Quality Assessment of Clinical Practice Guidelines of Acupuncture in China_Chinese Journal of Evidence-Based Medicine

Authors：

 CHENHao , LIGuang-lin , XUWen-tao ,  XUBin

The Second College of Clinical Medicine, Nanjing University of Chinese Medicine, Nanjing 210023, China;

Corresponding author：

XUBin, Email: xuuuux@sina.com

Keywords：

Evidence-based medicine; Acupuncture; Guideline; AGREE Ⅱ

DOI：

10.7507/1672-2531.20140129

Video：

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Objective To evaluate the quality of the clinical practice guidelines of acupuncture in China, in order to identify the status quo and challenges in the development of guidelines. Methods We evaluated the quality of the 5 clinical practice guidelines of acupuncture in China through the guideline appraisal instrument "Appraisal of Guidelines for Research and Evaluation Ⅱ" (AGREE Ⅱ). Four appraisers rated 6 domains of each guideline independently. Results From the assessment with AGREE Ⅱ, the mean scores of the six domains were as follows: "scope and purpose"55%, "stakeholder involvement" 27%, "rigor of development" 4%, "clarity of presentation" 55%, "applicability" 4%, and "editorial independence" 1%. Conclusion The quantity of acupuncture guidelines is small and their quality is low due to the lack of methodological issues.

Citation： CHENHao, LIGuang-lin, XUWen-tao, XUBin. Quality Assessment of Clinical Practice Guidelines of Acupuncture in China. Chinese Journal of Evidence-Based Medicine, 2014, 14(6): 772-775. doi: 10.7507/1672-2531.20140129 Copy

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2.	Brouwers MC, Kho ME, Browman GP, et al. AGREE Ⅱ:advancing guideline development, reporting, and evaluation in health care. Prev Med, 2010, 51(5):421-424.
3.	詹思延.临床指南研究与评价工具简介.中国循证儿科杂志, 2007, 2(5):375-377.
4.	彭唯娜, 刘保延, 王晶, 等.带状疱疹针灸临床实践指南.见:中国中医科学院, 中国针灸学会, 主编.中医循证临床实践指南-针灸分册(第1版).北京:中国中医药出版社. 2011:20-44.
5.	梁繁荣, 李瑛, 吴曦, 等.贝尔面瘫针灸临床实践指南.见:中国中医科学院, 中国针灸学会, 主编.中医循证临床实践指南-针灸分册(第1版).北京:中国中医药出版社. 2011:45-101.
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7.	赵吉平, 王军, 刘保延, 等.中风假性球麻痹针灸临床实践指南.见:中国中医科学院, 中国针灸学会, 主编.中医循证临床实践指南-针灸分册(第1版).北京:中国中医药出版社. 2011:124-141.
8.	吴中朝, 杨金洪, 王京京, 等.偏头痛针灸临床实践指南.见:中国中医科学院, 中国针灸学会, 主编.中医循证临床实践指南-针灸分册(第1版).北京:中国中医药出版社, 2011:142-162.
9.	Shrout PE, Fleiss JL. Intraclass correlations:uses in assessing rater reliability. Psychol Bull, 1979, 86(2):420-428.
10.	IOM (Institute of Medicine). Clinical Practice Guidelines We Can Trust. Washington, DC:The National Academies Press. 2011:3.
11.	孙忠人, 刘刚.从针灸学理论体系的两种模式看引循证医学入传统针灸模式的必要性.中医药信息, 2002, 19(6):2-3.
12.	韦当, 王小琴, 吴琼芳, 等. 2011年中国临床实践指南质量评价.中国循证医学杂志, 2013, 13(6):760-763.
13.	Alonso-Coello P, Irfan A, Solà I, et al. The quality of clinical practice guidelines over the last two decades:a systematic review of guideline appraisal studies. Qual Saf Health Care, 2010, 19(6):e58.
14.	詹思延.临床实践指南的制定应当科学、规范.中华儿科杂志, 2009, 47(3):163-166.
15.	Burgers JS, Grol R, Klazinga NS, et al. Towards evidence-based clinical practice:an international survey of 18 clinical guideline programs. Int J Qual Health Care, 2003, 15(1):31-45.
16.	陈耀龙, 李幼平, 杜亮, 等.医学研究中证据分级和推荐强度的演进.中国循证医学杂志, 2008, 8(2):127-133.
17.	梁繁荣, 吴曦, 李瑛.中国循证针灸学研究现状与展望.天津中医药, 2006, 23(6):441-444.
18.	刘鸣, 杨杰, 王一平.对循证指南制定方法及临床应用的新思考.中国循证医学杂志, 2009, 9(2):127-128.

