Quality Assessment of Clinical Practice Guidelines for Diagnosis and Management of Cough in China_Chinese Journal of Evidence-Based Medicine

Authors：

 JIANGMei , LIAOLi-yue , LUOWei , XIEYan-qing ,  LAIKe-fang

State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Diseases, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China;

Corresponding author：

LAIKe-fang, Email: klai@163.com

Keywords：

Cough; Clinical practice guideline; Quality assessment; AGREE Ⅱ

DOI：

10.7507/1672-2531.20150069

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objectives To assess the quality of clinical practice guidelines (CPGs) for diagnosis and management of cough in China, and to provide methodological experiences for updating and developing the evidence-based guideline in this field in future. Methods We searched CBM, WanFang Data, VIP and CNKI databases, and Chinese clinical guidelines' website to identify and select CPGs related to cough in China. Four reviewers independently evaluated the quality of eligible guidelines using the Appraisal of Guidelines for Research and Evaluation (AGREE) Ⅱ instrument. Results Six guidelines were included. The mean scores for six AGREE Ⅱ domains were low:scope and purpose 61.1%, stakeholder involvement 26.6%, rigor of development 16.7%, clarity and presentation 58.3%, applicability 11.1%, and editorial independence 0.0%. Conclusion The quality of guidelines for cough in China is low. More efforts are urgently needed to develop high quality Chinese guidelines using methodologically rigorous development frameworks and strengthen guideline reporting.

Citation： JIANGMei, LIAOLi-yue, LUOWei, XIEYan-qing, LAIKe-fang. Quality Assessment of Clinical Practice Guidelines for Diagnosis and Management of Cough in China. Chinese Journal of Evidence-Based Medicine, 2015, 15(4): 409-413. doi: 10.7507/1672-2531.20150069 Copy

