An extension of the RIGHT statement for introductions and interpretations of clinical practice guidelines: RIGHT for INT_Chinese Journal of Evidence-Based Medicine

Authors：

ZHOU Qi ^1,2,3 , XING Dan ⁴ , LI Qinyuan ⁵ , ZHANG Jingyi ⁶ , LUO Xufei ⁷ , YANG Nan ¹ , WANG Xiaoqin ⁸ , YANG Kehu ¹ , TIAN Jinhui ¹ , LI Hui ⁹ , LI Bo ¹⁰ , CAI Yujia ¹¹ , JIN Yinghui ¹² , LV Lanting ¹³ , SUN Feng ¹⁴ , SHANG Shuxian ¹⁵ , YUAN Beibei ¹⁶ , LI Jiang ¹⁷ , MA Bin ¹ , LI Xiuxia ⁷ , YUAN Yuanzhi ^18,19 , WU Lei ²⁰ , WANG Bin ²¹ , JIANG Lei ²² , WANG Zhiwen ²³ ,  CHEN Yaolong ^1,2,3 , DU Liang ¹¹

1. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, P. R. China;
2. Research Unit of Evidence-Based Evaluation and Guidelines, Chinese Academy of Medical Sciences (2021RU017), School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, P. R. China;
3. Institute of Health Data Science, Lanzhou University, Lanzhou 730000, P. R. China;
4. Arthritis Clinic & Research Center, Peking University People's Hospital, Peking University, Beijing 100044, P. R. China;
5. Department of Respiratory Medicine Children’s Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing 401122, P. R. China;
6. Center for Clinical Epidemiology and Methodology, Guangdong Second Provincial General Hospital, Guangzhou 510317, P. R. China;
7. School of Public Health, Lanzhou University, Lanzhou 730000, P. R. China;
8. The Michael G. DeGroote Institute for Pain Research and Care, McMaster University, Hamilton L8S4L8, Canada;
9. Key Research Department of Standardization of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, P. R. China;
10. Beijing Hospital of Traditional Chinese Medicine, Capital Medical University/Beijing Institute of Chinese Medicine/Beijing Evidence-based Chinese Medicine Center, Beijing 100010, P. R. China;
11. Chinese Evidence-based Medicine Centre, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
12. Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, P. R. China;
13. School of Public Administration and Policy, Health Technology Assessment and Policy Evaluation Group, Renmin University of China, Beijing 100872, P. R. China;
14. Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, P. R. China;
15. Editorial Office of Chinese Journal of Dermatology and International Journal of Dermatology and Vernereology, Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing 210042, P. R. China;
16. China Center for Health Development Studies, Peking University, Beijing 100191, P. R. China;
17. National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, P. R. China;
18. Department of Ophthalmology, Zhongshan Hospital Affiliated to Fudan University; Center for Evidence-based Medicine, Fudan University, Shanghai 200032, P. R. China;
19. Xiamen Branch, Zhongshan Hospital Affiliated to Fudan University, Xiamen 361015, P. R. China;
20. Department of Pulmonary and Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, P. R. China;
21. Department of Orthopedic Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310006, P. R. China;
22. Department of General Surgery, the First Hospital of Lanzhou University, Lanzhou 730000, P. R. China;
23. School of Nursing, Peking University, Beijing 100191, P. R. China;

Corresponding author：

CHEN Yaolong, Email: chenyaolong@lzu.edu.cn

Keywords：

Clinical practice guideline; Guidelines interpretation; Reporting guideline; RIGHT

DOI：

10.7507/1672-2531.202201137

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective The purpose of the extension of the RIGHT statement for introductions and interpretations of clinical practice guidelines (RIGHT for INT) was to promote the development of comprehensive and clear article those introduced and interpreted clinical practice guidelines. Methods The RIGHT for INT checklist was developed following methods recommended by the EQUATOR Network. The development process included three stages. In the first stage, a multidisciplinary team of experts was recruited by email and WeChat and further divided into three groups (a steering group, a consensus group, and a secretariat group); in the second stage, the initial items were collected by literature review and brainstorming; and in the third stage, the final items were formed through a Delphi survey and expert consultation. Results A total of 40 initial items were collected through literature review and brainstorming. A final checklist of 27 items was formed after the Delphi survey and expert consultation. Conclusion The RIGHT for INT checklist provides guidance for guideline interpreters on how to introduce and interpret clinical practice guidelines in a scientific and comprehensive manner.

