1.中国中医科学院中医临床基础医学研究所,北京市东城区东直门内南小街16号,100700
2.陕西省汉中市中医医院
13811839164@vip.126.com
收稿:2023-08-06,
修回:2023-10-05,
纸质出版:2024-02-02
移动端阅览
晏利姣,梁宁,胡紫腾等.中医药快速动态指南制定方法(一)——快速动态指南的定义及其在中医药领域的制定现状[J].中医杂志,2024,65(03):269-274.
YAN Lijiao,LIANG Ning,HU Ziteng,et al.Methodology for Developing Rapid and Living Guidelines of Traditional Chinese Medicine (RALIG-TCM) (Part 1):Concept and Current Practice[J].Journal of Traditional Chinese Medicine,2024,65(03):269-274.
晏利姣,梁宁,胡紫腾等.中医药快速动态指南制定方法(一)——快速动态指南的定义及其在中医药领域的制定现状[J].中医杂志,2024,65(03):269-274. DOI: 10.13288/j.11-2166/r.2024.03.008.
YAN Lijiao,LIANG Ning,HU Ziteng,et al.Methodology for Developing Rapid and Living Guidelines of Traditional Chinese Medicine (RALIG-TCM) (Part 1):Concept and Current Practice[J].Journal of Traditional Chinese Medicine,2024,65(03):269-274. DOI: 10.13288/j.11-2166/r.2024.03.008.
快速动态指南是为应对突发公共卫生事件,在短时间内用科学、规范的方法制订的指南,并通过定期、频繁地更新临床证据和推荐意见,为决策者提供及时可靠的推荐意见。介绍快速动态指南的定义,分析截至2023年6月所发布的8部中医药领域快速动态指南的基本特征及针对实现快速制定、证据缺乏情况下形成推荐意见、确保指南的时效性三个核心问题的方法学要点。基于现有快速动态指南的分析结果,提出对未来研究的启示:中医药领域开展快速动态指南具有必要性,中医药领域多元证据快速整合方法有待进一步探讨,剖析指南更新的影响因素以促进指南及时更新,可为相关指南制订者和研究者提供参考。
Rapid and living guidelines are those developed in response to public health emergencies in a short period of time using a scientific and standardized approach. Subsequently, they provide timely and credible recommendations for decision makers through regular and frequent updates of clinical evidence and recommendations. In this paper, we introduced the definition of rapid and living guideline as well as analyzed the basic characteristics of eight rapid and living guidelines in the field of traditional Chinese medicine (TCM) published till 2023 June, summarizing three core methodological issues in relation to how to rapidly develop guidelines, how to formulate recommendations when there is lack of evidence, and how to ensure the timeliness of guidelines. Based on the analysis of current rapid and living guidelines, it is implicated that there is necessity to carry out rapid and living guideline in the field of TCM, and the methodology of rapid integration of multivariate evidence in the field of TCM needs to be further explored; furthermore, it is necessary to further explore the obstacles of implementation of guidelines and promote timely updating, all of which provide certain theoretical references for relevant guideline developers and researchers.
Institute of Medicine . Clinical practice guidelines we can trust [M]. Washington DC : The National Academies Press , 2011 : 4 .
World Health Organization . WHO Handbook for guideline development (2nd edition) [M]. Geneva : World Health Organization , 2014 : 6 .
VERNOOIJ RW , SANABRIA AJ , SOLÀ I , et al . Gui-dance for updating clinical practice guidelines: a systematic review of methodological handbooks [J]. Implement Sci , 2014 , 9 : 3 . doi: 10.1186/1748-5908-9-3 http://dx.doi.org/10.1186/1748-5908-9-3 .
Healthcare Improvement Scotland . Rapid guideline methodology: a guideline developer's handbook [M]. Edinburgh : Scottish Intercollegiate Guidelines Network , 2021 : 1 .
Australian Living Evidence Collaboration . The living guidelines handbook: guidance for the production and publication of living clinical practice guidelines 1 . 0 [EB/OL]. ( 2022-10-10 )[ 2023-09-06 ]. https://static1.squarespace.com/static/5c1aeebd9f87705cde7498f1/t/6350e029ddf0742f9c65d4fc/1666244654438/Living+Guidelines+Handbook+V1.0.pdf https://static1.squarespace.com/static/5c1aeebd9f87705cde7498f1/t/6350e029ddf0742f9c65d4fc/1666244654438/Living+Guidelines+Handbook+V1.0.pdf .
梁宁 , 陈雅馨 , 李慧珍 , 等 . 新型冠状病毒肺炎疫情下快速动态化制订循证中医指南的思考 [J]. 中国中西医结合杂志 , 2022 , 42 ( 2 ): 218 - 222 .
