1. 首都医科大学附属北京中医医院
2. 北京中医药大学
3. 北京市中医研究所
4. 国家卫生和计划生育委员会医疗管理服务指导中心
5. 四川省德阳市人民医院
纸质出版:2018
移动端阅览
[1]赵国桢,王强,李博,黄坡,陈彦秀,梁策,杨宇飞,刘翼天,郭玉红,蒋庭德,刘清泉.基于AGREEⅡ对国内外脓毒症临床实践指南的评价[J].中医杂志,2018,59(14):1193-1197.
ZHAO Guozhen, WANG Qiang, LI Bo, et al. Study on Assessment of Clinical Practice Guideline of Sepsis at Home and Abroad Based on AGREEⅡ Instrument[J]. Journal of Traditional Chinese Medicine2018, 59(14): 1193-1197.
[1]赵国桢,王强,李博,黄坡,陈彦秀,梁策,杨宇飞,刘翼天,郭玉红,蒋庭德,刘清泉.基于AGREEⅡ对国内外脓毒症临床实践指南的评价[J].中医杂志,2018,59(14):1193-1197. DOI: 10.13288/j.11-2166/r.2018.14.006.
ZHAO Guozhen, WANG Qiang, LI Bo, et al. Study on Assessment of Clinical Practice Guideline of Sepsis at Home and Abroad Based on AGREEⅡ Instrument[J]. Journal of Traditional Chinese Medicine2018, 59(14): 1193-1197. DOI: 10.13288/j.11-2166/r.2018.14.006.
目的对近5年国内外脓毒症临床实践指南进行评价
为今后临床实践指南的制定提供参考。方法检索2013年1月至2017年12月国内外公开发表的脓毒症临床实践指南及相关资料
检索范围包括中国生物医学文献服务系统、中国知网、万方数据库、维普数据库、Pub Med等数据库及国际指南库。采用AGREEⅡ工具对纳入的脓毒症临床实践指南进行方法学质量评价
评价内容包括范围和目的、参与人员、制定的严谨性、表达的明晰性、应用性、编辑的独立性及总体评价。结果共纳入脓毒症临床实践指南8部。国内外脓毒症临床实践指南在表达的明晰性领域平均得分最高
为82.29%;其次为范围和目的领域
平均得分70.95%;制定的严谨性领域平均得分52.99%;参与人员领域平均得分46.53%;编辑的独立性领域平均得分为45.31%;应用性领域平均得分最低
为44.27%。8部脓毒症临床实践指南的总体评价得分区间为50.00%
8
8.89%
其全面评估结果均为推荐。结论现有的脓毒症临床实践指南在参与人员、应用性、编辑的独立性这3个领域的方法学质量较低。今后应按照规范的指南制定方法制定符合中国国情的临床实践指南
同时也要重视指南制定后的推广及应用。
Objective To evaluate the clinical practice guideline of sepsis published in recent 5 years in all countries to provide reference for future research and formulation of clinical practice guidelines. Methods Dates for the published guidelines on clinical practice of sepsis and related materials ranged from 2013 to 2017 were searched in Pub Med database
CNKI
Wanfang database
Medline
Embase and Institutes. The Appraisal of Guidelines for Research and Evaluation Ⅱ( AGREE Ⅱ) instrument was used to evaluate the methodological quality of the included sepsis clinical practice guideline
and the contents of assessments included scope and purpose
stakeholder involvement
rigour of development
clarity of presentation
applicability
editorial independence
and overall evaluation. Results A total of eight sepsis clinical practice guidelines were included. The evaluation results of the sepsis clinical practice guidelines showed that the domain of clarity of presentation had the highest average score: 82. 29%
followed by the domain of scope and purpose
with an average score of 70. 95%. The average score of the domain of rigour of development was 52. 99%. The average score of stakeholder involvement was 46. 53%. The average score of editorial independence was 45. 31%; while the domain of applicability was the lowest score 44. 27%. The overall guideline assessments of eight clinical guidelines were 50. 00% to 88. 89%
with recommended for all results.Conclusion The current clinical practice guidelines for sepsis have lower methodological quality in the three domians of stakeholder involvement
applicability
and editorial independence. In the future
guidelines for the development of clinical practice that conforms to China’ s national conditions should be formulated in accordance with the normative guidelines. At the same time
attention should also be given to the promotion and application of the guidelines.
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