Quality assessment of clinical practice guidelines on acupuncture_Chinese Journal of Evidence-Based Medicine

Authors：

DUAN Yuting ¹ ^# , CHEN Ze ¹ ^# , CHEN Yaolong ^2,3,4,5 , ZHANG Yu ¹ , CHEN Juexuan ¹ , WANG Qianmei ¹ ,  TANG Chunzhi ¹ ,  LU Liming ¹

1. South China Research Center for Acupuncture and Moxibustion,Guangzhou University of Chinese Medicine, Guangzhou, 510006, P.R.China;
2. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, 730000, P.R.China;
3. Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou, 730000, P.R.China;
4. Chinese GRADE Center, Lanzhou, 730000, P.R.China;
5. WHO Collaborating Centre for Guideline Implementation and Knowledge Translation, Lanzhou, 730000, P.R.China;

Corresponding?author：

TANG Chunzhi, Email: jordan664@163.com; LU Liming, Email: lulimingleon@126.com

Keywords：

Acupuncture; Clinical practice guideline; AGREE Ⅱ; RIGHT; Methodology; Reporting quality; Evaluation

DOI：

10.7507/1672-2531.201812138

Video：

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Objectives To analyze the current methodological and reporting quality of both domestic and overseas clinical practice guidelines on acupuncture, and to provide reference for the development of high quality acupuncture clinical practice guidelines.Methods GIN, NICE, AHRQ, PubMed, EMbase, AMED, CINAHL, WanFang Data, CNKI, VIP and CBM databases were electronically searched to collect domestic and overseas clinical practice guidelines on acupuncture from inception to September, 2018. Two reviewers independently screened literature, extracted data and evaluated the methodological and reporting quality by using AGREE Ⅱ and RIGHT tools.Results A total of 23 acupuncture clinical practice guidelines were included, in which three were developed by foreign institutions, and the remaining 20 guidelines were jointly developed by WHO Western Pacific Region and China Institute of Acupuncture and Moxibustion. Three foreign and two domestic guidelines were selected for evaluation. The AGREE Ⅱ evaluation showed that the domestic guidelines have higher scores in terms of " scope and purpose”, " stakeholder involvement”, " rigor of development”, " applicability” and " clarity of presentation”, while only " editorial independence” is lower. The overall recommendation is stronger than the foreign guidelines. The RIGHT evaluation showed that for three foreign guidelines, the " reported” items accounted for 52.38%, " unreported” items accounted for 38.09%, " partly reported” items accounted for 6.66%%; however, for domestic guidelines, the " reported” accounted for 45.71%, " unreported” items accounted for 40%, and " partly reported” items accounted for 14.28% respectively. Overall, the difference is not significant (SD<10%). Due to the specificity of acupuncture interventions, the use of AGREEⅡ and RIGHT to evaluate acupuncture clinical practice guidelines still had barriers to some extend on its applicability.Conclusion The methodological and reporting quality of acupuncture clinical practice guidelines are relatively low. It is urgent to further improve the methodological level and reporting standards of the guidelines, and to develop evaluation tools for the acupuncture field guidelines.

Citation： DUAN Yuting, CHEN Ze, CHEN Yaolong, ZHANG Yu, CHEN Juexuan, WANG Qianmei, TANG Chunzhi, LU Liming. Quality assessment of clinical practice guidelines on acupuncture. Chinese Journal of Evidence-Based Medicine, 2019, 19(8): 983-988. doi: 10.7507/1672-2531.201812138 Copy

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19.	中國針灸學會. 循證針灸臨床實踐指南-慢性萎縮性胃炎. 北京: 中國中醫藥出版社, 2015.
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28.	陳瀅如, 楊金生, 王亮, 等. 《肩周炎循證針灸臨床實踐指南》解讀. 中國針灸, 2017, 37(9): 991-994.
29.	房繄恭, 白艷, 劉保延, 等. 基于AGREE Ⅱ對針灸臨床實踐指南的質量評價研究. 中國針灸, 2014, 3(6): 599-601.
30.	李慧, 謝秀麗, 王洋洋, 等. 中醫(中西醫結合)臨床實踐指南制修訂方法—實施與評價. 中醫臨床實踐指南研究, 2016, 31(12): 5119-5122.

