Quality assessment of Chinese clinical practice guidelines for diagnosis and management of diabetic foot_Chinese Journal of Evidence-Based Medicine

Authors：

DAI Xinyue , ZHANG Wantong , YANG Qiaoning , LIU Yanfei ,  GAO Rui

Institute of Clinical Pharmacology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, P.R.China;

Corresponding author：

GAO Rui, Email: ruigao@126.com

Keywords：

China; Diabetic foot; Clinical practice guideline; Quality assessment; AGREE Ⅱ

DOI：

10.7507/1672-2531.202005100

Video：

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Objective To systematically review the methodological quality of Chinese clinical practice guidelines (CPGs) for diagnosis and management of diabetic foot.Methods CNKI, WanFang Data, VIP, CBM, Yimaitong databases, website of Diabetes Branch of Chinese Medical Association, website of Chinese Integrative Medicine Association and website of Peripheral Vascular Disease Professional Committee of Chinese Society of Microcirculation were electronically searched to collect relevant CPGs from inception to May, 2020. Four researchers independently evaluated the CPGs methodological quality by using AGREEⅡ tool.Results A total of 10 Chinese CPGs for diabetes foot were included. The standardized mean scores for various fields were 75.74% for scope and purpose, 36.58% for stakeholder involvement, 28.61% for rigor of development, 86.30% for clarity and presentation, 43.47% for applicability, and 9.44% for editorial independence. Conclusions There are merely a small quantity of diabetic foot guidelines in China, and the methodological quality is insufficient. Therefore, more attention should be focused on the establishment of guidelines in the future, so as to further improve the quality of Chinese diabetic foot guidelines.

Citation： DAI Xinyue, ZHANG Wantong, YANG Qiaoning, LIU Yanfei, GAO Rui. Quality assessment of Chinese clinical practice guidelines for diagnosis and management of diabetic foot. Chinese Journal of Evidence-Based Medicine, 2021, 21(2): 191-196. doi: 10.7507/1672-2531.202005100 Copy

