Development of rapid advice guidelines in public health emergency_Chinese Journal of Evidence-Based Medicine

Authors：

 CHEN Yaolong ^1,2,3,4 , ZHANG Xianzhuo ⁵ , WANG Ling ⁶ , WANG Qi ⁷ , LUO Xufei ⁶ , MA Yanfang ^1,2,3 , LIU Enmei ^8,9,10 , LUO Zhengxiu ^8,9,10 , LI Qiu ^8,9,10 , FU Zhou ^8,9,10 , LI Weiguo ^8,9,10

1. Evidence-based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, P.R.China;
2. Chinese GRADE Center, Lanzhou 730000, P.R.China;
3. WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou 730000, P.R.China;
4. Key Laboratory of Evidence-based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, P.R.China;
5. The First School of Clinical Medicine, Lanzhou University, Lanzhou 730000, P.R.China;
6. School of Public Health, Lanzhou University, Lanzhou 730000, P.R.China;
7. Department of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster University, Hamilton L8P3H9, Canada;
8. National Clinical Research Center for Child Health and Disorders, Children's Hospital of Chongqing Medical University, Chongqing 400014, P.R.China;
9. Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing 400014, P.R.China;
10. China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing 400014, P.R.China;

Corresponding author：

CHEN Yaolong, Email: chenyaolong@vip.163.com

Keywords：

Rapid advice guideline; Public health emergency of international concern; Novel coronavirus pneumonia; COVID-19; SARS-CoV-2

DOI：

10.7507/1672-2531.202003097

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The Rapid Advice Guidelines (RAGs), prepared in the form of evidence-based guidelines for responding to public health emergencies in a short period, are characterized by their capability to significantly reduce the time for the development of guidelines to the maximum extent while ensuring quality. Therefore, the RAGs are primarily used to guide and respond to public health emergencies. This article will introduce the definition, characteristics, current situation, applicable situation, development methods, advantages and limitations of the RAGs. Our study proposes several suggestions for RAGs developers and researchers to improve development of RAGs in China.

Citation： CHEN Yaolong, ZHANG Xianzhuo, WANG Ling, WANG Qi, LUO Xufei, MA Yanfang, LIU Enmei, LUO Zhengxiu, LI Qiu, FU Zhou, LI Weiguo. Development of rapid advice guidelines in public health emergency. Chinese Journal of Evidence-Based Medicine, 2020, 20(5): 504-510. doi: 10.7507/1672-2531.202003097 Copy

