An introduction to the development methods and cases of living guidelines_Chinese Journal of Evidence-Based Medicine

Authors：

ZHANG Qian ¹ , WANG Qi ^2,3 , HOU Liangying ^2,3 , YANG Qiuyu ¹ , CAO Xiao ¹ , ZHOU Qi ^4,5 , CHEN Yaolong ^4,5,6 , TIAN Jinhui ^4,5,6 , YANG Kehu ^4,5,6 ,  GE Long ^1,2,3,6

1. School of Nursing, Lanzhou University, Lanzhou 730000, P.R.China;
2. Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou 730000, P.R.China;
3. Department of Social Science and Health Management, School of Public Health, Lanzhou University, Lanzhou 730000, P.R.China;
4. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, P.R.China;
5. Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, P.R.China;
6. WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou 730000, P.R.China;

Corresponding author：

GE Long, Email: gelong2009@163.com

Keywords：

Guideline; Living guidelines; Evidence update

DOI：

10.7507/1672-2531.202012026

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

As an essential tool for clinical practice, the clinical practice guidelines have been continuously completed and the quality of the guidelines has been improved. However, there are still issues in updating the guidelines and recommendations. This article introduces the living guideline formulation method, through dynamic monitoring, timely inclusion of new evidence, and living update of recommendations, etc. to improve the timeliness of clinical guidelines. The article aims to provide methodological references for the timely transformation of evidence and the update of guidelines.

Citation： ZHANG Qian, WANG Qi, HOU Liangying, YANG Qiuyu, CAO Xiao, ZHOU Qi, CHEN Yaolong, TIAN Jinhui, YANG Kehu, GE Long. An introduction to the development methods and cases of living guidelines. Chinese Journal of Evidence-Based Medicine, 2021, 21(4): 491-496. doi: 10.7507/1672-2531.202012026 Copy

1.	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.
2.	陈耀龙, 罗旭飞, 王吉耀, 等. 如何区分临床实践指南与专家共识. 协和医学杂志, 2019, 10(4): 403-408.
3.	陈耀龙, 杨克虎. 正确理解, 制订和使用临床实践指南. 协和医学杂志, 2018, 9(4): 367-373.
4.	陈耀龙, 王玲, 杨楠, 等. 临床实践指南如何“保鲜”. 协和医学杂志, 2020, 11(2): 207-212.
5.	Akl EA, Meerpohl JJ, Elliott J, et al. Living systematic reviews: 4. Living guideline recommendations. J Clin Epidemiol, 2017, 91: 47-53.
6.	Paige E, Agostino J, Phillips C, et al. Living guidelines for absolute cardiovascular disease risk assessment and management. Heart Lung Circ, 2019, 28(6): 829-832.
7.	Lamontagne F, Agoritsas T, Macdonald H, et al. A living WHO guideline on drugs for covid-19. BMJ, 2020, 370: m3379.
8.	许吉, 邓宏勇. 动态系统评价简介. 中国循证医学杂志, 2020, 20(2): 244-248.
9.	Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
10.	Guyatt GH, Oxman AD, Akl E, et al. GRADE指南: Ⅰ. 导论—GRADE证据概要表和结果总结表. 中国循证医学杂志, 2011, 11(4): 437-445.
11.	Alonso-Coello P, Schünemann HJ, Moberg J, et al. Grade evidence to decision (ETD) frameworks: a systematic and transparent approach to making well informed healthcare choices. 1: introduction. BMJ, 2016, 353: i2016.
12.	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.
13.	Simmonds M, Salanti G, McKenzie J, et al. Living systematic reviews: 3. Statistical methods for updating meta-analyses. J Clin Epidemiol, 2017, 91: 38-46.
14.	Chung M, Newberry SJ, Ansari MT, et al. Two methods provide similar signals for the need to update systematic reviews. J Clin Epidemiol, 2012, 65(6): 660-668.
15.	Shekelle PG, Motala A, Johnsen B, et al. Assessment of a method to detect signals for updating systematic reviews. Syst Rev, 2014, 3: 13.
16.	Vogel JP, Dowswell T, Lewin S, et al. Developing and applying a 'living guidelines' approach to WHO recommendations on maternal and perinatal health. BMJ Glob Health, 2019, 4(4): e001683.
17.	WHO. Recommendations for prevention and treatment pre-eclampsia and eclampsia. Geneva: World Health Organization, 2011. Available at: https://apps.who.int/iris/bitstream/handle/10665/44703/9789241548335_eng.pdf?sequence=1.
18.	WHO. Recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization, 2016. Available at: https://www.who.int/publications/i/item/9789241549912.
19.	WHO. Recommendation: calcium supplementation during pregnancy for prevention of pre-eclampsia and its complications. Geneva: World Health Organization, 2018. Available at: https://apps.who.int/iris/bitstream/handle/10665/277235/9789241550451-eng.pdf?ua=1.
20.	WHO. Guideline: calcium supplementation in pregnant women. Geneva: World Health Organization, 2013. Available at: https://apps.who.int/iris/bitstream/handle/10665/85120/9789241505376_eng.pdf;jsessionid=77C9A0811F76F4D064F3EB0422B67356?sequence=1.
21.	WHO. Executive guideline steering group for updating WHO maternal and perinatal health recommendations (2017-2019). Geneva: World Health Organization, 2017. Available at: http://www.who.int/reproductivehealth/publications/updating-mnh-recommendations/en/.
22.	Guidelines for diagnosing and managing pediatric concussion. Guideline Central, 2014. Available at: https://www.guidelinecentral.com/summaries/guidelines-for-diagnosing-and-managing-pediatric-concussion/.
23.	Clinical guidelines for stroke management, clinical guidelines, 2017. Available at: https://www.clinicalguidelines.gov.au/portal/2585/clinical-guidelines-stroke-management-2017.
24.	国际实践指南注册平台. 中西医结合治疗和预防COVID-19动态循证指南, 2020-10-19. Available at: http://www.guidelines-registry.cn/guid/945.