1.	Jiang Y, Wang X, Xia L, et al. A cohort study of diabetic patients and diabetic foot ulceration patients in China. Wound Repair Regen, 2015, 23(2): 222-230.
2.	Ibrahim A. IDF Clinical practice recommendation on the diabetic foot: a guide for healthcare professionals. Diabetes Res Clin Pract, 2017, 127: 285-287.
3.	Wagner FW Jr. The diabetic food. Orthopedics, 1987, 10(1): 163-172.
4.	中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南 (2019 版)(Ⅱ). 中华糖尿病杂志, 2019, 11(3): 161-189.
5.	中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南 (2019 版)(Ⅰ). 中华糖尿病杂志, 2019, 11(2): 92-108.
6.	Brouwers MC, Kho ME, Browman GP, et al. AGREE II: advancing guideline development, reporting and evaluation in health care. J Clin Epidemiol, 2010, 63(12): 1308-1311.
7.	Appraisal of guidelines for research & evaluation Ⅱ instrument. Available at: https://www.agreetrust.org/wp-content/uploads/2017/12/.
8.	Robin G, Michelle M, Dianne MW, et al. Clinical practice guidelines we can trust. Washington DC: The National Academies Press, 2011.
9.	AGREE Next Steps Consortium (2009). The AGREE Ⅱ instrument, 2011. Available at: http://www.agreetrust.org.
10.	崔立军, 鲍勇, 陈昕, 等. 中国康复临床实践指南的质量评价. 中国循证医学杂志, 2019, 19(6): 723-728.
11.	Wang Y, Luo Q, Li Y, et al. Quality assessment of clinical practice guidelines on the treatment of hepatocellular carcinoma or metastatic liver cancer. PLoS One, 2014, 9(8): e103939.
12.	彭璐. 糖尿病足病医学营养治疗指南. 中国组织工程研究, 2019, 23(35): 5682-5689.
13.	陈宇, 刘丽, 郑月宏, 等. 糖尿病足创面修复治疗专家共识. 中华糖尿病杂志, 2018, 10(5): 305-309.
14.	孙子林, 陆军, 徐治, 等. 糖尿病足基层筛查与防治专家共识. 中国糖尿病杂志, 2019, 27(6): 401-407.
15.	中国糖尿病足细胞与介入治疗技术联盟, 中国介入医师分会介入医学与生物工程技术委员会. 糖尿病足介入综合诊治临床指南 (第五版). 介入放射学杂志, 2019, 28(3): 205-216.
16.	王军, 徐阳. 糖尿病足溃疡中医循证临床实践指南. 中国中西医结合外科杂志, 2015, 21(5): 540-543.
17.	国际血管联盟中国分会糖尿病足专业委员会. 糖尿病足诊治指南. 介入放射学杂志, 2013, 22(9): 705-708.
18.	中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南 (2019 版)(Ⅲ). 中华糖尿病杂志, 2019, 11(4): 238-247.
19.	中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南 (2019 版)(Ⅳ). 中华糖尿病杂志, 2019, 11(5): 316-327.
20.	中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南 (2019 版)(V). 中华糖尿病杂志, 2019, 11(6): 387-397.
21.	谷涌泉. 中国糖尿病足诊治指南. 中国临床医生杂志, 2020, 45(1): 19-27.
22.	中国中西医结合学会周围血管病专业委员会. 中西医结合防治糖尿病足中国专家共识 (第 1 版). 血管与腔内血管外科杂志, 2019, 5(5): 379-402.
23.	中华医学会糖尿病学分会, 糖尿病足与周围血管病学组. 新型冠状病毒肺炎疫情期间糖尿病足患者规范化诊治专家建议. 中华糖尿病杂志, 2020, 12(4): 204-210.
24.	Field MJ, Lohr KN. Guidelines for clinical practice: from development to use. Washington DC: Institute of Medicine National Academy, 1992.
25.	Graham R, Mancher M. Clinical practice guidelines we can trust. Washington DC: National Academies Press, 2011.
26.	Woolf SH, Grol R, Hutchinson A, et al. Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines. BMJ, 1999, 318(7182): 527-530.
27.	Vlayen J, Aertgeerts B, Hannes K, et al. A systematic review of appraisal tools for clinical practice guidelines: multiple similarities and one common deficit. Int J Qual Health Care, 2005, 17(3): 235-242.
28.	高宁, 郭海玲, 寇嘉靓, 等. 糖尿病足部溃疡循证实践指南的质量评价及内容分析. 护理学杂志, 2018, 33(23): 29-32, 35.
29.	王吉耀, 王小钦, 金雪娟, 等. 中国临床实践指南评价体系的制订与初步验证. 中华医学杂志, 2018, 98(20): 1544-1548.
30.	韦当, 王聪尧, 肖晓娟, 等. 指南研究与评价 (AGREE Ⅱ) 工具实例解读. 中国循证儿科杂志, 2013, 8(4): 316-319.

