Quality assessment of Chinese clinical practice guidelines in orthopedics_Chinese Journal of Evidence-Based Medicine

Authors：

XING Dan ^{1 #} , WANG Bin ^{1 #} , HOU Yunfei ¹ , CHEN Yaolong ^2,3 ,  LIN Jianhao ¹

Corresponding author：

LIN Jianhao, Email: linjianhao@pkuph.edu.cn

Keywords：

DOI：

10.7507/1672-2531.201612059

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Objective To evaluate quality of orthopedic clinical practice guidelines in China by AGREE Ⅱ Instrument. Methods A systematic search of relevant literature databases (CBM, WanFang Data, VIP and CNKI) was conducted to identify the orthopedic clinical practice guidelines of China published up to October 2016. Guidelines selection and data extraction were independently performed by two authors. AGREEⅡ instrument was used to evaluate the quality of the included guidelines. Intra-class correlation coefficient tests were performed to appraise the uniformity of the overall assessment scores. Results A total of 54 guidelines for orthopedics were finally included. The mean scores of six domains by AGREE Ⅱ instrument were 60.44%, 21.40%, 5.17%, 22.17%, 6.02% and 0.56%. The overall intra-class correlation coefficient was 0.84. Conclusion The quality of orthopedic clinical practice guidelines in China was low or moderate in general. The methodology of making guidelines, especially in terms of rigor of development, applicability and editorial independence, should be improved.

Citation： XING Dan, WANG Bin, HOU Yunfei, CHEN Yaolong, LIN Jianhao. Quality assessment of Chinese clinical practice guidelines in orthopedics. Chinese Journal of Evidence-Based Medicine, 2017, 17(3): 347-356. doi: 10.7507/1672-2531.201612059 Copy

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2.	Luder AS. Evidence-based clinical practice guidelines: what is the evidence. Isr Med Assoc J, 2011, 13(11): 689-691.
3.	Keiffer MR. Utilization of clinical practice guidelines: barriers and facilitators. Nurs Clin North Am, 2015, 50(2): 327-345.
4.	Shaneyfelt TM, Mayo-Smith MF, Rothwangl J. Are guidelines following guidelines? The methodological quality of clinical practice guidelines in the peer-reviewed medical literature. JAMA, 1999, 281(20): 1900-1905.
5.	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.
6.	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.
7.	陈耀龙, 周奇, 崔荣荣, 等. 基于AGREE Ⅱ的中医药临床指南质量评价. 中国循证医学杂志, 2016, 16(11): 1331-1337.
8.	Zhang X, Zhao K, Bai Z,et al. Clinical Practice Guidelines for Hypertension: Evaluation of Quality Using the AGREE II Instrument. Am J Cardiovasc Drugs, 2016, 16(6): 439-451.
9.	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.
10.	李幼平, 李静, 孙鑫, 等. 循证医学在中国的起源与发展: 献给中国循证医学20周年. 中国循证医学杂志, 2016, 16(1): 2-6.
11.	李楠, 姚亮, 吴琼芳, 等. 2012~2013年中国大陆期刊发表临床实践指南质量评价. 中国循证医学杂志, 2015, 15(3): 259-263.
12.	卫茂玲, 刘鸣. 中国临床指南循证制定的方法学现状分析. 中国循证医学杂志, 2013, 13(8): 927-932.
13.	Shrout PE, Fleiss JL. Interclass correlations: uses in assessing rater reliability. Psychol Bull, 1979, 86(2): 420-428.
14.	Ríos E, Serón P, Lanas F,et al. Evaluation of the quality of clinical practice guidelines for the management of esophageal or gastric variceal bleeding. Eur J Gastroenterol Hepatol, 2014, 26(4): 422-431.
15.	Klein WW. Current and future relevance of guidelines. Heart, 2002, 87(6): 497-500.
16.	丁泓帆, 杨楠, 邓围, 等. WHO指南制定的基本原则和方法. 中国循证医学杂志, 2016, 16(4): 471-477.
17.	雷军强, 杜亮, 王梦书, 等. 制定高质量循证诊断临床实践指南的方法与策略. 中国循证医学杂志, 2016, 16(1): 7-10.
18.	Jo HS, Kim DI, Chang SG,et al. Development of Quality Management Systems for Clinical Practice Guidelines in Korea. J Korean Med Sci, 2015, 30(11): 1553-1557.
19.	Schünemann HJ, Al-Ansary LA, Forland F,et al. Guidelines International Network: Principles for Disclosure of Interests and Management of Conflicts in Guidelines. Ann Intern Med, 2015, 163(7): 548-553.
20.	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, QualSaf Health Care, 2010, 19(6): e58.
21.	赵丽平, 陈绩, 杨婷, 等. 儿童维生素D缺乏症药物治疗循证指南的系统评价. 中国循证医学杂志, 2015, 15(3): 270-275.
22.	Jones J, Hunter D. Consensus methods for medical and health services research. BMJ, 1995, 311(7001): 376-380.