1.	Lai K, Pan J, Chen R, et al. Epidemiology of cough in relation to China. Cough, 2013, 9(1):18.
2.	赖克方, 李斌恺, 王法霞, 等. 慢性咳嗽患者的诊疗现状调查. 国际呼吸杂志, 2011, 31(9):645-647.
3.	Irwin RS, Boulet LP, Cloutier MM, et al. Managing cough as a defense mechanism and as a symptom. A consensus panel report of the American College of Chest Physicians. Chest, 1998, 114(Suppl 2):133S-181S.
4.	Irwin RS, Baumann MH, Bolser DC, et al. Diagnosis and management of cough executive summary:ACCP evidence-based clinical practice guidelines. Chest, 2006, 129(Suppl 1):1S-23S.
5.	Committee for the Japanese Respiratory Society Guidelines for Management of C, Kohno S, Ishida T, et al. The Japanese Respiratory Society guidelines for management of cough. Respirology, 2006, 11(Suppl 4):S135-186.
6.	Morice AH, Fontana GA, Sovijarvi AR, et al. The diagnosis and management of chronic cough. Eur Respir J, 2004, 24(3):481-492.
7.	中华医学会呼吸病学分会哮喘学组. 咳嗽的诊断与治疗指南(草案). 中华结核和呼吸杂志 2005, 28 (11):738-744.
8.	中华医学会呼吸病学分会哮喘学组. 咳嗽的诊断与治疗指南(2009版). 中华结核和呼吸杂志, 2009, 32 (6):407-413.
9.	AGREE Next Steps Consortium. The AGREE Ⅱ instrument. 2009. Available at:www.agreetrust.org.
10.	Field MJ, Lohr KN, eds. Clinical Practice Guidelines:Directions for a New Program. Washington (DC), 1990.
11.	Acuna-Izcaray A, Sanchez-Angarita E, Plaza V, et al. Quality assessment of asthma clinical practice guidelines:a systematic appraisal. Chest, 2013, 144(2):390-397.
12.	中华医学会儿科学分会呼吸学组, 《中华儿科杂志》编辑委员会. 儿童慢性咳嗽诊断与治疗指南(试行). 中华儿科杂志, 2008, 46 (2):104-107.
13.	中华中医药学会内科分会肺系病专业委员会. 咳嗽中医诊疗专家共识意见(2011版). 中医杂志, 2011, 52(10):896-899.
14.	陆权, 王雪峰. 儿童咳嗽中西医结合诊治专家共识(2010年2月). 中国实用儿科杂志 2010, 25(6):439-443.
15.	中华医学会儿科学分会呼吸学组慢性咳嗽协作组, 《中华儿科杂志》编辑委员会. 中国儿童慢性咳嗽诊断与治疗指南(2013年修订). 中华儿科杂志, 2014, 52(3):184-188.
16.	Davis D, Goldman J. Handbook on Clinical Practice Guidelines. Ottawa:Canadian Medical Association, 2007.
17.	Grol R, Cluzeau FA, Burgers JS. Clinical practice guidelines:towards better quality guidelines and increased international collaboration. Br J Cancer, 2003, 89(Suppl 1):S4-8.
18.	Chen YL, Yao L, Xiao XJ, et al. Quality assessment of clinical guidelines in China:1993-2010. Chin Med J (Engl), 2012, 125(20):3660-3664.
19.	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.
20.	Hu J, Chen R, Wu S, et al. The quality of clinical practice guidelines in China:a systematic assessment. J Eval Clin Pract, 2013, 19(5):961-967.
21.	Alonso-Coello P, Irfan A, Sola 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.
22.	Harpole LH, Kelley MJ, Schreiber G, et al. Assessment of the scope and quality of clinical practice guidelines in lung cancer. Chest, 2003, 123(Suppl 1):7S-20S.
23.	Zeng L, Zhang L, Hu Z, et al. Systematic review of evidence-based guidelines on medication therapy for upper respiratory tract infection in children with AGREE instrument. PLoS One, 2014, 9(2):e87711.
24.	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.
25.	Yang K, Chen Y, Li Y, et al. Editorial:can China master the guideline challenge? Health Res Policy Syst, 2013, 11:1.
26.	Medicine Io. Clinical Practice Guidelines We Can Trust. Washington, DC:The National Academies Press. 2011, 3.
27.	Available at:http://www.gradeworkinggroup.org/.
28.	Shekelle PG, Ortiz E, Rhodes S, et al. Validity of the Agency for Healthcare Research and Quality clinical practice guidelines:how quickly do guidelines become outdated?. JAMA, 2001, 286(12):1461-1467.
29.	Detsky AS. Sources of bias for authors of clinical practice guidelines. CMAJ, 2006, 175(9):1033, 1035.
30.	Norris SL, Holmer HK, Ogden LA, et al. Conflict of interest in clinical practice guideline development:a systematic review. PLoS One, 2011, 6(10):e25153.
31.	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.
32.	Watine J, Friedberg B, Nagy E, et al. Conflict between guideline methodologic quality and recommendation validity:a potential problem for practitioners. Clin Chem, 2006, 52(1):65-72.

