中国循证医学杂志

中国循证医学杂志

2017 年全球移植领域临床实践指南的质量评价

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目的评价 2017 年发表的全球移植领域的临床实践指南质量。 方法计算机检索 PubMed、NICE、NGC、NCCN、SIGN、CMA Infobase 和 GIN 数据库,搜集 2017 年发表的移植领域临床实践指南,采用 AGREE Ⅱ评价工具进行评价。 结果共检索到移植领域临床实践指南 10 篇。AGREE Ⅱ评价结果显示,各领域得分存在显著差异(P=0.001)。各指南在范围和目的、表达的明晰性和总体得分方面较为理想,平均得分分别为 90.8%[95%CI(83.5%,98.1%)]、82.5%[95%CI(72.7%,92.3%)]和 75.6%[95%CI(66.6%,84.6%)];但在参与人员和应用性方面得分较低,分别为 40.0%[95%CI(32.4%,47.6%)]和 27.8%[95%CI(11.2%,44.5%)]。 结论2017 年全球移植领域临床实践指南不同领域的得分差异较大,在参与人员和应用性方面需要进一步提高。

ObjectivesTo assess the quality of clinical practice guidelines for transplantation in 2017. MethodsPubMed, NICE, NGC, NCCN, SIGN, CMA Infobase and GIN databases were searched online to collect guidelines for transplantation published in 2017. Guidelines were then assessed by using the AGREE Ⅱ instrument. ResultsA total of 10 guidelines were included. The result of assessments by the AGREE Ⅱ instrument showed a clear discrepancy among domains (P=0.001). Satisfactory scores were found in domains of " scope and purpose”, " clarity of presentation” and " overall score”, where the average scores were 90.8% (95%CI 83.5% to 98.1%), 82.5% (95%CI 72.7% to 92.3%) and 75.6% (95%CI 66.6% to 84.6%), respectively. Low scores were found in domains of " stakeholder involvement” and " applicability”, in which a score of 40.0% (95%CI 32.4% to 47.6%) and a score of 27.8% (95%CI 11.2% to 44.5%) were achieved, respectively. ConclusionsThere is a clear discrepancy among domains of global clinical practice guidelines for transplantation in 2017. Guidelines in this field should be improved in " stakeholder involvement” and " applicability”.

关键词: 移植; 临床实践指南; 质量评价; AGREE Ⅱ

Key words: Transplantation; Clinical practice guideline; Quality assessment; AGREE Ⅱ

引用本文: 朱志军, 孙丽莹, 张海明, 施月仙. 2017 年全球移植领域临床实践指南的质量评价. 中国循证医学杂志, 2018, 18(9): 964-968. doi: 10.7507/1672-2531.201805093 复制

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