Evidence-based Evaluation on Guidelines for Guideline Development Worldwide_Chinese Journal of Evidence-Based Medicine

Authors：

 ZENGLi-nan ^1,2 ,  LiYou-ping ³ ,  ZHANGLing-li ^1,2 , HUANGLiang ^1,2 , WUTong ⁴

1. Department of Pharmacy, West China Second University Hospital/Evidence-based Pharmacy Center, Sichuan University, Chengdu 610041, China;
2. Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu 610041, China;
3. Chinese Evidence-based Medicine Center, West China Hospital, Sichuan University, Chengdu 610041, China;
4. West China School of Pharmacy, Sichuan University, Chengdu 610041, China;

Corresponding author：

LiYou-ping, Email: yzmylab@hotmail.com; ZHANGLing-li, Email: zhanglingli@scu.edu.cn; zhlingli@sina.com

Keywords：

Guideline for guideline development; Clinical guideline; Evidence-based evaluation

DOI：

10.7507/1672-2531.20160200

Video：

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Objectives To systematically evaluate the structure, publication type and contents of current guidelines for guideline development, so as to provide methodology references for guideline development in China. Methods Six biomedical research literature databases, six guideline databases and 18 websites of academic institutions and health administrative departments were searched to locate guidelines for guideline development. We included the latest versions of guidelines from guideline development departments or academic institutions. We extracted information consisting of general guideline information, structure, principles, methods and procedure of guideline development. A descriptive analysis was conducted to analyze the general information, structure, principles, methods and procedure of guidelines among different guidelines for guideline development. Results Among all the included 25 guidelines for guideline development published from 1998 to 2014, 50% of them were from North America. Structure of these guidelines were similar while detail levels of recommended guideline development methods and procedures were slightly different. The guideline development groups, systematic literature search, evidence assessment and recommendation formulation were vital part of guideline development. The ineffective promotion and implementation of guidelines for guideline development were common problems of current guidelines. Conclusions Procedures recommended by current guidelines for guideline development are almost the same, but the methods and statements are different. We could develop our own guideline for guideline development based on the current relative high-quality guideline in order to provide guidance to the clinical guideline development in China.

Citation： ZENGLi-nan, LiYou-ping, ZHANGLing-li, HUANGLiang, WUTong. Evidence-based Evaluation on Guidelines for Guideline Development Worldwide. Chinese Journal of Evidence-Based Medicine, 2016, 16(11): 1322-1330. doi: 10.7507/1672-2531.20160200 Copy

