Quality assessment of Chinese clinical practice guidelines in orthopedics_Chinese Journal of Evidence-Based Medicine

Authors：

XING Dan ^{1 #} , WANG Bin ^{1 #} , HOU Yunfei ¹ , CHEN Yaolong ^2,3 ,  LIN Jianhao ¹

Corresponding?author：

LIN Jianhao, Email: linjianhao@pkuph.edu.cn

Keywords：

DOI：

10.7507/1672-2531.201612059

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Objective To evaluate quality of orthopedic clinical practice guidelines in China by AGREE Ⅱ Instrument. Methods A systematic search of relevant literature databases (CBM, WanFang Data, VIP and CNKI) was conducted to identify the orthopedic clinical practice guidelines of China published up to October 2016. 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 54 guidelines for orthopedics were finally included. The mean scores of six domains by AGREE Ⅱ instrument were 60.44%, 21.40%, 5.17%, 22.17%, 6.02% and 0.56%. The overall intra-class correlation coefficient was 0.84. Conclusion The quality of orthopedic clinical practice guidelines in China was low or moderate in general. The methodology of making guidelines, especially in terms of rigor of development, applicability and editorial independence, should be improved.

Citation： XING Dan, WANG Bin, HOU Yunfei, CHEN Yaolong, LIN Jianhao. Quality assessment of Chinese clinical practice guidelines in orthopedics. Chinese Journal of Evidence-Based Medicine, 2017, 17(3): 347-356. doi: 10.7507/1672-2531.201612059 Copy

1.	Fletcher RH, Fletcher SW. Clinical practice guidelines. Ann Intern Med, 1990, 113(9): 645-646.
2.	Luder AS. Evidence-based clinical practice guidelines: what is the evidence. Isr Med Assoc J, 2011, 13(11): 689-691.
3.	Keiffer MR. Utilization of clinical practice guidelines: barriers and facilitators. Nurs Clin North Am, 2015, 50(2): 327-345.
4.	Shaneyfelt TM, Mayo-Smith MF, Rothwangl J. Are guidelines following guidelines? The methodological quality of clinical practice guidelines in the peer-reviewed medical literature. JAMA, 1999, 281(20): 1900-1905.
5.	Brouwers MC, Kho ME, Browman GP,et al. AGREE II: advancing guideline development, reporting and evaluation in health care. CMAJ, 2010, 182(18): E839-842.
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8.	Zhang X, Zhao K, Bai Z,et al. Clinical Practice Guidelines for Hypertension: Evaluation of Quality Using the AGREE II Instrument. Am J Cardiovasc Drugs, 2016, 16(6): 439-451.
9.	韋當, 王小琴, 吳瓊芳, 等. 2011年中國臨床實踐指南質量評價. 中國循證醫學雜志, 2013, 13(6): 760-763.
10.	李幼平, 李靜, 孫鑫, 等. 循證醫學在中國的起源與發展: 獻給中國循證醫學20周年. 中國循證醫學雜志, 2016, 16(1): 2-6.
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12.	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.
13.	Shrout PE, Fleiss JL. Interclass correlations: uses in assessing rater reliability. Psychol Bull, 1979, 86(2): 420-428.
14.	Ríos E, Serón P, Lanas F,et al. Evaluation of the quality of clinical practice guidelines for the management of esophageal or gastric variceal bleeding. Eur J Gastroenterol Hepatol, 2014, 26(4): 422-431.
15.	Klein WW. Current and future relevance of guidelines. Heart, 2002, 87(6): 497-500.
16.	丁泓帆, 楊楠, 鄧圍, 等. WHO指南制定的基本原則和方法. 中國循證醫學雜志, 2016, 16(4): 471-477.
17.	雷軍強, 杜亮, 王夢書, 等. 制定高質量循證診斷臨床實踐指南的方法與策略. 中國循證醫學雜志, 2016, 16(1): 7-10.
18.	Jo HS, Kim DI, Chang SG,et al. Development of Quality Management Systems for Clinical Practice Guidelines in Korea. J Korean Med Sci, 2015, 30(11): 1553-1557.
19.	Schünemann HJ, Al-Ansary LA, Forland F,et al. Guidelines International Network: Principles for Disclosure of Interests and Management of Conflicts in Guidelines. Ann Intern Med, 2015, 163(7): 548-553.
20.	Alonso-Coello P, Irfan A, Solà I,et al. The quality of clinical practice guidelines over the last two decades: a systematic review of guideline appraisal studies, QualSaf Health Care, 2010, 19(6): e58.
21.	趙麗平, 陳績, 楊婷, 等. 兒童維生素D缺乏癥藥物治療循證指南的系統評價. 中國循證醫學雜志, 2015, 15(3): 270-275.
22.	Jones J, Hunter D. Consensus methods for medical and health services research. BMJ, 1995, 311(7001): 376-380.