1.	World Health Organization. WHO Handbook for Guideline Development (2nd Edition), 2020-02-12. Available at: https://apps.who.int/medicinedocs/en/m/abstract/Js22083en/.
2.	Garritty CM, Norris SL, Moher D. Developing WHO rapid advice guidelines in the setting of a public health emergency. J Clin Epidemiol, 2017, 82: 47-60.
3.	Florez ID, Morgan RL, Falavigna M, et al. Development of rapid guidelines: 2. A qualitative study with WHO guideline developers. Health Res Policy Syst, 2018, 16(1): 62.
4.	World Health Organization. WHO guidelines on public health emergencies, 2020-02-19. Available at: https://www.who.int/publications/guidelines/health-emergencies/en/.
5.	World Health Organization. Manual for the health care of children in humanitarian emergencies, 2008-01-01. Available at: https://www.who.int/maternal_child_adolescent/documents/9789241596879/en/.
6.	World Health Organization. Archived: essential nutrition actions, improving maternal, newborn, infant and young child health and nutrition, 2013-06-03. Available at: https://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/.
7.	World Health Organization. mhGAP module assessment management of conditions specifically related to stress, 2013-07-16. Available at: https://www.who.int/mental_health/emergencies/mhgap_module_management_stress/en/.
8.	World Health Organization. Updates on the management of severe acute malnutrition in infants and children, 2013-11-27. Available at: https://www.who.int/nutrition/publications/guidelines/updates_management_SAM_infantandchildren/en/.
9.	World Health Organization. Personal protective equipment in the context of filovirus disease outbreak response, Rapid advice guideline, 2014-11-03. Available at: https://www.who.int/csr/resources/publications/ebola/ppe-guideline/en/.
10.	World Health Organization. Meningitis outbreak response in sub-Saharan Africa, WHO guideline, 2014-12-03. Available at: https://www.who.int/csr/resources/publications/meningitis/guidelines2014/en/.
11.	World Health Organization. Archived: Breastfeeding in the context of Zika virus, interim guideline, 2016-06-29. Available at: https://www.who.int/nutrition/publications/guidelines/zika_breastfeeding/en/.
12.	World Health Organization. Iodine thyroid blocking: Guidelines for use in planning and responding to radiological and nuclear emergencies, 2017-11-30. Available at: https://www.who.int/nutrition/publications/guidelines/iodine-thyroid-blocking/en/.
13.	World Health Organization. Communicating Risk in Public Health Emergencies, A WHO guideline for emergency risk communication (ERC) policy and practice, 2018-01-10. Available at: https://www.who.int/risk-communication/guidance/download/en/.
14.	Schünemann HJ, Hill SR, Kakad M, et al. WHO Rapid Advice Guidelines for pharmacological management of sporadic human infection with avian influenza A (H5N1) virus. Lancet Infect Dis, 2007, 7(1): 21-31.
15.	World Health Organization. Rapid Advice: use of antiretroviral drugs for treating pregnant women and preventing HIV infection in infants, 2020-02-20. Available at: https://www.who.int/hiv/pub/mtct/advice/en/.
16.	World Health Organization. Personal protective equipment in the context of filovirus disease outbreak response, 2020-02-18. Available at: https://www.who.int/csr/resources/publications/ebola/ppe-guideline/en/.
17.	Kowalski SC, Morgan RL, Falavigna M, et al. Development of rapid guidelines: 1. Systematic survey of current practices and methods. Health Res Policy Syst, 2018, 16(1): 61.
18.	World Health Organization. Rapid advice: antiretroviral therapy for HIV infection in adults and adolescents, 2020-02-20. Available at: https://www.who.int/hiv/pub/arv/advice/en/.
19.	World Health Organization. Rapid advice: treatment of tuberculosis in children, 2020-02-20. Available at: https://apps.who.int/iris/handle/10665/44444.
20.	World Health Organization. Guidelines for the diagnosis, prevention and management of cryptococcal disease in HIV-infected adults, adolescents and children, 2020-02-20. Available at: https://www.who.int/hiv/pub/guidelines/cryptococcal-disease/en/.
21.	World Health Organization. WHO Guideline and systematic review on hand hygiene and the use of chlorine in the context of Ebola, 2020-02-20. Available at: https://www.who.int/gpsc/hh_chlorine-ebola.pdf?ua=1.
22.	World Health Organization. Guideline: updates on HIV and infant feeding: the duration of breastfeeding, and support from health services to improve feeding practices among mothers living with HIV, 2020-02-20. Available at: https://apps.who.int/iris/bitstream/handle/10665/246260/9789241549707-eng.pdf?sequence=1.
23.	World Health Organization. Screening, assessment and management of neonates and infants with complications associated with Zika virus exposure in utero, 2020-02-20. Available at: https://www.who.int/csr/resources/publications/zika/assessment-infants/en/.
24.	World Health Organization. Rapid risk assessment of acute public health events, 2020-02-12. Available at: https://www.who.int/csr/resources/publications/HSE_GAR_ARO_2012_1/en/.
25.	World Health Organization. Statement on the second meeting of the international health regulations (2005) emergency committee regarding the outbreak of novel coronavirus (2019-nCoV), 2020-01-30. Available at: https://www.who.int/news-room/detail/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov).
26.	World Health Organization. WHO Director-General's opening remarks at the media briefing on COVID-19, 2020-03-11. Available at: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
27.	陈耀龙, 张先卓, 周奇, 等. 临床实践指南的改编. 协和医学杂志, 2020, 11(1): 102-108.
28.	Schünemann HJ, Hill SR, Kakad M, et al. Transparent development of the WHO rapid advice guidelines. PLoS Med, 2007, 4(5): e119.
29.	Morgan RL, Florez I, Falavigna M, et al. Development of rapid guidelines: 3. GIN-McMaster guideline development checklist extension for rapid recommendations. Health Res Policy Syst, 2018, 16(1): 63.
30.	Siemieniuk RA, Agoritsas T, Macdonald H, et al. Introduction to BMJ Rapid Recommendations. BMJ, 2016, 354: i5191.
31.	孙鑫, 李玲, 李舍予, 等. 促进高质量临床实践指南快速制订与有效使用: MAGIC体系与中国行动. 中国循证医学杂志, 2020, 20(1): 2-6.
32.	Haby MM, Chapman E, Clark R, et al. What are the best methodologies for rapid reviews of the research evidence for evidence-informed decision making in health policy and practice: a rapid review. Health Res Policy Syst, 2016, 14(1): 83.
33.	Zhao S, Cao J, Qian L, et al. A quality evaluation of guidelines on five different viruses causing public health emergencies of international concern. Ann Transl Med, 2020, in press.
34.	Li W, Zhou Q, Tang Y, et al. Protocol for the development of a rapid advice guideline for prevention, management and care of children with 2019 novel coronavirus infection. Ann Palliat Med, 2020, [Epub ahead of print].
35.	王小琴, 陈耀龙, 杨楠, 等. 快速建议指南及其制定方法介绍. 中国循证医学杂志, 2015, 15(9): 1103-1105.
36.	洪天配. 中国肠促胰素治疗专家共识. Available at: http://endo.cmt.com.cn/detail/923897.html.

