DUAN Yuting 1 # , CHEN Ze 1 # , CHEN Yaolong 2,3,4,5 , ZHANG Yu 1 , CHEN Juexuan 1 , WANG Qianmei 1 , TANG Chunzhi 1 , LU Liming 1
  • 1. South China Research Center for Acupuncture and Moxibustion,Guangzhou University of Chinese Medicine, Guangzhou, 510006, P.R.China;
  • 2. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, 730000, P.R.China;
  • 3. Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou, 730000, P.R.China;
  • 4. Chinese GRADE Center, Lanzhou, 730000, P.R.China;
  • 5. WHO Collaborating Centre for Guideline Implementation and Knowledge Translation, Lanzhou, 730000, P.R.China;
TANG Chunzhi, Email: jordan664@163.com; LU Liming, Email: lulimingleon@126.com
Acupuncture; Clinical practice guideline; AGREE Ⅱ; RIGHT; Methodology; Reporting quality; Evaluation
10.7507/1672-2531.201812138
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Objectives To analyze the current methodological and reporting quality of both domestic and overseas clinical practice guidelines on acupuncture, and to provide reference for the development of high quality acupuncture clinical practice guidelines.Methods GIN, NICE, AHRQ, PubMed, EMbase, AMED, CINAHL, WanFang Data, CNKI, VIP and CBM databases were electronically searched to collect domestic and overseas clinical practice guidelines on acupuncture from inception to September, 2018. Two reviewers independently screened literature, extracted data and evaluated the methodological and reporting quality by using AGREE Ⅱ and RIGHT tools.Results A total of 23 acupuncture clinical practice guidelines were included, in which three were developed by foreign institutions, and the remaining 20 guidelines were jointly developed by WHO Western Pacific Region and China Institute of Acupuncture and Moxibustion. Three foreign and two domestic guidelines were selected for evaluation. The AGREE Ⅱ evaluation showed that the domestic guidelines have higher scores in terms of " scope and purpose”, " stakeholder involvement”, " rigor of development”, " applicability” and " clarity of presentation”, while only " editorial independence” is lower. The overall recommendation is stronger than the foreign guidelines. The RIGHT evaluation showed that for three foreign guidelines, the " reported” items accounted for 52.38%, " unreported” items accounted for 38.09%, " partly reported” items accounted for 6.66%%; however, for domestic guidelines, the " reported” accounted for 45.71%, " unreported” items accounted for 40%, and " partly reported” items accounted for 14.28% respectively. Overall, the difference is not significant (SD<10%). Due to the specificity of acupuncture interventions, the use of AGREEⅡ and RIGHT to evaluate acupuncture clinical practice guidelines still had barriers to some extend on its applicability.Conclusion The methodological and reporting quality of acupuncture clinical practice guidelines are relatively low. It is urgent to further improve the methodological level and reporting standards of the guidelines, and to develop evaluation tools for the acupuncture field guidelines.

Citation： DUAN Yuting, CHEN Ze, CHEN Yaolong, ZHANG Yu, CHEN Juexuan, WANG Qianmei, TANG Chunzhi, LU Liming. Quality assessment of clinical practice guidelines on acupuncture. Chinese Journal of Evidence-Based Medicine, 2019, 19(8): 983-988. doi: 10.7507/1672-2531.201812138 Copy

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