CUIQi 1,2,3,4 , HUANGDi 2,3,4 , SONGXu-ping 2,3,4 , TIANJin-hui 2,3 , YANGKe-hu 1,2,4
  • 1. The First Clinical Medicine College, Lanzhou University, Lanzhou 730000, China;
  • 2. Evidence-Based Medicine Center of Lanzhou University, School of Basic Medical Science of Lanzhou University, Lanzhou 730000, China;
  • 3. Key Laboratory of Evidence Based Medicine and knowledge Translation of GanSu Province, Lanzhou 730000, China;
  • 4. School of Public Health, Lanzhou University, Lanzhou 730000, China;
YANGKe-hu, Email: kehuyangebm006@126.com
Export PDF Favorites Scan Get Citation

Objective To acquaint the development process and item composition of the appraisal tools and reporting standards of clinical pathways worldwide, in order to improve the development and evaluation of clinical pathways. Methods We searched databases including PubMed, EMbase, Web of Science, CBM, CNKI and WanFang Data for articles about the appraisal tools and reporting standards of clinical pathways from inception to Jan, 2014. Two reviewers independently screened literature according to the inclusion and exclusion criteria, extracted data, and compared the difference in development process and item composition among included appraisal tools and reporting standards of clinical pathways. Results A total of 7 appraisal tools and reporting standards were included. Among them, 3 were from UK, 1 from China, 1 from Australia, 1 from Belgium, and 1 from Saudi Arabia. All included appraisal tools contained 4 to 15 domains and 14 to 99 items. Based on the comparison of different domains and items of included appraisal tools, "Clinical Pathway Management Guidelines" published by the National Health and Family Planning Commission of the People's Republic of China and the research of Vannhaecht, we identified 17 key elements of clinical pathway as follows:organizational commitment, pathway project management, format of doc, content of pathway, multidisciplinary involvement, variance management, EBM/guidelines, maintenance of pathway, accountability, patient involvement, development of pathway, additional support systems & documents, operational arrangement, implementation, outcome management, safety and organization of the care process. Conclusion Currently, the appraisal tools and reporting standards of clinical pathways are rudimentary, so we desperately needs to establish mature appraisal tool and reporting standard of clinical pathways to guide the development and implementation of clinical pathway, so as to improve their application effects in clinical practice and medical quality.

Citation: CUIQi, HUANGDi, SONGXu-ping, TIANJin-hui, YANGKe-hu. Comparative Analysis of Clinical Pathway Appraisal Tools and Reporting Standards. Chinese Journal of Evidence-Based Medicine, 2015, 15(7): 810-815. doi: 10.7507/1672-2531.20150141 Copy

  • Previous Article

    An Evidence-based Evaluation on Orphan Drug Policies
  • Next Article

    The Association between Passive Smoking during Pregnancy and Adverse Birth Outcomes in Chinese:A Meta-analysis