1. Lai K, Pan J, Chen R, et al. Epidemiology of cough in relation to China. Cough, 2013, 9(1):18.
2. 赖克方, 李斌恺, 王法霞, 等. 慢性咳嗽患者的诊疗现状调查. 国际呼吸杂志, 2011, 31(9):645-647.
3. Irwin RS, Boulet LP, Cloutier MM, et al. Managing cough as a defense mechanism and as a symptom. A consensus panel report of the American College of Chest Physicians. Chest, 1998, 114(Suppl 2):133S-181S.
4. Irwin RS, Baumann MH, Bolser DC, et al. Diagnosis and management of cough executive summary:ACCP evidence-based clinical practice guidelines. Chest, 2006, 129(Suppl 1):1S-23S.
5. Committee for the Japanese Respiratory Society Guidelines for Management of C, Kohno S, Ishida T, et al. The Japanese Respiratory Society guidelines for management of cough. Respirology, 2006, 11(Suppl 4):S135-186.
6. Morice AH, Fontana GA, Sovijarvi AR, et al. The diagnosis and management of chronic cough. Eur Respir J, 2004, 24(3):481-492.
7. 中华医学会呼吸病学分会哮喘学组. 咳嗽的诊断与治疗指南(草案). 中华结核和呼吸杂志 2005, 28 (11):738-744.
8. 中华医学会呼吸病学分会哮喘学组. 咳嗽的诊断与治疗指南(2009版). 中华结核和呼吸杂志, 2009, 32 (6):407-413.
9. AGREE Next Steps Consortium. The AGREE Ⅱ instrument. 2009. Available at:www.agreetrust.org.
10. Field MJ, Lohr KN, eds. Clinical Practice Guidelines:Directions for a New Program. Washington (DC), 1990.
11. Acuna-Izcaray A, Sanchez-Angarita E, Plaza V, et al. Quality assessment of asthma clinical practice guidelines:a systematic appraisal. Chest, 2013, 144(2):390-397.
12. 中华医学会儿科学分会呼吸学组, 《中华儿科杂志》编辑委员会. 儿童慢性咳嗽诊断与治疗指南(试行). 中华儿科杂志, 2008, 46 (2):104-107.
13. 中华中医药学会内科分会肺系病专业委员会. 咳嗽中医诊疗专家共识意见(2011版). 中医杂志, 2011, 52(10):896-899.
14. 陆权, 王雪峰. 儿童咳嗽中西医结合诊治专家共识(2010年2月). 中国实用儿科杂志 2010, 25(6):439-443.
15. 中华医学会儿科学分会呼吸学组慢性咳嗽协作组, 《中华儿科杂志》编辑委员会. 中国儿童慢性咳嗽诊断与治疗指南(2013年修订). 中华儿科杂志, 2014, 52(3):184-188.
16. Davis D, Goldman J. Handbook on Clinical Practice Guidelines. Ottawa:Canadian Medical Association, 2007.
17. Grol R, Cluzeau FA, Burgers JS. Clinical practice guidelines:towards better quality guidelines and increased international collaboration. Br J Cancer, 2003, 89(Suppl 1):S4-8.
18. Chen YL, Yao L, Xiao XJ, et al. Quality assessment of clinical guidelines in China:1993-2010. Chin Med J (Engl), 2012, 125(20):3660-3664.
19. 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.
20. Hu J, Chen R, Wu S, et al. The quality of clinical practice guidelines in China:a systematic assessment. J Eval Clin Pract, 2013, 19(5):961-967.
21. Alonso-Coello P, Irfan A, Sola 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.
22. Harpole LH, Kelley MJ, Schreiber G, et al. Assessment of the scope and quality of clinical practice guidelines in lung cancer. Chest, 2003, 123(Suppl 1):7S-20S.
23. Zeng L, Zhang L, Hu Z, et al. Systematic review of evidence-based guidelines on medication therapy for upper respiratory tract infection in children with AGREE instrument. PLoS One, 2014, 9(2):e87711.
24. 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.
25. Yang K, Chen Y, Li Y, et al. Editorial:can China master the guideline challenge? Health Res Policy Syst, 2013, 11:1.
26. Medicine Io. Clinical Practice Guidelines We Can Trust. Washington, DC:The National Academies Press. 2011, 3.
27. Available at:http://www.gradeworkinggroup.org/.
28. Shekelle PG, Ortiz E, Rhodes S, et al. Validity of the Agency for Healthcare Research and Quality clinical practice guidelines:how quickly do guidelines become outdated?. JAMA, 2001, 286(12):1461-1467.
29. Detsky AS. Sources of bias for authors of clinical practice guidelines. CMAJ, 2006, 175(9):1033, 1035.
30. Norris SL, Holmer HK, Ogden LA, et al. Conflict of interest in clinical practice guideline development:a systematic review. PLoS One, 2011, 6(10):e25153.
31. 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.
32. Watine J, Friedberg B, Nagy E, et al. Conflict between guideline methodologic quality and recommendation validity:a potential problem for practitioners. Clin Chem, 2006, 52(1):65-72.

Chinese Journal of Evidence-Based Medicine

Quality Assessment of Clinical Practice Guidelines for Diagnosis and Management of Cough in China

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content