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社区获得性肺炎临床实践指南方法学质量评价

贾俊海,杨敬致,刘爱萍,狄宝山,唐艳   

  1. 甘肃省康复中心医院,甘肃省康复中心医院,甘肃卫生职业学院,甘肃省人民医院;甘肃省人民医院,兰州市第二人民医院
  • 收稿日期:2018-04-25 修回日期:2018-04-25 出版日期:2018-03-25
  • 基金资助:
    兰州市人才创新创业项目 (项目编号:2015-RC-65201525;项目名称:亚高原地区急诊疾病谱相关危险因素的研究及急救优化策略);甘肃软科学专项项目(项目编号:1604ZCRA011;项目名称:城市流浪人员医疗救助模式对策研究)

Methodological Quality Assessment of Clinical Practice Guidelines for Community Acquired Pneumonia

JIA Junhai,YANG Jingzhi,LIU Aiping,DI Baoshan and TANG Yan   

  1. Gansu Province Hospital Rehabilitation Center,Gansu Lanzhou,Gansu Province Hospital Rehabilitation Center,Gansu Lanzhou,Gansu Health Vocational College,Gansu Lanzhou,Gansu Province Hospital,Gansu Lanzhou,The Second People’s Hospital of Lanzhou City
  • Received:2018-04-25 Revised:2018-04-25 Online:2018-03-25

摘要: 目的:通过了解国内外社区获得性肺炎(community acquired pneumonia,CAP)指南的发布状况,评价和分析CAP临床实践指南质量,为临床实践提供明确的推荐意见。方法:检索PubMed、EMBASE、Web of Science、中国知网、万方和中国生物医学文献数据库等搜集CAP临床实践指南。评价员独立筛选文献、提取资料后,采用AGREEⅡ工具对纳入的临床实践指南进行质量评价,计算每个结构域的得分并通过组内相关系数对评价者间的一致性进行评价。结果:纳入14部CAP临床实践指南,总体质量尚可,2部临床实践指南A级推荐,4部临床实践指南B级荐,8部临床实践指南C级推荐。AGREEⅡ 6大领域平均得分分别为74.65%、72.46%、49.71%、47.03%、46.22%和 37.21%。结论:未来CAP临床实践指南的制定者在制定过程中应该着重改善严谨性、编辑的独立性和应用性,并且应该严格按照AGREEⅡ条目制定指南,以改善指南的方法学质量。

Abstract: Objective: To evaluate and analyze the quality of community acquired pneumonia(CAP) clinical practice guidelines through understanding the release status of CAP guidelines in China and abroad, in order to give reference for doctors. Methods: A systematic search of relevant literature databases(PubMed,EMBASE,Web of Science, National Guideline Clearinghouse,CNKI,Wanfang Database and CBM et al.) were conducted to identify the community acquired pneumonia clinical practice guidelines. 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 14 guidelines for CPA were finally included, the quality of included guidelines was good, 2 guidelines were A grade recommendation, 4 guidelines were B grade recommendation, 8 guidelines were C grade recommendation. The scores of six domains by AGREE Ⅱ instrument were 74.65%, 72.46%, 49.71%, 47.03%, 46.22% and 37.21%. Conclusion: In the future, the researchers should focus on the rigor of development, editorial independence and applicability, and develop high level CAP clinical practice guidelines based on the AGREE Ⅱtool.