2015年中国临床实践指南的报告质量分析  

Reporting quality of clinical practice guidelines of China in 2015

作　　者：令娟 王明霞 王琪[1,2,3,4] 王小琴 姚亮[6] 卢存存 田金徽 陈耀龙 杨克虎[1,2,3,4] LING Juan;WANG Mingxia;WANG Qi;WANG Xiaoqin;YAO Liang;LU Cunoun;TIAN Jinhui;CHEN Yaolong;YANG Kehu(Evidence-Based Medicine Center,Lanzhou University,Lanzhou,73000,P.R.China;Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province,Lanzhou,73000,P.R.China;The GRADE Center of China,Lanzhou,73000,P.R.China;WHO Collaboration Center for Guideline Implementation and Knowledge Translation,Lanzhou,73000,P.R.China;The Second Clinical Medical College,Lanzhou University,Lanzhou,73000,P.R.China;School of Traditional Chinese Medicine,Hong Kong Baptist University,Hongkong,999077,P.R.China)

机构地区：[1]兰州大学循证医学中心、兰州大学基础医学院,兰州730000 [2]甘肃省循证医学与临床转化重点实验室,兰州730000 [3]GRADE中国中心,兰州730000 [4]WHO指南实施与知识转化合作中心,兰州730000 [5]兰州大学第二临床医学院,兰州730000 [6]香港浸会大学中医药学院香,港999077

出　　处：《中国循证医学杂志》2018年第7期721-728,共8页Chinese Journal of Evidence-based Medicine

基　　金：国家自然科学基金项目(编号：8167140308)

摘　　要：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,搜集中国大陆公开发表的指南,检索时间从2015年1月1日至2015年12月31日。由2名研究者独立筛选文献、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。Objectives To evaluate the reporting quality of clinical practice guidelines published in Chinese journals in 2015. Methods CBM, CNKI, VIP and WanFang Data databases were searched 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 guidelines were evaluated by the Reporting Items for Practice Guidelines in Healthcare（RIGHT）. Excel software was used for data analysis. Results A total of 74 clinical practice guidelines were included. It was found that among the seven domains of RIGHT, the reporting quality of basic information and background domains were 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 and other information. Conclusions The reporting quality of clinical practice guidelines published in Chinese journals in 2015 is low, and the full reporting rate of clinical practice guidelines need to be improved. It is suggested that guideline developers construct 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 

分 类 号：R4[医药卫生—临床医学]