靳英辉 , 蔡林 , 程真顺 , 等 . 新型冠状病毒(2019-nCoV)感染的肺炎诊疗快速建议指南(标准版) [J]. 解放军医学杂志 , 2020 , 45 ( 1 ): 1 - 20 .
JIN YH , CAI L , CHENG ZS , et al . A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version) [J]. Mil Med Res , 2020 , 7 ( 1 ): 4 .
世界中医药学会联合会肺康复专业委员会 , 中国民族医药学会肺病分会 . 新型冠状病毒肺炎中医康复专家共识(第一版) [J]. 中医学报 , 2020 , 35 ( 4 ): 681 - 688 .
中国中医科学院中医临床基础医学研究所新型冠状病毒肺炎协作组 , 武汉大学中南医院新型冠状病毒肺炎防治课题组 . 新型冠状病毒肺炎(COVID-19)中西医结合临床诊疗快速建议指南 [J]. 中国研究型医院 , 2020 , 7 ( 2 ): 51 - 64 .
LIANG N , LI H , WANG J , et al . Development of rapid advice guidelines for the treatment of Coronavirus disease 2019 with traditional Chinese medicine [J]. Am J Chin Med , 2020 , 48 ( 7 ): 1511 - 1521 .
中国中医科学院中医临床基础医学研究所新型冠状病毒肺炎协作组 . 基于循证的新型冠状病毒肺炎中医治疗建议 [J]. 中华医学杂志 , 2020 , 100 ( 21 ): 1611 - 1616 .
LIANG N , MA Y , WANG J , et al . Traditional Chinese medicine guidelines for Coronavirus disease 2019 [J]. J Tradit Chin Med , 2020 , 40 ( 6 ): 891 - 896 .
GE L , ZHU H , WANG Q , et al . Integrating Chinese and western medicine for COVID-19: a living evidence-based guideline (version 1) [J]. J Evid Based Med , 2021 , 14 ( 4 ): 313 - 332 .
靳英辉 , 詹庆元 , 彭志勇 , 等 . 新型冠状病毒肺炎药物预防、诊断、治疗与出院管理循证临床实践指南(更新版) [J]. 解放军医学杂志 , 2020 , 45 ( 10 ): 1003 - 1031 .
王永炎 . 王永炎:清肺排毒汤通过中医药抗疫百年大考 [EB/OL]. ( 2020-03-04 ) [ 2023-09-06 ]. https://mp.weixin.qq.com/s?__biz=MzA3ODQwNzYzMg==&mid=2650417350&idx=2&sn=dcda9861ad7216a55c6bdd73e6a59296&chksm=874dba79b03a336f150b821d5e980add605ea22c0adf3cffe7b263618a2386d4d7e4f03d84b8&scene=27 https://mp.weixin.qq.com/s?__biz=MzA3ODQwNzYzMg==&mid=2650417350&idx=2&sn=dcda9861ad7216a55c6bdd73e6a59296&chksm=874dba79b03a336f150b821d5e980add605ea22c0adf3cffe7b263618a2386d4d7e4f03d84b8&scene=27 .
国务院办公厅 . 国务院办公厅印发关于加快中医药特色发展若干政策措施的通知 [EB/OL]. ( 2021-02-09 ) [ 2023-09-06 ]. https://www.gov.cn/zhengce/content/2021-02/09/content_5586278.htm https://www.gov.cn/zhengce/content/2021-02/09/content_5586278.htm .
TENDAL B , VOGEL JP , MCDONALD S , et al . Weekly updates of national living evidence-based guidelines: methods for the Australian living guidelines for care of people with COVID-19 [J]. J Clin Epidemiol , 2021 , 131 : 11 - 21 . doi: 10.1016/j.jclinepi.2020.11.005 http://dx.doi.org/10.1016/j.jclinepi.2020.11.005 .
HILL K , ENGLISH C , CAMPBELL BCV , et al . Feasibility of national living guideline methods: the Australian stroke guidelines [J]. J Clin Epidemiol , 2022 , 142 : 184 - 193 . doi: 10.1016/j.jclinepi.2021.11.020 http://dx.doi.org/10.1016/j.jclinepi.2021.11.020 .
曾力楠 , 张伶俐 . COVID-19证据现状对快速建议指南制订的启示与思考 [J]. 协和医学杂志 , 2021 , 12 ( 4 ): 544 - 551 .
田晨 , 杨秋玉 , 孙铭谣 , 等 . 快速动态循证指南制订方法 [J/OL]. 协和医学杂志 . ( 2023-06-08 ) [ 2023-09-01 ]. https://kns.cnki.net/kcms2/detail/11.5882.R. 20230607.1029.002.html https://kns.cnki.net/kcms2/detail/11.5882.R.20230607.1029.002.html .
0
浏览量
2
下载量
2
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010102007558号