Citation： ZHOU Qi, XING Dan, LI Qinyuan, ZHANG Jingyi, LUO Xufei, YANG Nan, WANG Xiaoqin, YANG Kehu, TIAN Jinhui, LI Hui, LI Bo, CAI Yujia, JIN Yinghui, LV Lanting, SUN Feng, SHANG Shuxian, YUAN Beibei, LI Jiang, MA Bin, LI Xiuxia, YUAN Yuanzhi, WU Lei, WANG Bin, JIANG Lei, WANG Zhiwen, CHEN Yaolong, DU Liang. An extension of the RIGHT statement for introductions and interpretations of clinical practice guidelines: RIGHT for INT. Chinese Journal of Evidence-Based Medicine, 2022, 22(5): 497-507. doi: 10.7507/1672-2531.202201137 Copy

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16.	Eubank BH, Mohtadi NG, Lafave MR, et al. Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology. BMC Med Res Methodol, 2016, 16: 56.
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18.	何娜, 苏珊, 翟所迪, 等. 《中国万古霉素治疗药物监测指南(2020更新版)》解读. 临床药物治疗杂志, 2021, 19(1): 12-16.
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20.	孙备, 冀亮. 2015年美国胃肠病学会《无症状性胰腺囊性肿瘤诊治指南》解读. 中国实用外科杂志, 2015, 35(5): 515-518.
21.	赵军. 美国《退伍军人事务部-人事部脑卒中康复治疗管理临床实践指南》解读. 中国实用内科杂志, 2013, 33(8): 605-607.
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24.	李萌, 邓艾平, 王奕. 2014年MASCC/ISOO肿瘤治疗继发黏膜炎管理的临床实践指南解读. 中华放射肿瘤学杂志, 2016, 25(12): 1388-1391.
25.	邢丹, 陈耀龙, 王琪, 等. 《AAOS手术治疗膝骨关节炎临床实践指南》方法学解读和推荐建议阐释. 中国循证医学杂志, 2018, 18(8): 793-801.
26.	徐虹, 沈茜. 泌尿道感染诊治循证指南(2016)解读. 中华儿科杂志, 2017, 55(12): 902-904.
27.	翟所迪, 贺蓓, 王睿, 等. 《中国万古霉素治疗药物监测指南》解读. 中国临床药理学杂志, 2016, 32(17): 1633-1636.
28.	邢丹, 陈耀龙, 曾宪涛, 等. 2019年《OARSI非手术治疗膝、髋及多关节骨关节炎临床实践指南》方法学解读和推荐意见阐释. 中国循证医学杂志, 2020, 20(3): 258-266.
29.	时晶, 倪敬年, 田金洲, 等. 中国痴呆诊疗指南——轻度认知损害诊疗指南解读. 中国医学前沿杂志(电子版), 2012, (10): 67-70.
30.	Molino CGRC, Leite-Santos NC, Gabriel FC, et al. Factors associated with high-quality guidelines for the pharmacologic management of chronic diseases in primary care: a systematic review. JAMA Intern Med, 2019, 179(4): 553-560.
31.	张迁, 秦天柱, 王琦, 等. 《NutriRECS饮食指南: 未加工红肉和加工肉类的摄入》解读. 中国循证医学杂志, 2021, 21(5): 514-519.
32.	Johnston BC, Zeraatkar D, Han MA, et al. Unprocessed red meat and processed meat consumption: dietary guideline recommendations from the Nutritional Recommendations (NutriRECS) Consortium. Ann Intern Med, 2019, 171(10): 756-764.
33.	王洪燕, 褚晓凌, 郭永建. 英国《成人重症患者贫血与红细胞输血管理指南》之解读. 中国输血杂志, 2013, 26(2): 194-200.
34.	李晓强, 段鹏飞, 王深明. 2012版《深静脉血栓形成的诊断和治疗指南》解读. 中华医学杂志, 2013, 93(29): 2262-2263.
35.	陈耀龙, 史乾灵, 赵俊强, 等. 从知到行: 跨越指南理论与实践的鸿沟. 协和医学杂志, 2020, 11(6): 746-753.
36.	陈耀龙, 王小琴, 王琪, 等. 遵循指南报告规范提升指南报告质量. 中华内科杂志, 2018, 57(3): 168-170.
37.	Guyatt GH, Oxman AD, Kunz R, et al. Going from evidence to recommendations. BMJ, 2008, 336(7652): 1049-1051.

