectives To summarize and compare the operative mechanisms of the most representative comprehensive clinical practice guideline (CPG) databases worldwide, so as to provide references for establishing and managing Chinese CPG database.Methods CPG databases were collected worldwide by discussing with experts in the guideline and database fields. Studies on guideline databases were searched in PubMed and CNKI to further collect CPG databases mentioned in these studies. Representative comprehensive guideline databases were finally selected by consulting relevant guideline experts. The institutions’ names of establishing and managing CPG databases, funding sources, human resources, aims, quality control measures (including CPG inclusion and updating criteria) were extracted and summarized. Databases were divided into government-led, society-led, and enterprise-led models. A descriptive analysis was conducted.Results There were four government-led databases, four society-led databases and merely one enterprise-led database. The institutions of establishing CPG databases were same as the institutions of managing databases in the seven databases. All CPG databases had set up offices, seven of which were located in the capital. Most databases’ funds came from the government. Four databases implemented board management. According to the division of functions, members involved in establishing and managing CPG databases mainly included leaders, expert teams, managerial personnel, secretaries, web developers, and patient representatives. Criteria for inclusion of CPG were relevant to the purpose of establishing databases. Most databases required guidelines that had be updated within three to five years.Conclusions This study provides comprehensive information on operative mechanism of different CPG databases which can assist guideline database builders to optimize their operative mechanism.

Citation： LONG Youlin, ZHANG Yonggang, LI Youping, HU Chuan, CHEN Yaolong, YAO Xun, WANG Qiang, HUANG Jin, DU Liang. A comparative study on operative mechanism of the global clinical guideline databases. Chinese Journal of Evidence-Based Medicine, 2018, 18(10): 1045-1052. doi: 10.7507/1672-2531.201805128 Copy