1. Jiang Y, Wang X, Xia L, et al. A cohort study of diabetic patients and diabetic foot ulceration patients in China. Wound Repair Regen, 2015, 23(2): 222-230.
2. Ibrahim A. IDF Clinical practice recommendation on the diabetic foot: a guide for healthcare professionals. Diabetes Res Clin Pract, 2017, 127: 285-287.
3. Wagner FW Jr. The diabetic food. Orthopedics, 1987, 10(1): 163-172.
4. 中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南 (2019 版)(Ⅱ). 中华糖尿病杂志, 2019, 11(3): 161-189.
5. 中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南 (2019 版)(Ⅰ). 中华糖尿病杂志, 2019, 11(2): 92-108.
6. Brouwers MC, Kho ME, Browman GP, et al. AGREE II: advancing guideline development, reporting and evaluation in health care. J Clin Epidemiol, 2010, 63(12): 1308-1311.
7. Appraisal of guidelines for research & evaluation Ⅱ instrument. Available at: https://www.agreetrust.org/wp-content/uploads/2017/12/.
8. Robin G, Michelle M, Dianne MW, et al. Clinical practice guidelines we can trust. Washington DC: The National Academies Press, 2011.
9. AGREE Next Steps Consortium (2009). The AGREE Ⅱ instrument, 2011. Available at: http://www.agreetrust.org.
10. 崔立军, 鲍勇, 陈昕, 等. 中国康复临床实践指南的质量评价. 中国循证医学杂志, 2019, 19(6): 723-728.
11. Wang Y, Luo Q, Li Y, et al. Quality assessment of clinical practice guidelines on the treatment of hepatocellular carcinoma or metastatic liver cancer. PLoS One, 2014, 9(8): e103939.
12. 彭璐. 糖尿病足病医学营养治疗指南. 中国组织工程研究, 2019, 23(35): 5682-5689.
13. 陈宇, 刘丽, 郑月宏, 等. 糖尿病足创面修复治疗专家共识. 中华糖尿病杂志, 2018, 10(5): 305-309.
14. 孙子林, 陆军, 徐治, 等. 糖尿病足基层筛查与防治专家共识. 中国糖尿病杂志, 2019, 27(6): 401-407.
15. 中国糖尿病足细胞与介入治疗技术联盟, 中国介入医师分会介入医学与生物工程技术委员会. 糖尿病足介入综合诊治临床指南 (第五版). 介入放射学杂志, 2019, 28(3): 205-216.
16. 王军, 徐阳. 糖尿病足溃疡中医循证临床实践指南. 中国中西医结合外科杂志, 2015, 21(5): 540-543.
17. 国际血管联盟中国分会糖尿病足专业委员会. 糖尿病足诊治指南. 介入放射学杂志, 2013, 22(9): 705-708.
18. 中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南 (2019 版)(Ⅲ). 中华糖尿病杂志, 2019, 11(4): 238-247.
19. 中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南 (2019 版)(Ⅳ). 中华糖尿病杂志, 2019, 11(5): 316-327.
20. 中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南 (2019 版)(V). 中华糖尿病杂志, 2019, 11(6): 387-397.
21. 谷涌泉. 中国糖尿病足诊治指南. 中国临床医生杂志, 2020, 45(1): 19-27.
22. 中国中西医结合学会周围血管病专业委员会. 中西医结合防治糖尿病足中国专家共识 (第 1 版). 血管与腔内血管外科杂志, 2019, 5(5): 379-402.
23. 中华医学会糖尿病学分会, 糖尿病足与周围血管病学组. 新型冠状病毒肺炎疫情期间糖尿病足患者规范化诊治专家建议. 中华糖尿病杂志, 2020, 12(4): 204-210.
24. Field MJ, Lohr KN. Guidelines for clinical practice: from development to use. Washington DC: Institute of Medicine National Academy, 1992.
25. Graham R, Mancher M. Clinical practice guidelines we can trust. Washington DC: National Academies Press, 2011.
26. Woolf SH, Grol R, Hutchinson A, et al. Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines. BMJ, 1999, 318(7182): 527-530.
27. Vlayen J, Aertgeerts B, Hannes K, et al. A systematic review of appraisal tools for clinical practice guidelines: multiple similarities and one common deficit. Int J Qual Health Care, 2005, 17(3): 235-242.
28. 高宁, 郭海玲, 寇嘉靓, 等. 糖尿病足部溃疡循证实践指南的质量评价及内容分析. 护理学杂志, 2018, 33(23): 29-32, 35.
29. 王吉耀, 王小钦, 金雪娟, 等. 中国临床实践指南评价体系的制订与初步验证. 中华医学杂志, 2018, 98(20): 1544-1548.
30. 韦当, 王聪尧, 肖晓娟, 等. 指南研究与评价 (AGREE Ⅱ) 工具实例解读. 中国循证儿科杂志, 2013, 8(4): 316-319.

Chinese Journal of Evidence-Based Medicine

Quality assessment of Chinese clinical practice guidelines for diagnosis and management of diabetic foot

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