Quality assessment of Chinese clinical practice guidelines for diagnosis and management of diabetic foot_Chinese Journal of Evidence-Based Medicine

Authors：

DAI Xinyue , ZHANG Wantong , YANG Qiaoning , LIU Yanfei ,  GAO Rui

Institute of Clinical Pharmacology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, P.R.China;

Corresponding?author：

GAO Rui, Email: ruigao@126.com

Keywords：

China; Diabetic foot; Clinical practice guideline; Quality assessment; AGREE Ⅱ

DOI：

10.7507/1672-2531.202005100

Video：

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Objective To systematically review the methodological quality of Chinese clinical practice guidelines (CPGs) for diagnosis and management of diabetic foot.Methods CNKI, WanFang Data, VIP, CBM, Yimaitong databases, website of Diabetes Branch of Chinese Medical Association, website of Chinese Integrative Medicine Association and website of Peripheral Vascular Disease Professional Committee of Chinese Society of Microcirculation were electronically searched to collect relevant CPGs from inception to May, 2020. Four researchers independently evaluated the CPGs methodological quality by using AGREEⅡ tool.Results A total of 10 Chinese CPGs for diabetes foot were included. The standardized mean scores for various fields were 75.74% for scope and purpose, 36.58% for stakeholder involvement, 28.61% for rigor of development, 86.30% for clarity and presentation, 43.47% for applicability, and 9.44% for editorial independence. Conclusions There are merely a small quantity of diabetic foot guidelines in China, and the methodological quality is insufficient. Therefore, more attention should be focused on the establishment of guidelines in the future, so as to further improve the quality of Chinese diabetic foot guidelines.

Citation： DAI Xinyue, ZHANG Wantong, YANG Qiaoning, LIU Yanfei, GAO Rui. Quality assessment of Chinese clinical practice guidelines for diagnosis and management of diabetic foot. Chinese Journal of Evidence-Based Medicine, 2021, 21(2): 191-196. doi: 10.7507/1672-2531.202005100 Copy

1.	Jiang Y, Wang X, Xia L, et al. A cohort study of diabetic patients and diabetic foot ulceration patients in China. Wound Repair Regen, 2015, 23(2): 222-230.
2.	Ibrahim A. IDF Clinical practice recommendation on the diabetic foot: a guide for healthcare professionals. Diabetes Res Clin Pract, 2017, 127: 285-287.
3.	Wagner FW Jr. The diabetic food. Orthopedics, 1987, 10(1): 163-172.
4.	中華醫學會糖尿病學分會, 中華醫學會感染病學分會, 中華醫學會組織修復與再生分會. 中國糖尿病足防治指南 (2019 版)(Ⅱ). 中華糖尿病雜志, 2019, 11(3): 161-189.
5.	中華醫學會糖尿病學分會, 中華醫學會感染病學分會, 中華醫學會組織修復與再生分會. 中國糖尿病足防治指南 (2019 版)(Ⅰ). 中華糖尿病雜志, 2019, 11(2): 92-108.
6.	Brouwers MC, Kho ME, Browman GP, et al. AGREE II: advancing guideline development, reporting and evaluation in health care. J Clin Epidemiol, 2010, 63(12): 1308-1311.
7.	Appraisal of guidelines for research & evaluation Ⅱ instrument. Available at: https://www.agreetrust.org/wp-content/uploads/2017/12/.
8.	Robin G, Michelle M, Dianne MW, et al. Clinical practice guidelines we can trust. Washington DC: The National Academies Press, 2011.
9.	AGREE Next Steps Consortium (2009). The AGREE Ⅱ instrument, 2011. Available at: http://www.agreetrust.org.
10.	崔立軍, 鮑勇, 陳昕, 等. 中國康復臨床實踐指南的質量評價. 中國循證醫學雜志, 2019, 19(6): 723-728.
11.	Wang Y, Luo Q, Li Y, et al. Quality assessment of clinical practice guidelines on the treatment of hepatocellular carcinoma or metastatic liver cancer. PLoS One, 2014, 9(8): e103939.
12.	彭璐. 糖尿病足病醫學營養治療指南. 中國組織工程研究, 2019, 23(35): 5682-5689.
13.	陳宇, 劉麗, 鄭月宏, 等. 糖尿病足創面修復治療專家共識. 中華糖尿病雜志, 2018, 10(5): 305-309.
14.	孫子林, 陸軍, 徐治, 等. 糖尿病足基層篩查與防治專家共識. 中國糖尿病雜志, 2019, 27(6): 401-407.
15.	中國糖尿病足細胞與介入治療技術聯盟, 中國介入醫師分會介入醫學與生物工程技術委員會. 糖尿病足介入綜合診治臨床指南 (第五版). 介入放射學雜志, 2019, 28(3): 205-216.
16.	王軍, 徐陽. 糖尿病足潰瘍中醫循證臨床實踐指南. 中國中西醫結合外科雜志, 2015, 21(5): 540-543.
17.	國際血管聯盟中國分會糖尿病足專業委員會. 糖尿病足診治指南. 介入放射學雜志, 2013, 22(9): 705-708.
18.	中華醫學會糖尿病學分會, 中華醫學會感染病學分會, 中華醫學會組織修復與再生分會. 中國糖尿病足防治指南 (2019 版)(Ⅲ). 中華糖尿病雜志, 2019, 11(4): 238-247.
19.	中華醫學會糖尿病學分會, 中華醫學會感染病學分會, 中華醫學會組織修復與再生分會. 中國糖尿病足防治指南 (2019 版)(Ⅳ). 中華糖尿病雜志, 2019, 11(5): 316-327.
20.	中華醫學會糖尿病學分會, 中華醫學會感染病學分會, 中華醫學會組織修復與再生分會. 中國糖尿病足防治指南 (2019 版)(V). 中華糖尿病雜志, 2019, 11(6): 387-397.
21.	谷涌泉. 中國糖尿病足診治指南. 中國臨床醫生雜志, 2020, 45(1): 19-27.
22.	中國中西醫結合學會周圍血管病專業委員會. 中西醫結合防治糖尿病足中國專家共識 (第 1 版). 血管與腔內血管外科雜志, 2019, 5(5): 379-402.
23.	中華醫學會糖尿病學分會, 糖尿病足與周圍血管病學組. 新型冠狀病毒肺炎疫情期間糖尿病足患者規范化診治專家建議. 中華糖尿病雜志, 2020, 12(4): 204-210.
24.	Field MJ, Lohr KN. Guidelines for clinical practice: from development to use. Washington DC: Institute of Medicine National Academy, 1992.
25.	Graham R, Mancher M. Clinical practice guidelines we can trust. Washington DC: National Academies Press, 2011.
26.	Woolf SH, Grol R, Hutchinson A, et al. Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines. BMJ, 1999, 318(7182): 527-530.
27.	Vlayen J, Aertgeerts B, Hannes K, et al. A systematic review of appraisal tools for clinical practice guidelines: multiple similarities and one common deficit. Int J Qual Health Care, 2005, 17(3): 235-242.
28.	高寧, 郭海玲, 寇嘉靚, 等. 糖尿病足部潰瘍循證實踐指南的質量評價及內容分析. 護理學雜志, 2018, 33(23): 29-32, 35.
29.	王吉耀, 王小欽, 金雪娟, 等. 中國臨床實踐指南評價體系的制訂與初步驗證. 中華醫學雜志, 2018, 98(20): 1544-1548.
30.	韋當, 王聰堯, 肖曉娟, 等. 指南研究與評價 (AGREE Ⅱ) 工具實例解讀. 中國循證兒科雜志, 2013, 8(4): 316-319.

