Reporting quality of clinical practice guidelines published in journals of mainland China in 2017_Chinese Journal of Evidence-Based Medicine

Authors：

YANG Qinbo ¹ ^# , ZHOU Qi ^2,3,4,5 ^# , HUANG Tianxiang ⁶ , GAO Xia ⁷ , CHEN Yu ⁷ , ZHANG Xianzhuo ⁶ , YANG Nan ^2,3,4,5 , ZHANG Jingyi ^2,3,4,5,8 ,  CHEN Yaolong ^2,3,4,5

1. Department of Nephrology, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;
2. WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou 730000, P.R.China;
3. Evidence-based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, P.R.China;
4. Key Laboratory of Evidence-based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, P.R.China;
5. GRADE Chinese Center, Lanzhou 730000, P.R.China;
6. The First Clinical Medical School, Lanzhou University, Lanzhou 730000, P.R.China;
7. The Second Clinical Medical School, Lanzhou University, Lanzhou 730000, P.R.China;
8. School of Public Health, Lanzhou University, Lanzhou 730000, P.R.China;

Corresponding author：

CHEN Yaolong, Email: chenyaolong@vip.163.com

Keywords：

Reporting items for practice guidelines in healthcare (RIGHT); Clinical practice guideline; Reporting quality

DOI：

10.7507/1672-2531.201904085

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Objectives To evaluate the reporting quality of clinical practice guidelines published in Chinese journals in 2017.Methods CBM, CNKI and WanFang Data databases were searched for articles published in 2017. Two reviewers independently screened literature, extracted data, and evaluated the reporting quality of clinical practice guidelines using the Reporting Items for Practice Guidelines in Healthcare (RIGHT).Results One hundred and seven clinical practice guidelines were included and a total reporting rate of 34.8%±0.1% in RIGHT. Among the seven domains of RIGHT, field on basic information had the highest reporting rate (56.8%) and fields on review and quality assurance had the lowest reporting rate (9.3%).The average reporting rate of RIGHT items of Chinese Science Citation Database (CSCD) articles was lower than non-CSCD [MD=−0.73, 95%CI (−0.78, −0.68)] articles. The average reporting rates of RIGHT items differed between Chinese Medical Association (CMA) journal articles and non-CMA journal articles [MD=2.30, 95%CI (2.26, 2.34)]. The average reporting rates of RIGHT items was lower in guidelines established by associations or institutes [MD=−3.78, 95%CI (−3.83, −3.73)], and was higher reported in Chinese medicine guidelines [MD=21.94, 95%CI (21.91, 21.97)].Conclusions The reporting quality of clinical practice guidelines published in journals of mainland China in 2017 is low in general, especially in fields such as review and quality assurance, funding and declaration and management of interests and other information. To improve this phenomena, it is suggested that guideline developers report the guidelines rigorously with international standard.

Citation： YANG Qinbo, ZHOU Qi, HUANG Tianxiang, GAO Xia, CHEN Yu, ZHANG Xianzhuo, YANG Nan, ZHANG Jingyi, CHEN Yaolong. Reporting quality of clinical practice guidelines published in journals of mainland China in 2017. Chinese Journal of Evidence-Based Medicine, 2019, 19(11): 1325-1332. doi: 10.7507/1672-2531.201904085 Copy

