Current status and challenges of living guidelines_Chinese Journal of Evidence-Based Medicine

Authors：

SUN Mingyao ^1,2 , ZENG Yinru ¹ , LAI Honghao ^3,4 , LIU Jianing ⁵ , TIAN Chen ^3,4 , HUANG Jiajie ⁵ , LI Ying ^3,4 , TIAN Jinhui ^6,7,8 ,  ZHANG Zhigang ^1,2 ,  GE Long ^3,4,6,7

1. Evidence-Based Nursing Centre, School of Nursing, Lanzhou University, Lanzhou 730000, P. R. China;
2. The First Hospital of Lanzhou University, Lanzhou 730000, P. R. China;
3. Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou 730000, P. R. China;
4. Department of Social Science and Health Management, School of Public Health, Lanzhou University, Lanzhou 730000, P. R. China;
5. School of Nursing, Gansu University of Traditional Chinese Medicine, Lanzhou 730000, P. R. China;
6. Key Laboratory of Evidence-Based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, P. R. China;
7. WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou 730000, P. R. China;
8. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, P. R. China;

Corresponding author：

ZHANG Zhigang, Email: zzg3444@163.com; GE Long, Email: gelong2009@163.com

Keywords：

Clinical practice guideline; Living guideline; Evidence update; Current status and challenges

DOI：

10.7507/1672-2531.202304133

Video：

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Abstract Full text Figures/Tables Video References Cited by

With the rapid development of medicine and the emergence of new evidence, the formulation of living guidelines is significant in guiding clinical practice and providing timely and effective references for clinical workers. This article summarizes the status of living guidelines, and puts forward thoughts and suggestions on the challenges and opportunities of the development of living guidelines, in order to promote the development of living guidelines and provide a reference for guideline developers and users.

Citation： SUN Mingyao, ZENG Yinru, LAI Honghao, LIU Jianing, TIAN Chen, HUANG Jiajie, LI Ying, TIAN Jinhui, ZHANG Zhigang, GE Long. Current status and challenges of living guidelines. Chinese Journal of Evidence-Based Medicine, 2023, 23(8): 970-977. doi: 10.7507/1672-2531.202304133 Copy

1.	王强, 李幼平, 张伯礼, 等. 指南临床适用性评价的问题与需求. 中国循证医学杂志, 2020, 20(3): 249-251.
2.	Vogel JP, Dowswell T, Lewin S, et al. Developing and applying a 'living guidelines' approach to WHO recommendations on maternal and perinatal health. BMJ Glob Health, 2019, 4(4): e001683.
3.	World Health Organization. Selected practice recommendations for contraceptive use (3rd edition). Geneva: World Health Organization, 2016.
4.	Siu AL, Bibbins-Domingo K, et al. Screening for depression in adults: US preventive services task force recommendation statement. JAMA, 2016, 315(4): 380-387.
5.	Wright L, Hill KM, Bernhardt J, et al. Stroke management: updated recommendations for treatment along the care continuum. Intern Med J, 2012, 42(5): 562-569.
6.	Akl EA, Meerpohl JJ, Elliott J, et al. Living systematic reviews: 4. living guideline recommendations. J Clin Epidemiol, 2017, 91: 47-53.
7.	World Health Organization. Therapeutics and COVID-19: living guideline. 2022.
8.	World Health Organization. Drugs to prevent COVID-19: a WHO living guideline. 2022.
9.	World Health Organization. Clinical management of COVID-19 patients: living guideline. 2022.
10.	孙鑫, 李玲, 李舍予, 等. 促进高质量临床实践指南快速制订与有效使用: MAGIC体系与中国行动. 中国循证医学杂志, 2020, 20(1): 2-6.
11.	MAGIC. MAGIC app. 2022.
12.	张迁, 王琪, 后亮瑛, 等. 动态指南制订方法及案例介绍. 中国循证医学杂志, 2021, 21(4): 491-496.
13.	Vogel JP, Tendal B, Giles M, et al. Clinical care of pregnant and postpartum women with COVID-19: living recommendations from the National COVID-19 Clinical Evidence Taskforce. Aust N Z J Obstet Gynaecol, 2020, 60(6): 840-851.
14.	World Health Organization. WHO guidelines for malaria. Geneva: World Health Organization, 2022.
15.	El Mikati IK, Khabsa J, Harb T, et al. A framework for the development of living practice guidelines in health care. Ann Intern Med, 2022, 175(8): 1154-1160.
16.	Martínez García L, Sanabria AJ, García Alvarez E, et al. The validity of recommendations from clinical guidelines: a survival analysis. CMAJ, 2014, 186(16): 1211-1219.
17.	郑卿勇, 程露颖, 许建国, 等. 动态系统评价的研究现状与进展. 中国药物评价, 2021, 38(6): 471-478.
18.	Dixon C, Dixon PE, Sultan S, et al. Guideline developers in the United States were inconsistent in applying criteria for appropriate grading of recommendations, assessment, development and evaluation use. J Clin Epidemiol, 2020, 124: 193-199.
19.	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. 协和医学杂志, 2021, 12(4): 544-551.
20.	林夏, 杨克虎, 陈耀龙, 等. 中国临床实践指南的现状与思考. 中国循证医学杂志, 2017, 17(5): 497-500.
21.	靳英辉, 段冬雪, 曾宪涛, 等. 临床实践指南制定方法—指南的注册与计划书设计与撰写. 中国循证心血管医学杂志, 2018, 10(2): 129-132,137.
22.	Elliott JH, Synnot A, Turner T, et al. Living systematic review: 1. introduction-the why, what, when, and how. J Clin Epidemiol, 2017, 91: 23-30.
23.	Brouwers MC, Kho ME, Browman GP, et al. AGREE Ⅱ: advancing guideline development, reporting and evaluation in health care. CMAJ, 2010, 182(18): E839-842.
24.	Chen Y, Yang K, Marušic A, et al. A reporting tool for practice guidelines in health care: the RIGHT statement. Ann Intern Med, 2017, 166(2): 128-132.
25.	杨楠, 赵巍, 潘旸, 等. 针对临床实践指南科学性、透明性和适用性的评级工具研发. 中华医学杂志, 2022, 102(30): 2329-2337.
26.	赖鸿皓, 孙铭谣, 黄嘉杰, 等. 中西医结合临床实践指南实施框架构建的思考. 协和医学杂志, 2023, 14(1): 31-38.

