2022年医学期刊发表中国影像医学领域指南及共识的科学性、透明性和适用性的评价分析  

Scientificity,transparency and applicability of Chinese guidelines and consensuses in medical imaging published in 2022

作　　者：吕晗[1] 周奇[2] 刘军[3] 王悍[4] 王振常[1,5] 陈耀龙 Lyu Han;Zhou Qi;Liu Jun;Wang Han;Wang Zhenchang;Chen Yaolong(Department of Radiology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China;Evidence-Based Medicine Center,School of Basic Medical Sciences,Lanzhou University,Lanzhou 730000,China;Department of Radiology,the Second Xiangya Hospital of Central South University,Changsha 410011,China;Department of Radiology,Shanghai General Hospital,Shanghai 200080,China;Key Laboratory for Knowledge Mining and Service of Medical Journals,Beijing 100052,China;Research Unit of Evidence-Based Evaluation and Guidelines,Chinese Academy of Medical Sciences,School of Basic Medical Sciences,Lanzhou University,Lanzhou 730000,China;Guidelines and Standards Research Center of Chinese Medical Journals Publishing House,Beijing 100052,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,兰州730000 [3]中南大学湘雅二医院放射科,长沙410011 [4]上海市第一人民医院放射科,上海200080 [5]医学期刊知识挖掘与服务重点实验室,北京100052 [6]兰州大学基础医学院循证医学中心,中国医学科学院循证评价与指南研究创新单元,兰州730000 [7]中华医学会杂志社指南与标准研究中心,北京100052

出　　处：《中华放射学杂志》2024年第4期430-436,共7页Chinese Journal of Radiology

基　　金：国家自然科学基金(62171297,61931013);北京市医院管理中心临床医学发展专项(ZYLX202101);北京市卫生健康委员会-北京市重点专科项目(2021-135)。

摘　　要：目的使用临床实践指南的科学性(scientificity)、透明性(transparency)和适用性(applicability)评级(rankings)(STAR)工具评价2022年发表的影像医学领域指南及共识的质量。方法在中国知网数据库、万方数据知识服务平台、中国生物医学文献数据库、中华医学期刊网、Medline(PubMed)等数据库检索影像医学领域的指南及共识。检索时间范围自2022年1月1日至12月31日。根据STAR工具进行评分,每部指南或共识均由2位评价人员开展独立评价并交叉核对。结果共纳入65部中/英文指南及共识,包括指南15部、共识50部。部分指南及共识具有鲜明的学科特色,涉及了人工智能技术(4部)、影像学检查临床适用性评价主题(4部)。对于所有指南及共识,评价最高为89.9分,最低为3.6分,M(Q_(1),Q_(3))为25.0(20.8,35.4)分,指南与共识得分差异不具有统计学意义(P=0.383)。得分最高的3个STAR分项目分别为推荐意见(报告率56.0%)、工作组(报告率38.2%)、临床问题(报告率36.7%),最低的3个STAR分项目分别为计划书(报告率9.6%)、注册(报告率10.8%)、共识方法(报告率21.8%)。结论建议影像医学指南及共识制订者加强学习STAR工具等循证医学方法,从而进一步提升影像医学领域指南及共识的质量。ObjectiveTo evaluate the scientificity,transparency and applicability of the Chinese guidelines and consensuses in medical imaging published in 2022 by the STAR scale.MethodsMedical imaging guidelines and consensuses were searched in CNKI,Wanfang data,CMB,Chinese Medical Journal Network,and Medline(PubMed).The publication date was selected from January 1 to December 31,2022.Each guideline or consensus was independently evaluated and cross-checked by two evaluators using STAR scale.ResultsA total of 65 guidelines and consensus that were published as Chinese or English were included,including 15 guidelines and 50 consensuses.Some guidelines and consensus have distinct disciplinary characteristics with topics such as artificial intelligence(4 articles)and Evidence-Based Medical Imaging-Medical Imaging Clinical Appropriateness(EB-MICA,4 articles).In all guidelines and consensuses,the highest score was 89.9,the lowest was 3.6,and the M(Q_(1),Q_(3))was 25.0(20.8,35.4).There was no statistical difference in the scores of guidelines and consensuses(P=0.383).The highest scoring areas were recommendation opinions(reporting rate of 56.0%),working groups(reporting rate of 38.2%),and clinical issues(reporting rate of 36.7%),while the lowest scoring areas were proposal(reporting rate of 9.6%),registration(reporting rate of 10.8%),and consensus methods(reporting rate of 21.8%).ConclusionIt is recommended that guidelines and consensuses initiators of medical imaging strengthen the learning of evidence-based medicine methods,such as STAR tools,in order to further improve the quality of guidelines and consensuses of medical imaging.

关 键 词：指南 共识 影像医学 质量控制和改进 

分 类 号：R445[医药卫生—影像医学与核医学]