1. 針灸的發展現狀. Available at: http://www.chinabgao.com/k/133121zhenjiu/32522.html.
2. Jiae C, JiHee J, Jong U, et al. Korean medicine clinical practice guideline on acupuncture for acute ankle sprains in adults: Evidence-based approach. Eur J Integr Med, 2017, (12): 182-188.
3. Jacqueline F, Joan H. Guidelines for providing acupuncture treatment for cancer patients-a peer-reviewed sample policy document. Acupunct Med, 2006, 24(4): 172-182.
4. Sarah F, Lucie M. Practice guidelines for acupuncturists using acupuncture as an adjunctive treatment for anorexia nervosa. Complement Ther Med, 2015, 23(1): 14-22.
5. Yali L, Rui Z, Jiao H, et al. Reporting quality of systematic reviews/meta-analyses of acupuncture. Plos One, 2014, 9(11): e113172.
6. Available at: http://www.agreetrust.org.
7. Available at: http://www.right-statement.org/.
8. 中國針灸學會. 循證針灸臨床實踐指南-肩周炎. 北京: 中國中醫藥出版社, 2015.
9. 中國針灸學會. 循證針灸臨床實踐指南-神經根型頸椎病. 北京:中國中醫藥出版社, 2015.
10. 中國針灸學會. 循證針灸臨床實踐指南-帶狀皰疹. 北京: 中國中醫藥出版社, 2015.
11. 中國針灸學會. 循證針灸臨床實踐指南-貝爾面癱. 北京: 中國中醫藥出版社, 2015.
12. 中國針灸學會. 循證針灸臨床實踐指南-抑郁癥. 北京: 中國中醫藥出版社, 2015.
13. 中國針灸學會. 循證針灸臨床實踐指南-中風后假性球麻痹. 北京: 中國中醫藥出版社, 2015.
14. 中國針灸學會. 循證針灸臨床實踐指南-偏頭痛. 北京: 中國中醫藥出版社, 2015.
15. 中國針灸學會. 循證針灸臨床實踐指南-原發性痛經. 北京: 中國中醫藥出版社, 2015.
16. 中國針灸學會. 循證針灸臨床實踐指南-腰痛. 北京: 中國中醫藥出版社, 2015.
17. 中國針灸學會. 循證針灸臨床實踐指南-慢性便秘. 北京: 中國中醫藥出版社, 2015.
18. 中國針灸學會. 循證針灸臨床實踐指南-坐骨神經痛. 北京: 中國中醫藥出版社, 2015.
19. 中國針灸學會. 循證針灸臨床實踐指南-慢性萎縮性胃炎. 北京: 中國中醫藥出版社, 2015.
20. 中國針灸學會. 循證針灸臨床實踐指南-膝骨關節炎. 北京: 中國中醫藥出版社, 2015.
21. 中國針灸學會. 循證針灸臨床實踐指南-成人支氣管哮喘. 北京: 中國中醫藥出版社, 2015.
22. 中國針灸學會. 循證針灸臨床實踐指南-失眠. 北京: 中國中醫藥出版社, 2015.
23. 中國針灸學會. 循證針灸臨床實踐指南-糖尿病周圍神經病變. 北京: 中國中醫藥出版社, 2015.
24. 中國針灸學會. 循證針灸臨床實踐指南-原發性三叉神經痛. 北京: 中國中醫藥出版社, 2015.
25. 中國針灸學會.循證針灸臨床實踐指南-突發性耳聾. 北京: 中國中醫藥出版社, 2015.
26. 中國針灸學會. 循證針灸臨床實踐指南-過敏性鼻炎. 北京: 中國中醫藥出版社, 2015.
27. 中國針灸學會. 循證針灸臨床實踐指南-單純性肥胖. 北京: 中國中醫藥出版社, 2015.
28. 陳瀅如, 楊金生, 王亮, 等. 《肩周炎循證針灸臨床實踐指南》解讀. 中國針灸, 2017, 37(9): 991-994.
29. 房繄恭, 白艷, 劉保延, 等. 基于AGREE Ⅱ對針灸臨床實踐指南的質量評價研究. 中國針灸, 2014, 3(6): 599-601.
30. 李慧, 謝秀麗, 王洋洋, 等. 中醫(中西醫結合)臨床實踐指南制修訂方法—實施與評價. 中醫臨床實踐指南研究, 2016, 31(12): 5119-5122.

Chinese Journal of Evidence-Based Medicine

Quality assessment of clinical practice guidelines on acupuncture

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