Evidence-based Guidelines on Medication Therapy for Children with Rheumatic Fever: A Systematic Review_Chinese Journal of Evidence-Based Medicine

Authors：

 LIURu-ming ¹ , LIXiao-su ¹ , WANGLu-jie ¹ ,  ZHANGJun ¹ , ZHANGLing-li ^2,3 , LIYou-ping ⁴ , LIUDan ^2,3

1. Department of Clinical Pharmacy, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China;
2. Department of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu 610041, China;
3. Evidence-based Pharmacy Center, West China Second University Hospital, Sichuan University, Chengdu 610041, China;
4. Chinese Evidence-based Medicine Center, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding?author：

ZHANGJun, Email: sy-nawy@sina.com

Keywords：

Children; Rheumatic fever; Evidence-based guideline; Systematic review; AGREE

DOI：

10.7507/1672-2531.20150007

Video：

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Objective To systematically assess the quality of evidence-based clinical guidelines and to compare the differences and similarities between recommendations, so as to provide references for clinical application. Methods Databases such as the TRIP, PubMed, CNKI, VIP, WanFang Data, CBM, National Guideline Clearinghouse and Guidelines International Network were searched to collect evidence-based guidelines on medication therapy for children with rheumatic fever. Methodological quality of included guidelines was assessed according to the AGREE Ⅱ instrument, and differences and similarities among recommendations were compared. Results Only one evidence-based clinical guideline from Australia was included. Among 6 domains which were rated using the AGREE Ⅱ instrument, "scope and purpose", "stakeholder involvement", "rigor of development", "clarity and presentation" and "applicability" were scored more than 50%; while "editorial independence" was scored less than 50%. Conclusion The included guideline is of relatively high quality; however, its application among Chinese population still has limitations. Thus, the development of national guidelines is urgently needed.

Citation： LIURu-ming, LIXiao-su, WANGLu-jie, ZHANGJun, ZHANGLing-li, LIYou-ping, LIUDan. Evidence-based Guidelines on Medication Therapy for Children with Rheumatic Fever: A Systematic Review. Chinese Journal of Evidence-Based Medicine, 2015, 15(1): 23-27. doi: 10.7507/1672-2531.20150007 Copy

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7.	Field MJ, Lohr KN. Guidelines for clinical practice:from development to use. Washington:National Academy Press, 1992.
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12.	Chen YL, Yao L, Xiao XJ, et al. Quality assessment of clinical guidelines in China:1993-2010. Chin Med J, 2012, 125(20):3660-3664.
13.	唐楊琛, 沈干, 胡世蓮, 等. 中國基層臨床指南現狀分析及評價. 中華高血壓雜志, 2013, 21(1):48-52.
14.	胡晶,詹思延. 中國臨床實踐指南制定的現狀與建議. 中國循證心血管醫學雜志, 2013, 5(3):217-218.
15.	楊玲蓉, 江米足. 伴或不伴嘔吐的急性腹瀉患兒的循證治療指南. 實用兒科臨床雜志, 2010, 25(7):533-536.
16.	衛生部新生兒疾病重點實驗室, 復旦大學附屬兒科醫院,《中國循證兒科雜志》編輯部, 等. 足月兒缺氧缺血性腦病循證治療指南(2011-標準版). 中國循證兒科雜志, 2011, 6(5):327-335.
17.	衛茂玲, 劉鳴. 中國臨床指南循證制定的方法學現狀分析. 中國循證醫學雜志, 2013, 13(8):927-932.
18.	汪受傳, 虞舜, 趙霞, 等. 循證性中醫臨床診療指南研究的現狀與策略. 中華中醫藥雜志, 2012, 27(11):2759-2763.
19.	張伶俐, 李幼平, 張川, 等. 中國兒童臨床指南現狀分析及循證臨床指南評價. 中國循證醫學雜志, 2011, 11(9):991-999.
20.	Vincenzi B, Napolitano A, Santini D, et al. Evidence-based guidelines:improving AGREEment on consistence evaluation. Journal of Bone Oncology, 2012, 1(1):30-34.