1. Institute of Medicine (US). Clinical practice guidelines we can trust. Washington (DC): National Academies Press (US), 2011.
2. Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients' care. Lancet, 2003, 362(9391): 1225-1230.
3. Cabana MD, Rand CS, Powe NR, et al. Why don't physicians follow clinical practice guidelines. A framework for improvement. JAMA, 1999, 282(15): 1458-1465.
4. Tabak RG, Khoong EC, Chambers DA, et al. Bridging research and practice: models for dissemination and implementation research. Am J Prev Med, 2012, 43(3): 337-350.
5. Gagliardi AR, Brouwers MC, Palda VA, et al. How can we improve guideline use. A conceptual framework of implementability. Implement Sci, 2011, 6: 26.
6. Pronovost PJ. Enhancing physicians' use of clinical guidelines. JAMA, 2013, 310(23): 2501-2502.
7. Cosby JL. Improving patient care: the implementation of change in clinical practice. Qual Saf Health Care. 2006, 15(6): 447.
8. Yang K, Chen Y, Li Y, et al. Editorial: can China master the guideline challenge. Health Res Policy Syst, 2013, 11: 1.
9. Grimshaw JM, Thomas RE, MacLennan G, et al. Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technol Assess, 2004, 8(6): iii-iv, 1i-72i.
10. Medves J, Godfrey C, Turner C, et al. Systematic review of practice guideline dissemination and implementation strategies for healthcare teams and team-based practice. Int J Evid Based Healthc, 2010, 8(2): 79-89.
11. 王梦书, 李乐, 任雨寒, 等. 韩国恰当应用心脏CT检查指南方法学解读. 中国循证医学杂志, 2017, 17(6): 730-735.
12. 王子君, 周奇, 邢丹, 等. 中国临床实践指南/共识解读类文献报告质量分析. 协和医学杂志, 2021, 12(2): 260-267.
13. Chen Y, Yang K, Marušic A, et al. A reporting tool for practice guidelines in health care: the RIGHT statement. Ann Intern Med, 2017, 166(2): 128-132.
14. Moher D, Schulz KF, Simera I, et al. Guidance for developers of health research reporting guidelines. PLoS Med, 2010, 7(2): e1000217.
15. Alfaro Lara ER, Vega Coca MD, Galván Banqueri M, et al. Selection of tools for reconciliation, compliance and appropriateness of treatment in patients with multiple chronic conditions. Eur J Intern Med, 2012, 23(6): 506-512.
16. Eubank BH, Mohtadi NG, Lafave MR, et al. Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology. BMC Med Res Methodol, 2016, 16: 56.
