A comparative study on functional features and technical parameters of the global clinical guideline databases_Chinese Journal of Evidence-Based Medicine

Authors：

LONG Youlin ¹ , ZHANG Yonggang ^1,2 , LI Youping ¹ , HU Chuan ² , CHEN Yaolong ^3,4 , YAO Xun ⁵ ,  WANG Qiang ⁶ ,  HUANG Jin ⁷ ,  DU Liang ^1,2

1. Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
2. West China Medical Publishers, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
3. Evidence-Based Medicine Center, Lanzhou University, Lanzhou, 730000, P.R.China;
4. Chinese GRADE Center, Lanzhou University, Lanzhou, 730000, P.R.China;
5. West China School of Medicine, Sichuan University, Chengdu, 610041, P.R.China;
6. National Center for Medical Service Administration, National Health and Family Planning Commission, Beijing, 100044, P.R.China;
7. West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

WANG Qiang, Email: linweiwei115@163.com; HUANG Jin, Email: michael.huangjin@gmail.com; DU Liang, Email: dul@cjebm.org.cn

Keywords：

Clinical practice guideline; Guideline database; Web resource; Comparative study

DOI：

10.7507/1672-2531.201801110

Video：

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Objective To summarize and compare the functional characteristics and technical parameters of the comprehensive global clinical practice guideline (CPG) databases, so as to provide references for the construction of CPG database of China. Methods CPG databases were collected worldwide by discussing with experts in the guideline and database fields. Studies on guideline databases were searched in PubMed and CNKI to additionally collect CPG databases mentioned in these studies. Representative comprehensive CPG databases were finally selected by consulting relevant guideline experts. The basic information, functional characteristics (including column settings, service contents, and related file types) and technical parameter data were extracted and summarized. A descriptive analysis was conducted to compare different CPG databases. Results Nine guideline databases which are distributed in eight countries of the Americas, Europe, Oceania and Asia were included. The number of included guidelines of the nine databases ranged from 31 to 15 410. The earliest database was established in 1993. Except that the MINDS database didn’t provide search function, eight databases provided basic search function, and six provided further advanced search function. PDF and HTML formats of guidelines were available in most databases, but the XML format was only available in National Guideline Clearinghouse (NGC). Responsive Web design was an important feature for most websites of databases and four databases developed mobile applications. Local mainstream social media sharing function was provided by six databases. All databases’ construction was professional in technical parameters including network transmission, Web server, programming language and the selection of server room. Conclusion This study compares the functional features and technical parameters of the comprehensive global CPG databases, which provides important information that should be considered in establishing a guideline database, to strengthen the top-level design or to help optimize the functionality of a guideline database. It also helps guideline databases users to find more proper resources.

Citation： LONG Youlin, ZHANG Yonggang, LI Youping, HU Chuan, CHEN Yaolong, YAO Xun, WANG Qiang, HUANG Jin, DU Liang. A comparative study on functional features and technical parameters of the global clinical guideline databases. Chinese Journal of Evidence-Based Medicine, 2018, 18(3): 254-262. doi: 10.7507/1672-2531.201801110 Copy