1. World Health Organization. WHO Handbook for Guideline Development (2nd Edition), 2020-02-12. Available at: https://apps.who.int/medicinedocs/en/m/abstract/Js22083en/.
2. Garritty CM, Norris SL, Moher D. Developing WHO rapid advice guidelines in the setting of a public health emergency. J Clin Epidemiol, 2017, 82: 47-60.
3. Florez ID, Morgan RL, Falavigna M, et al. Development of rapid guidelines: 2. A qualitative study with WHO guideline developers. Health Res Policy Syst, 2018, 16(1): 62.
4. World Health Organization. WHO guidelines on public health emergencies, 2020-02-19. Available at: https://www.who.int/publications/guidelines/health-emergencies/en/.
5. World Health Organization. Manual for the health care of children in humanitarian emergencies, 2008-01-01. Available at: https://www.who.int/maternal_child_adolescent/documents/9789241596879/en/.
6. World Health Organization. Archived: essential nutrition actions, improving maternal, newborn, infant and young child health and nutrition, 2013-06-03. Available at: https://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/.
7. World Health Organization. mhGAP module assessment management of conditions specifically related to stress, 2013-07-16. Available at: https://www.who.int/mental_health/emergencies/mhgap_module_management_stress/en/.
8. World Health Organization. Updates on the management of severe acute malnutrition in infants and children, 2013-11-27. Available at: https://www.who.int/nutrition/publications/guidelines/updates_management_SAM_infantandchildren/en/.
9. World Health Organization. Personal protective equipment in the context of filovirus disease outbreak response, Rapid advice guideline, 2014-11-03. Available at: https://www.who.int/csr/resources/publications/ebola/ppe-guideline/en/.
10. World Health Organization. Meningitis outbreak response in sub-Saharan Africa, WHO guideline, 2014-12-03. Available at: https://www.who.int/csr/resources/publications/meningitis/guidelines2014/en/.
11. World Health Organization. Archived: Breastfeeding in the context of Zika virus, interim guideline, 2016-06-29. Available at: https://www.who.int/nutrition/publications/guidelines/zika_breastfeeding/en/.
12. World Health Organization. Iodine thyroid blocking: Guidelines for use in planning and responding to radiological and nuclear emergencies, 2017-11-30. Available at: https://www.who.int/nutrition/publications/guidelines/iodine-thyroid-blocking/en/.
13. World Health Organization. Communicating Risk in Public Health Emergencies, A WHO guideline for emergency risk communication (ERC) policy and practice, 2018-01-10. Available at: https://www.who.int/risk-communication/guidance/download/en/.
14. Schünemann HJ, Hill SR, Kakad M, et al. WHO Rapid Advice Guidelines for pharmacological management of sporadic human infection with avian influenza A (H5N1) virus. Lancet Infect Dis, 2007, 7(1): 21-31.
15. World Health Organization. Rapid Advice: use of antiretroviral drugs for treating pregnant women and preventing HIV infection in infants, 2020-02-20. Available at: https://www.who.int/hiv/pub/mtct/advice/en/.
16. World Health Organization. Personal protective equipment in the context of filovirus disease outbreak response, 2020-02-18. Available at: https://www.who.int/csr/resources/publications/ebola/ppe-guideline/en/.
17. Kowalski SC, Morgan RL, Falavigna M, et al. Development of rapid guidelines: 1. Systematic survey of current practices and methods. Health Res Policy Syst, 2018, 16(1): 61.