1. 中華醫學會風濕病學分會. 風濕熱診治指南(草案). 中華風濕病學雜志, 2004, 8(8):504-506.
2. 中華醫學會濕病學分會. 風濕熱診斷和治療指南. 中華風濕病學雜志, 2011, 15(7):483-486.
3. Carapetis JR, Brown A, Wilson NJ, et al. An Australian guideline for rheumatic fever and rheumatic heart disease:an abridged outline. Med J Aust, 2007, 186(11):581-586.
4. AGREE Next Steps Consortium (2009). The AGREE Ⅱ Instrument[Electronic version], 2011. Accessed at:http://www.agreetrust.org.
5. Burls A. AGREE Ⅱ-improving the quality of clinical care. Lancet, 2010, 376(9747):1128-1129.
6. Zadvinskis IM, Grudell BA. Clinical practice guideline appraisal using the AGREE instrument:renal screening. Clin Nurse Spec, 2010, 24(4):209-214.
7. Field MJ, Lohr KN. Guidelines for clinical practice:from development to use. Washington:National Academy Press, 1992.
8. Smolen JS, Boers M, Abadie EC, et al. Recommendations for an update of 2003 European regulatory requirements for registration of drugs to be used in the treatment of RA. Curr Med Res Opin, 2011, 27(2):315-325.
9. Working Group on Pediatric Acute Rheumatic Fever and Cardiology Chapter of Indian Academy of Pediatrics, Saxena A, Kumar RK, et al. Consensus guidelines on pediatric acute rheumatic fever and rheumatic heart disease. Indian Pediatr, 2008, 45(7):565-73.
10. Dajani A, Taubert K, Ferrieri P, et al. Treatment of acute streptococcal pharyngitis and prevention of rheumatic fever:a statement for health professionals. Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young, the American Heart Association. Pediatrics, 1995, 96(4):758-764.
11. RHDAustralia (ARF/RHD writing group), National Heart Foundation of Australia, Cardiac Society of Australia and New Zealand. Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease (2nd edition). Casuarina (Australia):RHDAustralia, 2012:134.
12. Chen YL, Yao L, Xiao XJ, et al. Quality assessment of clinical guidelines in China:1993-2010. Chin Med J, 2012, 125(20):3660-3664.
13. 唐楊琛, 沈干, 胡世蓮, 等. 中國基層臨床指南現狀分析及評價. 中華高血壓雜志, 2013, 21(1):48-52.
14. 胡晶,詹思延. 中國臨床實踐指南制定的現狀與建議. 中國循證心血管醫學雜志, 2013, 5(3):217-218.
15. 楊玲蓉, 江米足. 伴或不伴嘔吐的急性腹瀉患兒的循證治療指南. 實用兒科臨床雜志, 2010, 25(7):533-536.
16. 衛生部新生兒疾病重點實驗室, 復旦大學附屬兒科醫院,《中國循證兒科雜志》編輯部, 等. 足月兒缺氧缺血性腦病循證治療指南(2011-標準版). 中國循證兒科雜志, 2011, 6(5):327-335.
17. 衛茂玲, 劉鳴. 中國臨床指南循證制定的方法學現狀分析. 中國循證醫學雜志, 2013, 13(8):927-932.
18. 汪受傳, 虞舜, 趙霞, 等. 循證性中醫臨床診療指南研究的現狀與策略. 中華中醫藥雜志, 2012, 27(11):2759-2763.
19. 張伶俐, 李幼平, 張川, 等. 中國兒童臨床指南現狀分析及循證臨床指南評價. 中國循證醫學雜志, 2011, 11(9):991-999.
20. Vincenzi B, Napolitano A, Santini D, et al. Evidence-based guidelines:improving AGREEment on consistence evaluation. Journal of Bone Oncology, 2012, 1(1):30-34.

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