1. 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.
2. 陈耀龙, 罗旭飞, 王吉耀, 等. 如何区分临床实践指南与专家共识. 协和医学杂志, 2019, 10(4): 403-408.
3. 陈耀龙, 杨克虎. 正确理解, 制订和使用临床实践指南. 协和医学杂志, 2018, 9(4): 367-373.
4. 陈耀龙, 王玲, 杨楠, 等. 临床实践指南如何“保鲜”. 协和医学杂志, 2020, 11(2): 207-212.
5. Akl EA, Meerpohl JJ, Elliott J, et al. Living systematic reviews: 4. Living guideline recommendations. J Clin Epidemiol, 2017, 91: 47-53.
6. Paige E, Agostino J, Phillips C, et al. Living guidelines for absolute cardiovascular disease risk assessment and management. Heart Lung Circ, 2019, 28(6): 829-832.
7. Lamontagne F, Agoritsas T, Macdonald H, et al. A living WHO guideline on drugs for covid-19. BMJ, 2020, 370: m3379.
8. 许吉, 邓宏勇. 动态系统评价简介. 中国循证医学杂志, 2020, 20(2): 244-248.
9. Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
10. Guyatt GH, Oxman AD, Akl E, et al. GRADE指南: Ⅰ. 导论—GRADE证据概要表和结果总结表. 中国循证医学杂志, 2011, 11(4): 437-445.
11. Alonso-Coello P, Schünemann HJ, Moberg J, et al. Grade evidence to decision (ETD) frameworks: a systematic and transparent approach to making well informed healthcare choices. 1: introduction. BMJ, 2016, 353: i2016.
12. 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.
13. Simmonds M, Salanti G, McKenzie J, et al. Living systematic reviews: 3. Statistical methods for updating meta-analyses. J Clin Epidemiol, 2017, 91: 38-46.
14. Chung M, Newberry SJ, Ansari MT, et al. Two methods provide similar signals for the need to update systematic reviews. J Clin Epidemiol, 2012, 65(6): 660-668.
15. Shekelle PG, Motala A, Johnsen B, et al. Assessment of a method to detect signals for updating systematic reviews. Syst Rev, 2014, 3: 13.
16. Vogel JP, Dowswell T, Lewin S, et al. Developing and applying a 'living guidelines' approach to WHO recommendations on maternal and perinatal health. BMJ Glob Health, 2019, 4(4): e001683.
17. WHO. Recommendations for prevention and treatment pre-eclampsia and eclampsia. Geneva: World Health Organization, 2011. Available at: https://apps.who.int/iris/bitstream/handle/10665/44703/9789241548335_eng.pdf?sequence=1.
18. WHO. Recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization, 2016. Available at: https://www.who.int/publications/i/item/9789241549912.
19. WHO. Recommendation: calcium supplementation during pregnancy for prevention of pre-eclampsia and its complications. Geneva: World Health Organization, 2018. Available at: https://apps.who.int/iris/bitstream/handle/10665/277235/9789241550451-eng.pdf?ua=1.
20. WHO. Guideline: calcium supplementation in pregnant women. Geneva: World Health Organization, 2013. Available at: https://apps.who.int/iris/bitstream/handle/10665/85120/9789241505376_eng.pdf;jsessionid=77C9A0811F76F4D064F3EB0422B67356?sequence=1.
21. WHO. Executive guideline steering group for updating WHO maternal and perinatal health recommendations (2017-2019). Geneva: World Health Organization, 2017. Available at: http://www.who.int/reproductivehealth/publications/updating-mnh-recommendations/en/.
22. Guidelines for diagnosing and managing pediatric concussion. Guideline Central, 2014. Available at: https://www.guidelinecentral.com/summaries/guidelines-for-diagnosing-and-managing-pediatric-concussion/.
23. Clinical guidelines for stroke management, clinical guidelines, 2017. Available at: https://www.clinicalguidelines.gov.au/portal/2585/clinical-guidelines-stroke-management-2017.
24. 国际实践指南注册平台. 中西医结合治疗和预防COVID-19动态循证指南, 2020-10-19. Available at: http://www.guidelines-registry.cn/guid/945.

Previous Article
Data visualization of multiple linear regression analysis practiced by R Studio software

Chinese Journal of Evidence-Based Medicine

An introduction to the development methods and cases of living guidelines

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Format

Content