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2.	Beck C, Cody M, Souder E, et al. Dementia diagnostic guidelines:methodologies, results, and implementation costs. J Am Geriatr Soc, 2000, 48(10):1195-1203.
3.	蒋朱明, 詹思延, 贾晓巍, 等.制订/修订《临床诊疗指南》的基本方法及程序.中华医学杂志, 2016, 96(4):250-253.
4.	National Institute for Health and Care Excellence (NICE). The guidelines manual. National Institute for Health and Care Excellence, 2012.
5.	Scottish Intercollegiate Guidelines Network (SIGN). SIGN 50:a guideline developer's handbook. Edinburgh:SIGN; 2014. (SIGN publication no. 50), 2014. Available at:http://www.sign.ac.uk.
6.	World Health Organization. WHO Handbook for guideline development. World Health Organization, 2012. Available at:http://www.who.int/about/licensing/copyright_form/en/index.htmluk.
7.	World Health Organization. Estonian Guideline Development. Estonian Health Insurance Fund (EHIF), 2011.
8.	The ADAPTE collaboration. The APAPTE Process:Resource Toolkit for Guideline Adaptation, Version 2.0, 2009. Available at:http://www.g-i-n.net/working-groups/adaptation.
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11.	Council of Europe. Developing a methodology for drawing up guidelines on best medical practices. (Recommendation (2001) 13 and explanatory memorandum). Z Arztl Fortbild Qualitatssich, 2002, 96 Suppl 3:5-59.
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14.	National Health and Medical Research Council. Procedures and requirements for meeting the 2011 NHMRC standard for clinical practice guidelines. National Health and Medical Research Council (NHMRC), 2011, (5) version 1.1:1-32.
15.	Rosenfeld RM, Shiffman RN, Robertson P. Clinical Practice Guideline Development Manual, Third Edition:A Quality-Driven Approach for Translating Evidence into Action. Otolaryngol Head Neck Surg, 2013, 148(1 suppl):S1-55.
16.	Gorber SC, Singh H, Pottie K, et al. Process for guideline development by the reconstituted Canadian Task Force on Preventive Health Care. CMAJ, 2012, 184(14):1575-1581.
17.	American Society of Clinical Oncology (ASCO). American Society of Clinical Oncology Guideline Procedures Manual, Expert Panel Version 4.0. American Society of Clinical Oncology, 2011, 1003:12-002562.
18.	American College of Cardiology Foundation and American Heart Association (ACCF/AHA). Methodology Manual and Policies from the ACCF/AHA Task Force on Practice Guidelines. American College of Cardiology Foundation and American Heart Association Inc, 2010:1-88.
19.	Qaseem A, Snow V, Owens DK, et al. The development of clinical practice guidelines and guidance statements of the American College of Physicians:summary of methods. Ann Intern Med, 2010, 153(3):194-199.
20.	Brawley O, Byers T, Chen A, et al. New American Cancer Society process for creating trustworthy cancer screening guidelines. JAMA, 2011, 306(22):2495-2499.
21.	Gupta S, Bhattacharyya OK, Brouwers MC, et al. Canadian Thoracic Society:Presenting a new process for clinical practice guideline production. Can Respir J, 2009, 16(6):e62.
22.	World Stroke Organization (WSO) Stroke Guideline Sub-Committee. Clinical Practice Guideline Development Handbook for Stroke Care. World Stroke Organization, 2009.
23.	Baumann MH, Lewis SZ, Gutterman D. ACCP evidence-based guideline development:a successful and transparent approach addressing conflict of interest, funding, and patient-centered recommendations. Chest, 2007, 132(3):1015-1024.
24.	Van der Wees P, Mead J. Framework for clinical guideline development in physiotherapy. Brussels, Belgium:European Region of World Confederation for Physical Therapy, 2004:1-15.
25.	International Diabetes Federation (IDF) Clinical Guideline Task Force. Guide for Guidelines:A guide for clinical guideline development. International Diabetes Federation, 2003.
26.	Bennett RL, Pettersen BJ, Niendorf KB, et al. Developing standard recommendations (guidelines) for genetic counseling practice:A process of the National Society of Genetic Counselors. J Genet Couns, 2003, 12(4):287-295.
27.	Woolf S. Practice guidelines, a new reality in medicine. II:Methods of developing guidelines. Arch Intern Med, 1992, 152(5):946-952.
28.	Schunemann HJ, Fretheim A, Oxman AD. Improving the use of research evidence in guideline development I. Guidelines for guidelines. Health Res Policy Syst, 2006, 4(13):1-6.
29.	Philip J Van der Wees. Comparison of international guideline programs to evaluate and update the Dutch program for clinical guideline development physical therapy. BMC Health Serv Res, 2007, 7:191.
30.	Turner T, Misso M, Harris C, et al. Development of evidence-based clinical practice guidelines (CPGs):comparing approaches. Implement Sci, 2008, 3(45):1-8.
31.	Ansari S, Rashidian A. Guidelines for guidelines:Are they up to the task? A comparative assessment of clinical practice guideline development handbooks. PLoS One, 2012, 7(11):e49864.
32.	Vernooij RWM, Sanabria AJ, Sola I, et al. Guidance for updating clinical practice guidelines:a systematic review of methodological handbooks. Implement Sci, 2014, 9(3):1-9.
33.	Panisset U. A Review of WHO recommendations published in 2005. Health Res Policy Syst, 2006, 245(1):167-171.

