中国口腔医学领域临床实践指南的循证评价  

Evidence-based Evaluation of Clinical Practice Guidelines on Stomatology in China

作　　者：曾宪涛[1,2,3] 吴凡[1,2] 邬兰[1,2] 夏凌云[1,2,4] 冷卫东[1] 樊明文[4] 

机构地区：[1]湖北医药学院附属太和医院口腔科,湖北十堰442000 [2]湖北医药学院附属太和医院循证医学与临床研究中心,湖北十堰442000 [3]武汉大学中南医院循证与转化医学中心,武汉430071 [4]武汉大学口腔医学院.口腔医院口腔基础医学省部共建国家重点实验室培育基地和口腔生物医学教育部重点实验室,武汉430071

出　　处：《中国循证医学杂志》2015年第3期264-269,共6页Chinese Journal of Evidence-based Medicine

基　　金：湖北省教育科学"十二五"规划2012年度重点课题(编号:2012A050);湖北省高等学校2013年省级大学生创新训练计划项目(编号:201310929019);武汉大学"985工程"建设项目专项基金;太和医院2013年循证医学"苗圃基金"项目(编号:EBM2013001)

摘　　要：目的循证评价我国口腔医学领域临床实践指南的质量、分析现状、探讨存在的问题,为循证制定实践指南提供参考。方法计算机检索CNKI、CBM、VIP和Wan Fang Data数据库,全面检索我国口腔医学领域截至2014年1月所发表的相关指南,检索时间为2014年1月30日。对符合纳入标准的指南进行资料提取后,采用AGREEⅡ质量评价工具进行评价,然后行描述性分析。结果共纳入18部指南,其中颌面外科占13部。采用AGREEⅡ工具评价六个领域平均得分分别为:范围和目的为71.1%、参与人员为40.1%、严谨性为28.8%、清晰性为71.5%、适用性为42.6%、独立性为8.6%。结论国内口腔医学领域指南整体质量较差、涉及的病种较少,尚无循证研发的临床指南。然而,受研究局限性的影响,本研究评价结果仅供参考。Objective To evaluate the quality,status of clinical practice guidelines on stomatology in China and discuss existing problems,so as to provide references for developing evidence-based guidelines. Methods Comprehensive search was conducted up to January 2014 for relevant clinical practice guidelines on stomatology,and the retrieval date was January 30 th,2014. After data extraction from eligibility guidelines,the quality was evaluated using the AGREE II instrument and then descriptive analysis was performed. Results Finally a total of 18 guidelines were included,of which,13 were for oral and maxillofacial surgery diseases. Based on the AGREE II instrument,the average scores on the six domains were as follows： 71.1% for scope and purpose,40.1% for stakeholder involvement,28.8% for rigor of development,71.5% for clarity of presentation,42.6% for applicability,and 8.6% for editorial independence. Conclusion The overall quality of clinical practice guidelines on stomatology in China is relatively poor,only a few diseases are concerned,and no evidence-based guideline has been developed so far. However,considered the limitations of this study,the results of this study is only for a reference.

关 键 词：“指南” “规范” “共识” “口腔” “牙” 口腔医学 临床实践指南 AGREEⅡ 循证医学 循证指南 

分 类 号：R78[医药卫生—口腔医学] R-03[医药卫生—临床医学]