1. Fletcher RH, Fletcher SW. Clinical practice guidelines. Ann Intern Med, 1990, 113(9): 645-646.
2. Luder AS. Evidence-based clinical practice guidelines: what is the evidence. Isr Med Assoc J, 2011, 13(11): 689-691.
3. Keiffer MR. Utilization of clinical practice guidelines: barriers and facilitators. Nurs Clin North Am, 2015, 50(2): 327-345.
4. Shaneyfelt TM, Mayo-Smith MF, Rothwangl J. Are guidelines following guidelines? The methodological quality of clinical practice guidelines in the peer-reviewed medical literature. JAMA, 1999, 281(20): 1900-1905.
5. 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.
6. 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.
7. 陈耀龙, 周奇, 崔荣荣, 等. 基于AGREE Ⅱ的中医药临床指南质量评价. 中国循证医学杂志, 2016, 16(11): 1331-1337.
8. Zhang X, Zhao K, Bai Z,et al. Clinical Practice Guidelines for Hypertension: Evaluation of Quality Using the AGREE II Instrument. Am J Cardiovasc Drugs, 2016, 16(6): 439-451.
9. 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.
10. 李幼平, 李静, 孙鑫, 等. 循证医学在中国的起源与发展: 献给中国循证医学20周年. 中国循证医学杂志, 2016, 16(1): 2-6.
11. 李楠, 姚亮, 吴琼芳, 等. 2012~2013年中国大陆期刊发表临床实践指南质量评价. 中国循证医学杂志, 2015, 15(3): 259-263.
12. 卫茂玲, 刘鸣. 中国临床指南循证制定的方法学现状分析. 中国循证医学杂志, 2013, 13(8): 927-932.
13. Shrout PE, Fleiss JL. Interclass correlations: uses in assessing rater reliability. Psychol Bull, 1979, 86(2): 420-428.
14. Ríos E, Serón P, Lanas F,et al. Evaluation of the quality of clinical practice guidelines for the management of esophageal or gastric variceal bleeding. Eur J Gastroenterol Hepatol, 2014, 26(4): 422-431.
15. Klein WW. Current and future relevance of guidelines. Heart, 2002, 87(6): 497-500.
16. 丁泓帆, 杨楠, 邓围, 等. WHO指南制定的基本原则和方法. 中国循证医学杂志, 2016, 16(4): 471-477.
17. 雷军强, 杜亮, 王梦书, 等. 制定高质量循证诊断临床实践指南的方法与策略. 中国循证医学杂志, 2016, 16(1): 7-10.
18. Jo HS, Kim DI, Chang SG,et al. Development of Quality Management Systems for Clinical Practice Guidelines in Korea. J Korean Med Sci, 2015, 30(11): 1553-1557.
19. Schünemann HJ, Al-Ansary LA, Forland F,et al. Guidelines International Network: Principles for Disclosure of Interests and Management of Conflicts in Guidelines. Ann Intern Med, 2015, 163(7): 548-553.
20. 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, QualSaf Health Care, 2010, 19(6): e58.
21. 赵丽平, 陈绩, 杨婷, 等. 儿童维生素D缺乏症药物治疗循证指南的系统评价. 中国循证医学杂志, 2015, 15(3): 270-275.
22. Jones J, Hunter D. Consensus methods for medical and health services research. BMJ, 1995, 311(7001): 376-380.

Chinese Journal of Evidence-Based Medicine

Quality assessment of Chinese clinical practice guidelines in orthopedics

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