1. Field MJ, Lohr KN, editors. Clinical practice guidelines:directions for a new program. Washington, DC:National Academy Press, 1990.
2. Beck C, Cody M, Souder E, et al. Dementia diagnostic guidelines:methodologies, results, and implementation costs. J Am Geriatr Soc, 2000, 48(10):1195-1203.
3. 蒋朱明, 詹思延, 贾晓巍, 等.制订/修订《临床诊疗指南》的基本方法及程序.中华医学杂志, 2016, 96(4):250-253.
4. National Institute for Health and Care Excellence (NICE). The guidelines manual. National Institute for Health and Care Excellence, 2012.
5. Scottish Intercollegiate Guidelines Network (SIGN). SIGN 50:a guideline developer's handbook. Edinburgh:SIGN; 2014. (SIGN publication no. 50), 2014. Available at:http://www.sign.ac.uk.
6. World Health Organization. WHO Handbook for guideline development. World Health Organization, 2012. Available at:http://www.who.int/about/licensing/copyright_form/en/index.htmluk.
7. World Health Organization. Estonian Guideline Development. Estonian Health Insurance Fund (EHIF), 2011.
8. The ADAPTE collaboration. The APAPTE Process:Resource Toolkit for Guideline Adaptation, Version 2.0, 2009. Available at:http://www.g-i-n.net/working-groups/adaptation.
9. Davis D, Goldman J, Palda V. Handbook on Clinical Practice Guidelines. Canadian Medical Association (CMA), 2007.
10. Guirguis-Blake J, Calonge N, Miller T, et al. Current processes of the US Preventive Services Task Force:refining evidence-based recommendation development. Ann Intern Med, 2007, 147(2):117-122.
11. Council of Europe. Developing a methodology for drawing up guidelines on best medical practices. (Recommendation (2001) 13 and explanatory memorandum). Z Arztl Fortbild Qualitatssich, 2002, 96 Suppl 3:5-59.
12. Lethaby A, Wells S, Furness S, et al. Handbook for the preparation of explicit evidence-based clinical practice guidelines. The New Zealand Guidelines Group, Auckland, New Zealand:New Zealand Guidelines Group, Effective Practice Institute of the University of Auckland, 2001.
13. Eccles M, Mason J. How to develop cost-conscious guidelines. Health Technol Assess, 2001, 5(16):1-69.
14. National Health and Medical Research Council. Procedures and requirements for meeting the 2011 NHMRC standard for clinical practice guidelines. National Health and Medical Research Council (NHMRC), 2011, (5) version 1.1:1-32.
15. Rosenfeld RM, Shiffman RN, Robertson P. Clinical Practice Guideline Development Manual, Third Edition:A Quality-Driven Approach for Translating Evidence into Action. Otolaryngol Head Neck Surg, 2013, 148(1 suppl):S1-55.
16. Gorber SC, Singh H, Pottie K, et al. Process for guideline development by the reconstituted Canadian Task Force on Preventive Health Care. CMAJ, 2012, 184(14):1575-1581.
17. American Society of Clinical Oncology (ASCO). American Society of Clinical Oncology Guideline Procedures Manual, Expert Panel Version 4.0. American Society of Clinical Oncology, 2011, 1003:12-002562.
18. American College of Cardiology Foundation and American Heart Association (ACCF/AHA). Methodology Manual and Policies from the ACCF/AHA Task Force on Practice Guidelines. American College of Cardiology Foundation and American Heart Association Inc, 2010:1-88.
19. Qaseem A, Snow V, Owens DK, et al. The development of clinical practice guidelines and guidance statements of the American College of Physicians:summary of methods. Ann Intern Med, 2010, 153(3):194-199.
20. Brawley O, Byers T, Chen A, et al. New American Cancer Society process for creating trustworthy cancer screening guidelines. JAMA, 2011, 306(22):2495-2499.
21. Gupta S, Bhattacharyya OK, Brouwers MC, et al. Canadian Thoracic Society:Presenting a new process for clinical practice guideline production. Can Respir J, 2009, 16(6):e62.
22. World Stroke Organization (WSO) Stroke Guideline Sub-Committee. Clinical Practice Guideline Development Handbook for Stroke Care. World Stroke Organization, 2009.
23. Baumann MH, Lewis SZ, Gutterman D. ACCP evidence-based guideline development:a successful and transparent approach addressing conflict of interest, funding, and patient-centered recommendations. Chest, 2007, 132(3):1015-1024.
24. Van der Wees P, Mead J. Framework for clinical guideline development in physiotherapy. Brussels, Belgium:European Region of World Confederation for Physical Therapy, 2004:1-15.
25. International Diabetes Federation (IDF) Clinical Guideline Task Force. Guide for Guidelines:A guide for clinical guideline development. International Diabetes Federation, 2003.
26. Bennett RL, Pettersen BJ, Niendorf KB, et al. Developing standard recommendations (guidelines) for genetic counseling practice:A process of the National Society of Genetic Counselors. J Genet Couns, 2003, 12(4):287-295.
27. Woolf S. Practice guidelines, a new reality in medicine. II:Methods of developing guidelines. Arch Intern Med, 1992, 152(5):946-952.
28. Schunemann HJ, Fretheim A, Oxman AD. Improving the use of research evidence in guideline development I. Guidelines for guidelines. Health Res Policy Syst, 2006, 4(13):1-6.
29. Philip J Van der Wees. Comparison of international guideline programs to evaluate and update the Dutch program for clinical guideline development physical therapy. BMC Health Serv Res, 2007, 7:191.
30. Turner T, Misso M, Harris C, et al. Development of evidence-based clinical practice guidelines (CPGs):comparing approaches. Implement Sci, 2008, 3(45):1-8.
31. Ansari S, Rashidian A. Guidelines for guidelines:Are they up to the task? A comparative assessment of clinical practice guideline development handbooks. PLoS One, 2012, 7(11):e49864.
32. Vernooij RWM, Sanabria AJ, Sola I, et al. Guidance for updating clinical practice guidelines:a systematic review of methodological handbooks. Implement Sci, 2014, 9(3):1-9.
33. Panisset U. A Review of WHO recommendations published in 2005. Health Res Policy Syst, 2006, 245(1):167-171.

Chinese Journal of Evidence-Based Medicine

Evidence-based Evaluation on Guidelines for Guideline Development Worldwide

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