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2.	Field MJ, Lohr KN. Clinical practice guidelines: Directions for a new program. Washington (DC): National Academies Press (US), 1990.
3.	Sobczak D. Clinical practice guidelines resources on the Web. Med Ref Serv Q, 2000, 19(2): 73-79.
4.	Shaughnessy AF, Cosgrove L, Lexchin JR. The need to systematically evaluate clinical practice guidelines. J Am Board Fam Med, 2016, 29(6): 644-648.
5.	Alper BS, Malone-Moses M, McLellan JS, et al. Thrombolysis in acute ischaemic stroke: time for a rethink? BMJ, 2015, 350: h1075.
6.	龙囿霖, 张永刚, 李幼平, 等. 全球临床指南数据库功能特点及技术参数的比较研究. 中国循证医学杂志, 2018, 18(3): 254-262.
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12.	El-Khayat YM, Forbes CS, Coghill JG. Guideline.gov: A Database of Clinical Specialty Guidelines. Med Ref Serv Q, 2017, 36(1): 62-72.
13.	Duda S, Fahim C, Szatmari P, et al. is the national guideline clearinghouse a trustworthy source of practice guidelines for child and youth anxiety and depression. J Can Acad Child Adolesc Psychiatry, 2017, 26(2): 86-97.
14.	Hurwitz B. Clinical guidelines and the law. BMJ, 1995, 311(7019): 1517-1518.
15.	Hurwitz B. Legal and political considerations of clinical practice guidelines. BMJ, 1999, 318(7184): 661-664.
16.	赵琨, 肖月, 池延花, 等. 英国NICE技术评估和临床指南的实施对我们的启示. 中国卫生资源, 2011, 14(3): 193-195.
17.	About the nhmrc. Available at: https://www.nhmrc.gov.au/about.
18.	周巍, 张新平. 澳大利亚制订临床实践指南对中国的启示. 中国全科医学, 2012, 15(31): 3568-3569.
19.	Durieux P, Chaix-Couturier C, Durand-Zaleski I, et al. From clinical recommendations to mandatory practice. The introduction of regulatory practice guidelines in the French healthcare system. Int J Technol Assess Health Care, , 2000, 16(4): 969-975.
20.	Durieux P, Gaillac B, Giraudeau B, et al. Despite financial penalties, French physicians' knowledge of regulatory practice guidelines is poor. Arch Fam Med, 2000, 9(5): 414-418.
21.	Grimshaw JM, Russell IT. Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. Lancet, 1993, 342(8883): 1317-1322.
22.	Grimshaw JM, Russell IT. Achieving health gain through clinical guidelines II: Ensuring guidelines change medical practice. Qual Health Care, 1994, 3(1): 45-52.
23.	Hunt DL, Haynes RB, Hanna SE, et al. Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. JAMA, 1998, 280(15): 1339-1346.
24.	Available at: https://www.nice.org.uk/about.
25.	Available at: https://www.guideline.gov/help-and-about.
26.	熊天寿. 怎样完善医院运行机制. 现代预防医学, 2006, 33(12): 2390-2391.
27.	吴红梅, 李峻. 病因证据的评价与应用. 李幼平, 主编. 循证医学. 北京: 人民卫生出版社, 2014.
28.	汪宏, 包旭. 美国国立临床诊疗指南数据库介绍. 中国执业药师, 2013, 10(1): 42-45.
29.	Kost GJ. National guideline clearinghouse. Clin Chem, 2000, 46(1): 141-142.
30.	何林, 杜小丽. 循证医学临床实践指南检索. 中国组织工程研究与临床康复, 2007, 11(40): 8173-8177.
31.	Fitzpatrick RB. CMA Infobase: clinical practice guidelines. Med Ref Serv Q, 2008, 27(4): 419-429.
32.	李晓婷, 詹思延. 最佳证据网上资源介绍. 中国循证心血管医学杂志, 2009, 1(1): 123-126.
33.	曾佩瑜. 循证医学的网络资源. 医学信息(中旬刊), 2010, 5(9): 2556-2557.
34.	陈波, 傅鹰. 循证性临床指南主要英文网站的搜集和简介. 药物流行病学杂志, 2002, 11(2): 90-93.
35.	孙文茜, 赵晨, 高维洁, 等. 循证护理实践中的证据检索方法及资源. 中国循证心血管医学杂志, 2016, 8(3): 263-266, 272.
36.	钟丽萍. 临床实践指南网络资源及元数据分析. 现代情报, 2009, 29(2): 105-108.
37.	钟丽萍. 临床实践指南网络资源分布及利用. 循证医学, 2008, 8(6): 356-359.

