摘要
目的评价2017年发表的全球移植领域的临床实践指南质量。方法计算机检索Pub Med、NICE、NGC、NCCN、SIGN、CMA Infobase和GIN数据库,搜集2017年发表的移植领域临床实践指南,采用AGREEⅡ评价工具进行评价。结果共检索到移植领域临床实践指南10篇。AGREEⅡ评价结果显示,各领域得分存在显著差异(P=0.001)。各指南在范围和目的、表达的明晰性和总体得分方面较为理想,平均得分分别为90.8%[95%CI(83.5%,98.1%)]、82.5%[95%CI(72.7%,92.3%)]和75.6%[95%CI(66.6%,84.6%)];但在参与人员和应用性方面得分较低,分别为40.0%[95%CI(32.4%,47.6%)]和27.8%[95%CI(11.2%,44.5%)]。结论 2017年全球移植领域临床实践指南不同领域的得分差异较大,在参与人员和应用性方面需要进一步提高。
Objectives To assess the quality of clinical practice guidelines for transplantation in 2017. Methods PubMed, NICE, NGC, NCCN, SIGN, CMA Infobase and GIN databases were searched online to collect guidelines for transplantation published in 2017. Guidelines were then assessed by using the AGREE Ⅱ instrument. Results A total of 10 guidelines were included. The result of assessments by the AGREE Ⅱ instrument showed a dear discrepancy among domains （P=0.001）. Satisfactory scores were found in domains of ＂scope and purpose＂, ＂clarity of presentation＂ and ＂overall score＂, where the average scores were 90.8% （95%CI 83.5% to 98.1%）, 82.5% （95%CI 72.7% to 92.3%） and 75.6% （95%CI 66.6% to 84.6%）, respectively. Low scores were found in domains of ＂stakeholder involvement＂ and ＂applicability＂, in which a score of 40.0% （95%CI 32.4% to 47.6%） and a score of 27.8% （95%CI 11.2% to 44.5%） were achieved, respectively. Conclusions There is a clear discrepancy among domains of global clinical practice guidelines for transplantation in 2017. Guidelines in this field should be improved in ＂stakeholder involvement＂ and ＂applicability＂.
作者
朱志军
孙丽莹
张海明
施月仙
ZHU Zhijun;SUN Liying;ZHANG Haiming;SHI Yuexian(Liver Transplantation Center,Beijing Friendship Hospital,Capital Medical University,Beijing,100050,P.R.China;National Clinical Research Center for Digestive Diseases,Beijing Friendship Hospital,Capital Medical University,Beijing,100050 P.R.China;School of Nursing,Peking University,Beijing,100191,P.R.China)
出处
《中国循证医学杂志》
CSCD
北大核心
2018年第9期964-968,共5页
Chinese Journal of Evidence-based Medicine
基金
国家自然科学基金项目(编号:71603272)
北京市医院管理局"登峰"人才培养计划项目(编号:DFL20150101)
关键词
移植
临床实践指南
质量评价
AGREE
Ⅱ
Transplantation
Clinical practice guideline
Quality assessment
AGREE Ⅱ