1. Fletcher RH, Fletcher SW. Clinical practice guidelines. Ann Intern Med, 1990, 113(9): 645-646.
2. Luder AS. Evidence-based clinical practice guidelines: what is the evidence. Isr Med Assoc J, 2011, 13(11): 689-691.
3. Keiffer MR. Utilization of clinical practice guidelines: barriers and facilitators. Nurs Clin North Am, 2015, 50(2): 327-345.
4. Shaneyfelt TM, Mayo-Smith MF, Rothwangl J. Are guidelines following guidelines? The methodological quality of clinical practice guidelines in the peer-reviewed medical literature. JAMA, 1999, 281(20): 1900-1905.
5. Brouwers MC, Kho ME, Browman GP,et al. AGREE II: advancing guideline development, reporting and evaluation in health care. CMAJ, 2010, 182(18): E839-842.
6. Chen YL, Yao L, Xiao XJ,et al. Quality assessment of clinical guidelines in China: 1993- 2010. Chin Med J (Engl), 2012, 125(20): 3660-3664.
7. 陳耀龍, 周奇, 崔榮榮, 等. 基于AGREE Ⅱ的中醫藥臨床指南質量評價. 中國循證醫學雜志, 2016, 16(11): 1331-1337.
8. Zhang X, Zhao K, Bai Z,et al. Clinical Practice Guidelines for Hypertension: Evaluation of Quality Using the AGREE II Instrument. Am J Cardiovasc Drugs, 2016, 16(6): 439-451.
9. 韋當, 王小琴, 吳瓊芳, 等. 2011年中國臨床實踐指南質量評價. 中國循證醫學雜志, 2013, 13(6): 760-763.
10. 李幼平, 李靜, 孫鑫, 等. 循證醫學在中國的起源與發展: 獻給中國循證醫學20周年. 中國循證醫學雜志, 2016, 16(1): 2-6.
11. 李楠, 姚亮, 吳瓊芳, 等. 2012~2013年中國大陸期刊發表臨床實踐指南質量評價. 中國循證醫學雜志, 2015, 15(3): 259-263.
12. 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.
13. Shrout PE, Fleiss JL. Interclass correlations: uses in assessing rater reliability. Psychol Bull, 1979, 86(2): 420-428.
14. Ríos E, Serón P, Lanas F,et al. Evaluation of the quality of clinical practice guidelines for the management of esophageal or gastric variceal bleeding. Eur J Gastroenterol Hepatol, 2014, 26(4): 422-431.
15. Klein WW. Current and future relevance of guidelines. Heart, 2002, 87(6): 497-500.
16. 丁泓帆, 楊楠, 鄧圍, 等. WHO指南制定的基本原則和方法. 中國循證醫學雜志, 2016, 16(4): 471-477.
17. 雷軍強, 杜亮, 王夢書, 等. 制定高質量循證診斷臨床實踐指南的方法與策略. 中國循證醫學雜志, 2016, 16(1): 7-10.
18. Jo HS, Kim DI, Chang SG,et al. Development of Quality Management Systems for Clinical Practice Guidelines in Korea. J Korean Med Sci, 2015, 30(11): 1553-1557.
19. Schünemann HJ, Al-Ansary LA, Forland F,et al. Guidelines International Network: Principles for Disclosure of Interests and Management of Conflicts in Guidelines. Ann Intern Med, 2015, 163(7): 548-553.
20. Alonso-Coello P, Irfan A, Solà I,et al. The quality of clinical practice guidelines over the last two decades: a systematic review of guideline appraisal studies, QualSaf Health Care, 2010, 19(6): e58.
21. 趙麗平, 陳績, 楊婷, 等. 兒童維生素D缺乏癥藥物治療循證指南的系統評價. 中國循證醫學雜志, 2015, 15(3): 270-275.
22. Jones J, Hunter D. Consensus methods for medical and health services research. BMJ, 1995, 311(7001): 376-380.

Chinese Journal of Evidence-Based Medicine

Quality assessment of Chinese clinical practice guidelines in orthopedics

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