中国循证医学杂志

中国循证医学杂志

2015 年中国大陆临床实践指南的报告质量分析

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目的 评价 2015 年中国大陆期刊发表的临床实践指南(以下简称指南)的报告质量。 方法 计算机检索 CBM、WanFang Data、CNKI 和 VIP 数据库,搜集中国大陆期刊发表的指南,检索时间从 2015 年 1 月 1 日至 2015 年 12 月 31 日。由 2 位评价员独立筛选文献、提取资料,采用国际实践指南报告标准(RIGHT)评价指南的报告质量,最后采用 Excel 软件进行统计分析。 结果 最终纳入 74 部指南。发现在 RIGHT 的 7 大领域中,基本信息和背景领域的报告质量尚可;在证据和推荐意见领域问题较少;在评审和质量保证、资金资助与利益冲突声明和管理、其他方面三个领域存在很多不足。 结论 2015 年中国大陆期刊发表的报告质量偏低,指南的充分报告率亟待提高,建议指南制定者严格按照国际标准进行指南的制定和报告,从而提高临床实践指南的质量。

Objective To evaluate the reporting quality of clinical practice guidelines published in Chinese journals in 2015. Methods We searched CBM, CNKI, VIP and WanFang Database to collect clinical practice guidelines published in Chinese journals from January, 2015 to December, 2015. Two reviewers independently screened literature, extracted data, and the reporting quality of clinical practice guideline was evaluated by Reporting Items for Practice Guidelines in Healthcare (RIGHT). Excel software was used for analysis. Results We included 74 clinical practice guidelines. We found that among the seven domains of RIGHT, the reporting quality of basic information and background domains was acceptable, there were fewer problems in the domain of evidence and recommendation, there were many deficiencies in three domains, such as review and quality assurance, funding and the declaration/management of interests, other information. Conclusions The reporting quality of clinical practice guidelines published in Chinese journals in 2015 is low, the full reporting rate of clinical practice guideline needs to be improved. It is suggested that the guideline makers make strict guidelines for the development and report the guidelines with international standard, thus improving the quality of the clinical practice guidelines.

关键词: RIGHT; 中国; 临床实践指南; 报告质量

Key words: RIGHT; Clinical practice guideline; Reporting quality;  

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1. Lameire N, Biesen WV. Clinical Practice Guidelines: An Important Tool in Improving Dialysis Quality. Contrib Nephrol, 2012, 178(178): 58.
2. 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.
3. Davis D, Goldman J, Palda VA. Handbook on Clinical Practice Guidelines. Ottawa: Canadian Medical Association, 2007.
4. AGREE manual. Available at: http://www.agreetrust.org.
5. Chen Y, Yang K, Marušic A, et al. A reporting tool for practice guidelines in health care: the RIGHT Statement. Ann Intern Med, 2017, 166(2): 128.
6. Institute of Medicine (US) Committee to Advise the Public Health Service on Clinical Practice Guidelines. Clinical practice guidelines: directions for a new program. Ann Oncol, 1990, 60(9): 343-348.
7. 杜开昔, 姜明山. 对期刊文章和开题报告的同行评审. 自然辩证法通讯, 1988, (4): 25-32.
8. Burnham JC. Research ethics, manuscript review, and journal quality. Madison: ASA-CSSA-SSSA: 55-62.
9. Collaboration A. Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project. Qual Saf Health Care, 2003, 12(1): 18-23.
10. Murphy JF. Paternalism or partnership: clinical practice guidelines and patient preferences. Ir Med J, 2008, 101(8): 232.
11. 谢秀丽, 王琪, 陈耀龙, 等. 中医(中西医结合)临床实践指南制修订方法——患者偏好与价值观. 中华中医药杂志, 2016, 31(11): 4607-4610.
12. 解染, 陈耀龙, 陈昊, 等. 循证指南制定中患者价值观和偏好的研究方法. 中国循证医学杂志, 2015, 15(5): 586-591.
13. Chen YL, Wang C, Shang HC, et al. Clinical Practice Guideline in China. BMJ, 2018, 360: j5158.
14. Brouwers MC, Kho ME, Browman GP, et al. AGREE II: advancing guideline development, reporting and evaluation in health care. J Clin Epidemiol, 2010, 3(12): 1308-1311.
15. 刘红, 胡新和. 学术期刊同行评审的发展、方式及挑战. 中国科技期刊研究, 2005, 16(5): 605-608.
16. 方卿. 我国学术期刊同行评审现状分析. 中国编辑, 2006, (6): 57-61.