18. World Health Organization. Rapid advice: antiretroviral therapy for HIV infection in adults and adolescents, 2020-02-20. Available at: https://www.who.int/hiv/pub/arv/advice/en/.
19. World Health Organization. Rapid advice: treatment of tuberculosis in children, 2020-02-20. Available at: https://apps.who.int/iris/handle/10665/44444.
20. World Health Organization. Guidelines for the diagnosis, prevention and management of cryptococcal disease in HIV-infected adults, adolescents and children, 2020-02-20. Available at: https://www.who.int/hiv/pub/guidelines/cryptococcal-disease/en/.
21. World Health Organization. WHO Guideline and systematic review on hand hygiene and the use of chlorine in the context of Ebola, 2020-02-20. Available at: https://www.who.int/gpsc/hh_chlorine-ebola.pdf?ua=1.
22. World Health Organization. Guideline: updates on HIV and infant feeding: the duration of breastfeeding, and support from health services to improve feeding practices among mothers living with HIV, 2020-02-20. Available at: https://apps.who.int/iris/bitstream/handle/10665/246260/9789241549707-eng.pdf?sequence=1.
23. World Health Organization. Screening, assessment and management of neonates and infants with complications associated with Zika virus exposure in utero, 2020-02-20. Available at: https://www.who.int/csr/resources/publications/zika/assessment-infants/en/.
24. World Health Organization. Rapid risk assessment of acute public health events, 2020-02-12. Available at: https://www.who.int/csr/resources/publications/HSE_GAR_ARO_2012_1/en/.
25. World Health Organization. Statement on the second meeting of the international health regulations (2005) emergency committee regarding the outbreak of novel coronavirus (2019-nCoV), 2020-01-30. Available at: https://www.who.int/news-room/detail/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov).
26. World Health Organization. WHO Director-General's opening remarks at the media briefing on COVID-19, 2020-03-11. Available at: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
27. 陈耀龙, 张先卓, 周奇, 等. 临床实践指南的改编. 协和医学杂志, 2020, 11(1): 102-108.
28. Schünemann HJ, Hill SR, Kakad M, et al. Transparent development of the WHO rapid advice guidelines. PLoS Med, 2007, 4(5): e119.
29. Morgan RL, Florez I, Falavigna M, et al. Development of rapid guidelines: 3. GIN-McMaster guideline development checklist extension for rapid recommendations. Health Res Policy Syst, 2018, 16(1): 63.
30. Siemieniuk RA, Agoritsas T, Macdonald H, et al. Introduction to BMJ Rapid Recommendations. BMJ, 2016, 354: i5191.
31. 孙鑫, 李玲, 李舍予, 等. 促进高质量临床实践指南快速制订与有效使用: MAGIC体系与中国行动. 中国循证医学杂志, 2020, 20(1): 2-6.
32. Haby MM, Chapman E, Clark R, et al. What are the best methodologies for rapid reviews of the research evidence for evidence-informed decision making in health policy and practice: a rapid review. Health Res Policy Syst, 2016, 14(1): 83.
33. Zhao S, Cao J, Qian L, et al. A quality evaluation of guidelines on five different viruses causing public health emergencies of international concern. Ann Transl Med, 2020, in press.
34. Li W, Zhou Q, Tang Y, et al. Protocol for the development of a rapid advice guideline for prevention, management and care of children with 2019 novel coronavirus infection. Ann Palliat Med, 2020, [Epub ahead of print].
35. 王小琴, 陈耀龙, 杨楠, 等. 快速建议指南及其制定方法介绍. 中国循证医学杂志, 2015, 15(9): 1103-1105.
36. 洪天配. 中国肠促胰素治疗专家共识. Available at: http://endo.cmt.com.cn/detail/923897.html.

Chinese Journal of Evidence-Based Medicine

Development of rapid advice guidelines in public health emergency

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