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1. Graham R, Mancher M, Wolman DM, et al. Clinical practice guidelines we can trust. Washington (DC): National Academies Press (US), 2011: 4.
2. Davis D, Goldman J, Palda VA. Handbook on clinical practice guidelines. Ottawa: Canadian Medical Association, 2007: 2-3.
3. 刘淼, 孙点剑一, 吕筠, 等. 循证指南参考文献分析在医学研究产出评价中的应用. 中国循证医学杂志, 2011, 11(9): 1090-1093.
4. Mcalister FA, Diepen SV, Padwal RS, et al. How evidence-based are the recommendations in evidence-based guidelines? PLoS Med, 2007, 4(8): e250.
5. 郭琴, 万朝敏. 临床实践指南的循证评价和应用. 临床儿科杂志, 2011, 29(3): 288-290.
6. Woolf SH, Grol R, Hutchinson A, et al. Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines. BMJ, 1999, 318(7182): 527-530.
7. Hoey J, Todkill AM, Elmslie T, et al. Time to weed the CPG garden. CMAJ, 2001, 165(2): 141.
8. Available at: https://www.guideline.gov/help-and-about.
9. 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.
10. Ren J, Li X, Sun J, et al. Is traditional Chinese medicine recommended in Western medicine clinical practice guidelines in China? A systematic analysis. BMJ Open, 2015, 5(6): e006572.
11. 陈耀龙, 元博, 孙丽娜, 等. 中国大陆临床实践指南引文分析. 中国循证儿科杂志, 2013, 8(6): 467-470.
12. 郑志红, 崔树起, 黄芳, 等. 中国指南开发现状分析与评价—影响力和时效性分析. 中国卫生事业管理, 2011, 28(3): 230-232.
13. Zheng Z, Cui S, Lu X, et al. Analysis of the status of Chinese clinical practice guidelines development. BMC Health Serv Res, 2012, 12(1): 218.
14. 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.
15. 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.
16. 林夏, 杨克虎, 陈耀龙, 等. 中国临床实践指南的现状与思考. 中国循证医学杂志, 2017, 17(5): 497-500.
17. 陈耀龙, 王小琴, 吴琼芳, 等. 中国临床实践指南更新情况调查. 中国循证医学杂志, 2014, 14(2): 178-183.
18. UMLS Concepts. Available at: https://www.guideline.gov/help-and-about/search-browse/umls-concepts.
19. Patient booklets. Available at: http://www.sign.ac.uk/patient-publications.html.
20. 胡晶, 陈茹, 谢雁鸣, 等. 科学和规范的改编临床实践指南. 中国循证儿科杂志, 2012, 7(3): 226-230.
21. NICE pathways. Available at: https://www.nice.org.uk/About/What-we-do/Our-Programmes/About-NICE-Pathways.
22. Goolsby MJ. National guideline clearinghouse guideline synthses and comparisons. J Am Acad Nurse Pract, 2003, 15(3): 98-101.
23. 赵琨, 肖月, 池延花, 等. 英国 NICE 技术评估和临床指南的实施对我们的启示. 中国卫生资源, 2011, 14(3): 193-195.
24. 胡雁. 用循证护理的观念评估" 临床实践指南”. 护士进修杂志, 2005, 20(4): 309-311.
25. 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.
26. Guideline comparison template. Available at: https://www.guideline.gov/help-and-about/compare/guideline-comparison-template.
27. Template of guideline attributes. Available at: https://www.guideline.gov/help-and-about/summaries/template-of-guideline-attributes.
28. Guideline synthesis template. Available at: https://www.guideline.gov/syntheses/template.
29. Fitzpatrick RB. CMA infobase: clinical practice guidelines. Med Ref Serv Q, 2008, 27(4): 419-429.
30. The national guideline clearinghouse extent adherence to trustworthy standards (NEATS) assessments. Available at: https://www.guideline.gov/help-and-about/summaries/determining-extent-adherence-to-the-iom-standards-in-ngc.
31. National guideline clearinghouse extent adherence to trustworthy standards (NEATS) instrument. Available at: https://www.guideline.gov/documents/neats_instrument.pdf.
32. Welcome to the clinical practice guidelines in development register. Available at: https://www.clinicalguidelines.gov.au/register.
33. Procedures and requirements for meeting the 2011 NHMRC standard for clinical practice guidelines. Available at: https://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/cp133_nhmrc_procedures_requirements_guidelines_v1.1_120125.pdf.
34. 第 40 次《中国互联网络发展状况统计报告》. Available at: http://www.cnnic.net.cn/hlwfzyj/hlwxzbg/hlwtjbg/201708/t20170803_69444.htm.
35. 《2017 微信用户&生态研究报告》. Available at: http://tech.qq.com/a/20170424/004233.htm#p=1.

Chinese Journal of Evidence-Based Medicine

A comparative study on functional features and technical parameters of the global clinical guideline databases

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