17. Martínez García L, Pardo-Hernandez H, Niño de Guzman E, et al. Development of a prioritisation tool for the updating of clinical guideline questions: the UpPriority Tool protocol. BMJ Open, 2017, 7(8): e017226.
18. 何娜, 苏珊, 翟所迪, 等. 《中国万古霉素治疗药物监测指南(2020更新版)》解读. 临床药物治疗杂志, 2021, 19(1): 12-16.
19. 李龙. 《慢性静脉疾病硬化疗法欧洲指南》解读. 介入放射学杂志, 2016, 25(9): 743-749.
20. 孙备, 冀亮. 2015年美国胃肠病学会《无症状性胰腺囊性肿瘤诊治指南》解读. 中国实用外科杂志, 2015, 35(5): 515-518.
21. 赵军. 美国《退伍军人事务部-人事部脑卒中康复治疗管理临床实践指南》解读. 中国实用内科杂志, 2013, 33(8): 605-607.
22. Gershenson S, Polikoff MS, Wang R. When paywall goes AWOL: the demand for open-access education research. Educational Researcher, 2020, 49(4): 254-261.
23. Squires BP. Structured abstracts of original research and review articles. CMAJ, 1990, 143(7): 619-622.
24. 李萌, 邓艾平, 王奕. 2014年MASCC/ISOO肿瘤治疗继发黏膜炎管理的临床实践指南解读. 中华放射肿瘤学杂志, 2016, 25(12): 1388-1391.
25. 邢丹, 陈耀龙, 王琪, 等. 《AAOS手术治疗膝骨关节炎临床实践指南》方法学解读和推荐建议阐释. 中国循证医学杂志, 2018, 18(8): 793-801.
26. 徐虹, 沈茜. 泌尿道感染诊治循证指南(2016)解读. 中华儿科杂志, 2017, 55(12): 902-904.
27. 翟所迪, 贺蓓, 王睿, 等. 《中国万古霉素治疗药物监测指南》解读. 中国临床药理学杂志, 2016, 32(17): 1633-1636.
28. 邢丹, 陈耀龙, 曾宪涛, 等. 2019年《OARSI非手术治疗膝、髋及多关节骨关节炎临床实践指南》方法学解读和推荐意见阐释. 中国循证医学杂志, 2020, 20(3): 258-266.
29. 时晶, 倪敬年, 田金洲, 等. 中国痴呆诊疗指南——轻度认知损害诊疗指南解读. 中国医学前沿杂志(电子版), 2012, (10): 67-70.
30. Molino CGRC, Leite-Santos NC, Gabriel FC, et al. Factors associated with high-quality guidelines for the pharmacologic management of chronic diseases in primary care: a systematic review. JAMA Intern Med, 2019, 179(4): 553-560.
31. 张迁, 秦天柱, 王琦, 等. 《NutriRECS饮食指南: 未加工红肉和加工肉类的摄入》解读. 中国循证医学杂志, 2021, 21(5): 514-519.
32. Johnston BC, Zeraatkar D, Han MA, et al. Unprocessed red meat and processed meat consumption: dietary guideline recommendations from the Nutritional Recommendations (NutriRECS) Consortium. Ann Intern Med, 2019, 171(10): 756-764.
33. 王洪燕, 褚晓凌, 郭永建. 英国《成人重症患者贫血与红细胞输血管理指南》之解读. 中国输血杂志, 2013, 26(2): 194-200.
34. 李晓强, 段鹏飞, 王深明. 2012版《深静脉血栓形成的诊断和治疗指南》解读. 中华医学杂志, 2013, 93(29): 2262-2263.
35. 陈耀龙, 史乾灵, 赵俊强, 等. 从知到行: 跨越指南理论与实践的鸿沟. 协和医学杂志, 2020, 11(6): 746-753.
36. 陈耀龙, 王小琴, 王琪, 等. 遵循指南报告规范提升指南报告质量. 中华内科杂志, 2018, 57(3): 168-170.
37. Guyatt GH, Oxman AD, Kunz R, et al. Going from evidence to recommendations. BMJ, 2008, 336(7652): 1049-1051.

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