骨折临床实践指南的方法学质量评价

骨折临床实践指南的方法学质量评价

杨敬致,贾俊海,刘爱萍,狄宝山,唐艳

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,兰州市第二人民医院

收稿日期:2018-05-15 修回日期:2018-05-15 出版日期:2018-04-25
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 in Fractures

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

Gansu Province Hospital Rehabilitation Center,甘肃省康复中心医院,甘肃卫生职业学院,甘肃省人民医院,兰州市第二人民医院

Received:2018-05-15 Revised:2018-05-15 Online:2018-04-25

摘要/Abstract

摘要： 目的：通过了解国内外骨折临床实践指南的发布状况，评价和分析骨折临床实践指南方法学质量，为临床实践提供明确的推荐意见。方法：计算机检索PubMed、 EMbase、Web of Science、NCG、GIN、 NICE、WanFang Data, VIP, CNKI and CBM中已公开发表的与骨折相关的临床实践指南，并采用AGREE Ⅱ工具对纳入的临床实践指南的质量进行评价。结果：本研究共纳入16个与骨折相关的临床实践指南，国外12个，国内4个。质量评价结果显示，6个领域的平均分均低于50%，其中范围和目的得分最高（44.13±9.58）%，其次为指南的清晰性（35.94±12.65）%，编辑独立性（31.38±19.13）%，参与人员（29.19±12.38）%，严谨性（22.38±13.48）%，适用性（15.69±12.02）%。4个指南为弱推荐，12个指南为不推荐，强推荐的指南没有。结论：骨折相关的临床实践指南整体质量较差，还需依据AGREE进一步制定高质量的临床实践指南，以及制定符合我国实际情况的适用性指南。

Abstract: Objective:Through understanding the release status of fractures guidelines at home and abroad,we can evaluate and analyze the quality of clinical practice guidelines in fractures by AGREE Ⅱ instrument,in order to give reference for doctor.Methods:We systematically searched the literature databases PubMed, EMbase,Web of Science,NCG, GIN, NICE, WanFang Data, VIP, CNKI and CBM to identify and select fractures clinical practice guidelines. We used the AGREE II tools to evaluate the quality of these guidelines. Results:A total of 16 relevant guidelines were included involving twelve abroad and four domestic. Quality evaluation results shown that the average score of the six areas is all less than 50%.The average score of the scope and purpose is (44.13±9.58)%, followed by the clarity of the presentation (35.94±12.65)%, the editorial independence (31.38±19.13)%, the stakeholder involvement (29.19±12.38)%, the rigor of development (22.38±13.48)% and the applicability (15.69±12.02)%. Among 16 relevant guidelines, 4 guidelines were weak recommended and 12 guidelines were not recommended. Conclusion:The overall quality of fracture-related clinical practice guidelines were poor. Therefore, the high-quality clinical practice guidelines needed to further developed based on AGREE II and to develop some guidelines matched our country''s actual situation.

杨敬致,贾俊海,刘爱萍,狄宝山,唐艳. 骨折临床实践指南的方法学质量评价[J]. .

YANG Jingzhi,JIA Junhai,LIU Aiping,DI Baoshan and TANG Yan. Methodological Quality Assessment of Clinical Practice Guidelines in Fractures[J]. .

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