1. 中国中医科学院, 中国针灸学会, 主编.中医循证临床实践指南-针灸分册(第1版).北京:中国中医药出版社. 2011:20-162.
2. Brouwers MC, Kho ME, Browman GP, et al. AGREE Ⅱ:advancing guideline development, reporting, and evaluation in health care. Prev Med, 2010, 51(5):421-424.
3. 詹思延.临床指南研究与评价工具简介.中国循证儿科杂志, 2007, 2(5):375-377.
4. 彭唯娜, 刘保延, 王晶, 等.带状疱疹针灸临床实践指南.见:中国中医科学院, 中国针灸学会, 主编.中医循证临床实践指南-针灸分册(第1版).北京:中国中医药出版社. 2011:20-44.
5. 梁繁荣, 李瑛, 吴曦, 等.贝尔面瘫针灸临床实践指南.见:中国中医科学院, 中国针灸学会, 主编.中医循证临床实践指南-针灸分册(第1版).北京:中国中医药出版社. 2011:45-101.
6. 赵宏, 郭旭, 柏巧玲, 等.抑郁症针灸临床实践指南.见:中国中医科学院, 中国针灸学会, 主编.中医循证临床实践指南-针灸分册(第1版).北京:中国中医药出版社. 2011:102-123.
7. 赵吉平, 王军, 刘保延, 等.中风假性球麻痹针灸临床实践指南.见:中国中医科学院, 中国针灸学会, 主编.中医循证临床实践指南-针灸分册(第1版).北京:中国中医药出版社. 2011:124-141.
8. 吴中朝, 杨金洪, 王京京, 等.偏头痛针灸临床实践指南.见:中国中医科学院, 中国针灸学会, 主编.中医循证临床实践指南-针灸分册(第1版).北京:中国中医药出版社, 2011:142-162.
9. Shrout PE, Fleiss JL. Intraclass correlations:uses in assessing rater reliability. Psychol Bull, 1979, 86(2):420-428.
10. IOM (Institute of Medicine). Clinical Practice Guidelines We Can Trust. Washington, DC:The National Academies Press. 2011:3.
11. 孙忠人, 刘刚.从针灸学理论体系的两种模式看引循证医学入传统针灸模式的必要性.中医药信息, 2002, 19(6):2-3.
12. 韦当, 王小琴, 吴琼芳, 等. 2011年中国临床实践指南质量评价.中国循证医学杂志, 2013, 13(6):760-763.
13. Alonso-Coello P, Irfan A, Solà I, et al. The quality of clinical practice guidelines over the last two decades:a systematic review of guideline appraisal studies. Qual Saf Health Care, 2010, 19(6):e58.
14. 詹思延.临床实践指南的制定应当科学、规范.中华儿科杂志, 2009, 47(3):163-166.
15. Burgers JS, Grol R, Klazinga NS, et al. Towards evidence-based clinical practice:an international survey of 18 clinical guideline programs. Int J Qual Health Care, 2003, 15(1):31-45.
16. 陈耀龙, 李幼平, 杜亮, 等.医学研究中证据分级和推荐强度的演进.中国循证医学杂志, 2008, 8(2):127-133.
17. 梁繁荣, 吴曦, 李瑛.中国循证针灸学研究现状与展望.天津中医药, 2006, 23(6):441-444.
18. 刘鸣, 杨杰, 王一平.对循证指南制定方法及临床应用的新思考.中国循证医学杂志, 2009, 9(2):127-128.

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