基于国际实践指南报告规范的影像学临床实践指南质量评价  

Quality evaluation of clinical practice guidelines in medical imaging using reporting items for practice guidelines in healthcare

作　　者：孙婧 吕晗[1] 周奇[2] 刘文娟[1] 李佳[1] 杨正汉[1] 王振常[1] Sun Jing;Lyu Han;Zhou Qi;Liu Wenjuan;Li Jia;Yang Zhenghan;Wang Zhenchang(Department of Radiology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China;Evidence-based Medicine Center,School of Basic Medical Sciences,Lanzhou University,WHO Collaborating Center for Guideline Implementation and Knowledge Translation,GRADE Chinese Center,Lanzhou 730000,China)

机构地区：[1]首都医科大学附属北京友谊医院放射科,北京100050 [2]兰州大学基础医学院循证医学中心WHO指南实施与知识转化合作中心GRADE中国中心,兰州730000

出　　处：《中华放射学杂志》2022年第6期684-691,共8页Chinese Journal of Radiology

摘　　要：目的:采用国际实践指南报告规范(RIGHT)评价影像学临床实践指南的报告质量。方法:在中国知网数据库(CNKI)、万方数据库、中国生物医学文献数据库(CBM)、Web of Science、PubMed等数据库检索影像学指南。检索时间范围自2017年1月1日至2022年2月26日。根据RIGHT清单条目内容,分别由两名评价者对纳入指南进行信息提取以及报告质量评价并交叉核对。结果:最终纳入18篇中文指南,报告率为(56.2±14.3)%;其中领域一基本信息(75.9%,82/108)和领域七其他方面(68.5%,37/54)报告率最高;领域六资助与利益冲突声明及管理(25.0%,18/72)报告率最低。本研究所纳入的指南在条目2对推荐意见的汇总(27.8%,5/18)、条目11a指南基于的系统评价类型(5.6%,1/18)、条目14a形成推荐意见是否考虑患者意愿和价值观(22.2%,4/18)、条目15形成推荐意见的方法(22.2%,4/18)及条目16指南是否经过独立评审(16.7%,3/18)方面报告率较低。结论:已发表影像学指南的总体报告质量有待提高。建议影像学指南制订者掌握相关指南研究和评价工具,如RIGHT等,充分报告指南制订的细节与关键内容,提升指南报告的透明性和全面性。Objective To evaluate the reporting quality of clinical practice guidelines in medical imaging.Methods Medical imaging guidelines were searched in CNKI,Wanfang data,CBM,Web of Science,PubMed,and other guideline-related websites.The search period is from January 1,2017 to February 26,2022.According to the reporting items for practice guidelines in healthcare(RIGHT)checklist,two researchers separately extracted information from the included guidelines and evaluated the reporting quality,and cross-checked them.Results Eighteen guidelines in Chinese were included.The average reporting rate was(56.2±14.3)%.The reporting rate of basic information in Domain 1(75.9%,82/108)and other information in Domain 7(68.5%,37/54)were the highest,while funding and declaration and management of interests in Domain 6(25.0%,18/72)had the lowest reporting rate.The included guidelines had a lower reporting rate in item 2(executive summary of recommendations,27.8%,5/18),item 11a(type of systematic review on which the guideline is based,5.6%,1/18),item 14a(patient preferences and values,22.2%,4/18),item 15(evidence to decision processes recommendations,22.2%,4/18),and item 16(external review,16.7%,3/18).Conclusions The overall reporting quality of medical imaging guidelines needs to be improved.It is recommended that future guideline developers master the guideline research and evaluation tools,such as the RIGHT statement,and fully report the details and key information to improve the transparency and comprehensiveness of the guidelines.

关 键 词：放射学 临床实践指南 报告质量 

分 类 号：R445[医药卫生—影像医学与核医学]