中国循证医学杂志

中国循证医学杂志

中国骨科临床实践指南的质量评价

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目的 评价和分析目前国内已发布的骨科指南。 方法 计算机检索 CNKI、CBM、VIP 和 WanFang Data 数据库,搜集相关的中国骨科临床实践指南,检索时限均为从建库至 2016 年 10 月。由 2 位评价员独立筛选文献、提取资料后,采用 AGREEⅡ工具对纳入的指南进行质量评价,计算每个结构域的得分并通过组内相关系数对评价者间的一致性进行评价。 结果 共纳入 54 篇骨科临床实践指南,在 AGREEⅡ6 个结构域的平均得分率为 60.44%、21.40%、5.17%、22.17%、6.02% 和 0.56%。组内相关系数检验结果为 0.84,提示评价者间总的一致性非常好。 结论 国内现有骨科临床实践指南总体质量不高。未来的指南需要在制定的方法学上进一步的提高,尤其是制定的严谨性、应用性和编辑的独立性方面。

Objective To evaluate quality of orthopedic clinical practice guidelines in China by AGREE Ⅱ Instrument. Methods A systematic search of relevant literature databases (CBM, WanFang Data, VIP and CNKI) was conducted to identify the orthopedic clinical practice guidelines of China published up to October 2016. Guidelines selection and data extraction were independently performed by two authors. AGREEⅡ instrument was used to evaluate the quality of the included guidelines. Intra-class correlation coefficient tests were performed to appraise the uniformity of the overall assessment scores. Results A total of 54 guidelines for orthopedics were finally included. The mean scores of six domains by AGREE Ⅱ instrument were 60.44%, 21.40%, 5.17%, 22.17%, 6.02% and 0.56%. The overall intra-class correlation coefficient was 0.84. Conclusion The quality of orthopedic clinical practice guidelines in China was low or moderate in general. The methodology of making guidelines, especially in terms of rigor of development, applicability and editorial independence, should be improved.

引用本文: 邢丹, 王斌, 侯云飞, 陈耀龙, 林剑浩. 中国骨科临床实践指南的质量评价. 中国循证医学杂志, 2017, 17(3): 347-356. doi: 10.7507/1672-2531.201612059 复制

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