全球临床指南数据库功能特点及技术参数的比较研究  

A comparative study on functional features and technical parameters of the global clinical guideline databases

作　　者：龙囿霖 张永刚[1,2] 李幼平[1] 胡川 陈耀龙[3,4] 姚巡 王强[6] 黄进 杜亮[1,2] 

机构地区：[1]四川大学华西医院中国循证医学中心,成都610041 [2]四川大学华西医院华西期刊社,成都610041 [3]兰州大学循证医学中心,兰州730000 [4]GRADE中国中心,兰州730000 [5]四川大学华西临床医学院,成都610041 [6]国家卫生和计划生育委员会医疗管理服务指导中心,北京100044 [7]四川大学华西医院,成都610041

出　　处：《中国循证医学杂志》2018年第3期254-262,共9页Chinese Journal of Evidence-based Medicine

基　　金：国家自然科学基金项目(编号：81403276)

摘　　要：目的通过比较全球综合性临床指南数据库的功能特点及技术参数,为我国临床实践指南数据库的建设提供借鉴。方法课题组成员通过讨论并咨询指南和数据库领域专家,搜集国内外指南数据库,并检索Pub Med和CNKI数据库中与指南数据库相关的研究,补充获取文献中提及的指南数据库。进一步咨询指南专家,纳入最具代表性的综合性指南数据库。提取纳入指南数据库的基本信息、功能特点(包括栏目设置、服务内容、相关文件类型)及技术参数数据,并采用描述性分析对不同指南数据库进行比较分析。结果最终纳入9个指南数据库,其分布于美洲、欧洲、大洋洲和亚洲的8个国家;纳入指南数为31~15 410个,最早的指南数据库建立于1993年。除日本指南数据库无检索功能外,其余8个指南数据库均提供了基本的检索功能,其中6个指南数据库提供了高级检索功能。多数指南数据库提供了PDF、HTML格式指南,仅有美国国家临床诊疗指南数据库提供了XML格式指南。大部分指南数据库网站采用了自适应网页设计,有4个开发了手机应用(APP),6个提供了通过当地主流社交媒体进行指南分享的功能。各指南数据库采用的网络传输方式、网站服务器系统、程序语言和数据库,及服务器机房选择均具有专业性。结论本研究对全球综合性指南数据库的功能特点及技术参数进行了比较,提供了指南数据库建设时应该要考虑的重要信息,可帮助指南数据库建设者进行顶层设计或为已建立指南数据库优化其功能提供参考,也利于指南使用者选择合适的指南数据库。Objective To summarize and compare the functional characteristics and technical parameters of the comprehensive global clinical practice guideline （CPG） databases, so as to provide references for the construction of CPG database of China. Methods CPG databases were collected worldwide by discussing with experts in the guideline and database fields. Studies on guideline databases were searched in PubMed and CNKI to additionally collect CPG databases mentioned in these studies. Representative comprehensive CPG databases were finally selected by consulting relevant guideline experts. The basic information, functional characteristics （including column settings, service contents, and related file types） and technical parameter data were extracted and summarized. A descriptive analysis was conducted to compare different CPG databases. Results Nine guideline databases which are distributed in eight countries of the Americas, Europe, Oceania and Asia were included. The number of included guidelines of the nine databases ranged from 31 to 15 410. The earliest database was established in 1993. Except that the MINDS database didn＇t provide search function, eight databases provided basic search function, and six provided further advanced search function. PDF and HTML formats of guidelines were available in most databases, but the XML format was only available in National Guideline Clearinghouse （NGC）. Responsive Web design was an important feature for most websites of databases and four databases developed mobile applications. Local mainstream social media sharing function was provided by six databases. All databases＇ construction was professional in technical parameters including network transmission, Web server, programming language and the selection of server room. Conclusion This study compares the functional features and technical parameters of the comprehensive global CPG databases, which provides important information that should be considered in establishing a guideline database, to strengthen the top

关 键 词：临床实践指南 指南数据库 网络资源 比较研究 

分 类 号：R4[医药卫生—临床医学] TP311.13[自动化与计算机技术—计算机软件与理论]