摘要
目的评估国内类风湿关节炎指南/共识方法学质量,了解其存在的不足,为今后制定高质量指南/共识提供数据参考。方法以建库至2022年3月为检索时间“,类风湿关节炎“”指南“”共识“”专家共识”“专家建议”作为主题词利用中国知网、万方、维普、医脉通、权威学会官网进行数据检索,基于AGREEⅡ与(JBI)循证卫生保健中心的质量评价工具对纳入指南/共识进行方法学质量评价。结果共纳入6部临床指南,1部专家共识。6个领域标准化平均得分从高到低依次为:范围与目的62.73%;明晰性47.69%;参与人员42.82%;严谨性36.81%;适用性13.02%;编辑的独立性8.33%。结论高质量的临床诊疗指南尚有很大的改进空间,尤其是编辑的独立性应引起重视。建议今后指南/共识的制定严格遵守国际标准并参考循证医学证据,为临床医护工作者提供高质量的诊疗证据。
Objective To evaluate the methodological quality of domestic rheumatoid arthritis guidelines and consensus,understand the existing problems,and provide data reference for the formulation of high-quality guidelines and consensus in the future.Methods Taking"rheumatoid arthritis","guide","consensus"and"expert consensus"as the search words,the data were searched by using the official websites of China knowledge network,WanFang,VIP,Medlive and association of authority.The searching time was from the database construction to March 2022;Based on the quality evaluation tool of clinical guideline research and evaluation system(agreeⅡ)and Joanna Briggs Institute(JBI)evidence-based healthcare center in Australia to assess the methodological quality of inclusion guidelines and consensus.Results A total of 6 diagnosis and treatment guidelines and 1 expert consensus were included.From high to low,the standardized scores of the six fields are:scope and purpose 62.73%;Clear statement and expression 47.69%;42.82%of the participants in the formulation of the guidelines;The preciseness of the formulation was 36.81%;Applicability:13.02%;Editorial independence 8.33%.Conclusion There is still much room for improvement in the high-quality clinical diagnosis and treatment guidelines,in particular,editorial independence should be paid attention to.It is suggested that the future guidelines and consensus should be formulated in strict compliance with international standards and evidence-based medical evidence to provide high-quality diagnosis and treatment evidence for clinical healthcare workers.
作者
曾仙月
王东军
孙璇
张乃金
崔淮星
田之魁
王泓午
Zeng Xianyue;Wang Dongjun;Sun Xuan;Zhang Naijin;Cui Huaixing;Tian Zhikui;Wang Hongwu(School of Public Health and Health Sciences,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;College of Traditional Chinese Medicine,North China University of Science and Technology,Tangshan 063210,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2023年第4期1425-1433,共9页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
国家科学技术部国家重点研发计划“中医药现代化研究”重点专项(2017YFC1703305):中医舌象诊断规范与标准研究及应用,负责人:王泓午
国家科学技术部“973”项目(2011CB505406):中医健康状态多维辨识法研究,负责人:王泓午
关键词
类风湿关节炎
中医
临床指南
专家共识
方法学质量
Rheumatoid arthritis
TCM
Clinical guidelines
Expert consensus
Methodology quality