1. Woolf SH, Grol R, Hutchinson A, et al. Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines. BMJ, 1999, 318(7182): 527-530.
2. Field MJ, Lohr KN. Clinical practice guidelines: Directions for a new program. Washington (DC): National Academies Press (US), 1990.
3. Sobczak D. Clinical practice guidelines resources on the Web. Med Ref Serv Q, 2000, 19(2): 73-79.
4. Shaughnessy AF, Cosgrove L, Lexchin JR. The need to systematically evaluate clinical practice guidelines. J Am Board Fam Med, 2016, 29(6): 644-648.
5. Alper BS, Malone-Moses M, McLellan JS, et al. Thrombolysis in acute ischaemic stroke: time for a rethink? BMJ, 2015, 350: h1075.
6. 龙囿霖, 张永刚, 李幼平, 等. 全球临床指南数据库功能特点及技术参数的比较研究. 中国循证医学杂志, 2018, 18(3): 254-262.
7. New Zealand guidelines group. Available at: http://www.health.govt.nz/about-ministry/ministry-health-websites/new-zealand-guidelines-group.
8. 隋宾艳, 齐雪然. 英国NICE卫生技术评估研究决策转化机制及对我国的启示. 中国卫生政策研究, 2015, 8(7): 74-78.
9. 王方. 规范的董事会运行管理机制成就企业可持续发展研究. 纳税, 2018, (4): 124.
10. The clinical practice guidelines portal. Available at: https://www.clinicalguidelines.gov.au/about.
11. Field MJ, Lohr KN. Guidelines for clinical practice: From development to use. Washington (DC): National Academies Press (US), 1992.
12. El-Khayat YM, Forbes CS, Coghill JG. Guideline.gov: A Database of Clinical Specialty Guidelines. Med Ref Serv Q, 2017, 36(1): 62-72.
13. Duda S, Fahim C, Szatmari P, et al. is the national guideline clearinghouse a trustworthy source of practice guidelines for child and youth anxiety and depression. J Can Acad Child Adolesc Psychiatry, 2017, 26(2): 86-97.
14. Hurwitz B. Clinical guidelines and the law. BMJ, 1995, 311(7019): 1517-1518.
15. Hurwitz B. Legal and political considerations of clinical practice guidelines. BMJ, 1999, 318(7184): 661-664.
16. 赵琨, 肖月, 池延花, 等. 英国NICE技术评估和临床指南的实施对我们的启示. 中国卫生资源, 2011, 14(3): 193-195.
17. About the nhmrc. Available at: https://www.nhmrc.gov.au/about.
18. 周巍, 张新平. 澳大利亚制订临床实践指南对中国的启示. 中国全科医学, 2012, 15(31): 3568-3569.
19. Durieux P, Chaix-Couturier C, Durand-Zaleski I, et al. From clinical recommendations to mandatory practice. The introduction of regulatory practice guidelines in the French healthcare system. Int J Technol Assess Health Care, , 2000, 16(4): 969-975.
20. Durieux P, Gaillac B, Giraudeau B, et al. Despite financial penalties, French physicians' knowledge of regulatory practice guidelines is poor. Arch Fam Med, 2000, 9(5): 414-418.
21. Grimshaw JM, Russell IT. Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. Lancet, 1993, 342(8883): 1317-1322.
22. Grimshaw JM, Russell IT. Achieving health gain through clinical guidelines II: Ensuring guidelines change medical practice. Qual Health Care, 1994, 3(1): 45-52.
23. Hunt DL, Haynes RB, Hanna SE, et al. Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. JAMA, 1998, 280(15): 1339-1346.
24. Available at: https://www.nice.org.uk/about.
25. Available at: https://www.guideline.gov/help-and-about.
26. 熊天寿. 怎样完善医院运行机制. 现代预防医学, 2006, 33(12): 2390-2391.
27. 吴红梅, 李峻. 病因证据的评价与应用. 李幼平, 主编. 循证医学. 北京: 人民卫生出版社, 2014.
28. 汪宏, 包旭. 美国国立临床诊疗指南数据库介绍. 中国执业药师, 2013, 10(1): 42-45.
29. Kost GJ. National guideline clearinghouse. Clin Chem, 2000, 46(1): 141-142.
30. 何林, 杜小丽. 循证医学临床实践指南检索. 中国组织工程研究与临床康复, 2007, 11(40): 8173-8177.
31. Fitzpatrick RB. CMA Infobase: clinical practice guidelines. Med Ref Serv Q, 2008, 27(4): 419-429.
32. 李晓婷, 詹思延. 最佳证据网上资源介绍. 中国循证心血管医学杂志, 2009, 1(1): 123-126.
33. 曾佩瑜. 循证医学的网络资源. 医学信息(中旬刊), 2010, 5(9): 2556-2557.
34. 陈波, 傅鹰. 循证性临床指南主要英文网站的搜集和简介. 药物流行病学杂志, 2002, 11(2): 90-93.
35. 孙文茜, 赵晨, 高维洁, 等. 循证护理实践中的证据检索方法及资源. 中国循证心血管医学杂志, 2016, 8(3): 263-266, 272.
36. 钟丽萍. 临床实践指南网络资源及元数据分析. 现代情报, 2009, 29(2): 105-108.
37. 钟丽萍. 临床实践指南网络资源分布及利用. 循证医学, 2008, 8(6): 356-359.

Chinese Journal of Evidence-Based Medicine

A comparative study on operative mechanism of the global clinical guideline databases

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