1.	Institute of medicine (US) committee on standards for developing trustworthy clinical practice guidelines. Clinical practice guidelines we can trust. Washington (DC): National Academies Press (US), 2011.
2.	丁泓帆, 杨楠, 邓围, 等. WHO 指南制定的基本原则和方法. 中国循证医学杂志, 2016, 16(4): 471-477.
3.	Palda VA, Davis D, Goldman J. A guide to the Canadian Medical Association handbook on clinical practice guidelines. CMAJ, 2007, 177(10): 1221-1226.
4.	Chen Y, Wang C, Shang H, et al. Clinical practice guidelines in China. BMJ, 2018, 360: j5158.
5.	Chen YL, Yao L, Xiao XJ, et al. Quality assessment of clinical guidelines in China: 1993-2010. Chin Med J (Engl), 2012, 125(20): 3660-3664.
6.	Chen Y, Hu S, Wu L, et al. Clinical practice guidelines for hypertension in China: a systematic review of the methodological quality. BMJ Open, 2015, 5(7): e008099.
7.	Deng W, Li L, Wang Z, et al. Using AGREE II to evaluate the quality of traditional medicine clinical practice guidelines in China. J Evid Based Med, 2016, 9(3): 152-162.
8.	Brouwers MC, Kho ME, Browman GP, et al. AGREE II: advancing guideline development, reporting, and evaluation in health care. Prev Med, 2010, 51(5): 421-424.
9.	National Institute for Clinical Excellence. The guidelines manual. London: NICE, 2012.
10.	Twaddle S, Qureshi S. Scottish intercollegiate guidelines network. Evid Base Healthc Public Health, 2005, 9(6): 405-409.
11.	Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
12.	狄宝山, 贾俊海, 王建成, 等. 风湿性心脏病临床实践指南方法学和报告质量评价. 中国医药导刊, 2018, 20(9): 513-518.
13.	Chen Y, Yang K, MaruChen, et al. A reporting tool for practice guidelines in health care: the RIGHT statement. Ann Intern Med, 2017, 166(2): 128-132.
14.	卫生部卫生统计信息中心. 国际疾病分类(ICD-10)应用指导手册. 2001.
15.	令娟, 王明霞, 王琪, 等. 2015 年中国临床实践指南的报告质量分析. 中国循证医学杂志, 2018, 18(7): 721-728.
16.	柯立鑫, 王津京, 王浩, 等. 2016 年中国大陆期刊发表临床实践指南的报告质量评价. 中国循证儿科杂志, 2018, 13(3): 194-199.
17.	Murphy JF. Paternalism or partnership: clinical practice guidelines and patient preferences. Ir Med J, 2008, 101(8): 232.
18.	陈耀龙, 王小琴, 王琪, 等. 遵循指南报告规范提升指南报告质量. 中华内科杂志, 2018, 57(3): 168-170.
19.	Simpson RK, Bick D. Alternative therapies in health and medicine. JAMA, 1996, 275(13): 1034.
20.	陈仁波, 陈耀龙, 盖国忠, 等. 基于 RIGHT 标准分析脓毒症实践指南的报告规范. 中国中药杂志, 2017, 42(8): 1514-1517.

1. Institute of medicine (US) committee on standards for developing trustworthy clinical practice guidelines. Clinical practice guidelines we can trust. Washington (DC): National Academies Press (US), 2011.
2. 丁泓帆, 杨楠, 邓围, 等. WHO 指南制定的基本原则和方法. 中国循证医学杂志, 2016, 16(4): 471-477.
3. Palda VA, Davis D, Goldman J. A guide to the Canadian Medical Association handbook on clinical practice guidelines. CMAJ, 2007, 177(10): 1221-1226.
4. Chen Y, Wang C, Shang H, et al. Clinical practice guidelines in China. BMJ, 2018, 360: j5158.
5. Chen YL, Yao L, Xiao XJ, et al. Quality assessment of clinical guidelines in China: 1993-2010. Chin Med J (Engl), 2012, 125(20): 3660-3664.
6. Chen Y, Hu S, Wu L, et al. Clinical practice guidelines for hypertension in China: a systematic review of the methodological quality. BMJ Open, 2015, 5(7): e008099.
7. Deng W, Li L, Wang Z, et al. Using AGREE II to evaluate the quality of traditional medicine clinical practice guidelines in China. J Evid Based Med, 2016, 9(3): 152-162.
8. Brouwers MC, Kho ME, Browman GP, et al. AGREE II: advancing guideline development, reporting, and evaluation in health care. Prev Med, 2010, 51(5): 421-424.
9. National Institute for Clinical Excellence. The guidelines manual. London: NICE, 2012.
10. Twaddle S, Qureshi S. Scottish intercollegiate guidelines network. Evid Base Healthc Public Health, 2005, 9(6): 405-409.
11. Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
12. 狄宝山, 贾俊海, 王建成, 等. 风湿性心脏病临床实践指南方法学和报告质量评价. 中国医药导刊, 2018, 20(9): 513-518.
13. Chen Y, Yang K, MaruChen, et al. A reporting tool for practice guidelines in health care: the RIGHT statement. Ann Intern Med, 2017, 166(2): 128-132.
14. 卫生部卫生统计信息中心. 国际疾病分类(ICD-10)应用指导手册. 2001.
15. 令娟, 王明霞, 王琪, 等. 2015 年中国临床实践指南的报告质量分析. 中国循证医学杂志, 2018, 18(7): 721-728.
16. 柯立鑫, 王津京, 王浩, 等. 2016 年中国大陆期刊发表临床实践指南的报告质量评价. 中国循证儿科杂志, 2018, 13(3): 194-199.
17. Murphy JF. Paternalism or partnership: clinical practice guidelines and patient preferences. Ir Med J, 2008, 101(8): 232.
18. 陈耀龙, 王小琴, 王琪, 等. 遵循指南报告规范提升指南报告质量. 中华内科杂志, 2018, 57(3): 168-170.
19. Simpson RK, Bick D. Alternative therapies in health and medicine. JAMA, 1996, 275(13): 1034.
20. 陈仁波, 陈耀龙, 盖国忠, 等. 基于 RIGHT 标准分析脓毒症实践指南的报告规范. 中国中药杂志, 2017, 42(8): 1514-1517.

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