1. 王强, 李幼平, 张伯礼, 等. 指南临床适用性评价的问题与需求. 中国循证医学杂志, 2020, 20(3): 249-251.
2. Vogel JP, Dowswell T, Lewin S, et al. Developing and applying a 'living guidelines' approach to WHO recommendations on maternal and perinatal health. BMJ Glob Health, 2019, 4(4): e001683.
3. World Health Organization. Selected practice recommendations for contraceptive use (3rd edition). Geneva: World Health Organization, 2016.
4. Siu AL, Bibbins-Domingo K, et al. Screening for depression in adults: US preventive services task force recommendation statement. JAMA, 2016, 315(4): 380-387.
5. Wright L, Hill KM, Bernhardt J, et al. Stroke management: updated recommendations for treatment along the care continuum. Intern Med J, 2012, 42(5): 562-569.
6. Akl EA, Meerpohl JJ, Elliott J, et al. Living systematic reviews: 4. living guideline recommendations. J Clin Epidemiol, 2017, 91: 47-53.
7. World Health Organization. Therapeutics and COVID-19: living guideline. 2022.
8. World Health Organization. Drugs to prevent COVID-19: a WHO living guideline. 2022.
9. World Health Organization. Clinical management of COVID-19 patients: living guideline. 2022.
10. 孙鑫, 李玲, 李舍予, 等. 促进高质量临床实践指南快速制订与有效使用: MAGIC体系与中国行动. 中国循证医学杂志, 2020, 20(1): 2-6.
11. MAGIC. MAGIC app. 2022.
12. 张迁, 王琪, 后亮瑛, 等. 动态指南制订方法及案例介绍. 中国循证医学杂志, 2021, 21(4): 491-496.
13. Vogel JP, Tendal B, Giles M, et al. Clinical care of pregnant and postpartum women with COVID-19: living recommendations from the National COVID-19 Clinical Evidence Taskforce. Aust N Z J Obstet Gynaecol, 2020, 60(6): 840-851.
14. World Health Organization. WHO guidelines for malaria. Geneva: World Health Organization, 2022.
15. El Mikati IK, Khabsa J, Harb T, et al. A framework for the development of living practice guidelines in health care. Ann Intern Med, 2022, 175(8): 1154-1160.
16. Martínez García L, Sanabria AJ, García Alvarez E, et al. The validity of recommendations from clinical guidelines: a survival analysis. CMAJ, 2014, 186(16): 1211-1219.
17. 郑卿勇, 程露颖, 许建国, 等. 动态系统评价的研究现状与进展. 中国药物评价, 2021, 38(6): 471-478.
18. Dixon C, Dixon PE, Sultan S, et al. Guideline developers in the United States were inconsistent in applying criteria for appropriate grading of recommendations, assessment, development and evaluation use. J Clin Epidemiol, 2020, 124: 193-199.
19. 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. 协和医学杂志, 2021, 12(4): 544-551.
20. 林夏, 杨克虎, 陈耀龙, 等. 中国临床实践指南的现状与思考. 中国循证医学杂志, 2017, 17(5): 497-500.
21. 靳英辉, 段冬雪, 曾宪涛, 等. 临床实践指南制定方法—指南的注册与计划书设计与撰写. 中国循证心血管医学杂志, 2018, 10(2): 129-132,137.
22. Elliott JH, Synnot A, Turner T, et al. Living systematic review: 1. introduction-the why, what, when, and how. J Clin Epidemiol, 2017, 91: 23-30.
23. Brouwers MC, Kho ME, Browman GP, et al. AGREE Ⅱ: advancing guideline development, reporting and evaluation in health care. CMAJ, 2010, 182(18): E839-842.
24. Chen Y, Yang K, Marušic A, et al. A reporting tool for practice guidelines in health care: the RIGHT statement. Ann Intern Med, 2017, 166(2): 128-132.
25. 杨楠, 赵巍, 潘旸, 等. 针对临床实践指南科学性、透明性和适用性的评级工具研发. 中华医学杂志, 2022, 102(30): 2329-2337.
26. 赖鸿皓, 孙铭谣, 黄嘉杰, 等. 中西医结合临床实践指南实施框架构建的思考. 协和医学杂志, 2023, 14(1): 31-38.

Chinese Journal of Evidence-Based Medicine

Current status and challenges of living guidelines

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