1. Jiang Y, Wang X, Xia L, et al. A cohort study of diabetic patients and diabetic foot ulceration patients in China. Wound Repair Regen, 2015, 23(2): 222-230.
2. Ibrahim A. IDF Clinical practice recommendation on the diabetic foot: a guide for healthcare professionals. Diabetes Res Clin Pract, 2017, 127: 285-287.
3. Wagner FW Jr. The diabetic food. Orthopedics, 1987, 10(1): 163-172.
4. 中華醫學會糖尿病學分會, 中華醫學會感染病學分會, 中華醫學會組織修復與再生分會. 中國糖尿病足防治指南 (2019 版)(Ⅱ). 中華糖尿病雜志, 2019, 11(3): 161-189.
5. 中華醫學會糖尿病學分會, 中華醫學會感染病學分會, 中華醫學會組織修復與再生分會. 中國糖尿病足防治指南 (2019 版)(Ⅰ). 中華糖尿病雜志, 2019, 11(2): 92-108.
6. Brouwers MC, Kho ME, Browman GP, et al. AGREE II: advancing guideline development, reporting and evaluation in health care. J Clin Epidemiol, 2010, 63(12): 1308-1311.
7. Appraisal of guidelines for research & evaluation Ⅱ instrument. Available at: https://www.agreetrust.org/wp-content/uploads/2017/12/.
8. Robin G, Michelle M, Dianne MW, et al. Clinical practice guidelines we can trust. Washington DC: The National Academies Press, 2011.
9. AGREE Next Steps Consortium (2009). The AGREE Ⅱ instrument, 2011. Available at: http://www.agreetrust.org.
10. 崔立軍, 鮑勇, 陳昕, 等. 中國康復臨床實踐指南的質量評價. 中國循證醫學雜志, 2019, 19(6): 723-728.
11. Wang Y, Luo Q, Li Y, et al. Quality assessment of clinical practice guidelines on the treatment of hepatocellular carcinoma or metastatic liver cancer. PLoS One, 2014, 9(8): e103939.
12. 彭璐. 糖尿病足病醫學營養治療指南. 中國組織工程研究, 2019, 23(35): 5682-5689.
13. 陳宇, 劉麗, 鄭月宏, 等. 糖尿病足創面修復治療專家共識. 中華糖尿病雜志, 2018, 10(5): 305-309.
14. 孫子林, 陸軍, 徐治, 等. 糖尿病足基層篩查與防治專家共識. 中國糖尿病雜志, 2019, 27(6): 401-407.
15. 中國糖尿病足細胞與介入治療技術聯盟, 中國介入醫師分會介入醫學與生物工程技術委員會. 糖尿病足介入綜合診治臨床指南 (第五版). 介入放射學雜志, 2019, 28(3): 205-216.
16. 王軍, 徐陽. 糖尿病足潰瘍中醫循證臨床實踐指南. 中國中西醫結合外科雜志, 2015, 21(5): 540-543.
17. 國際血管聯盟中國分會糖尿病足專業委員會. 糖尿病足診治指南. 介入放射學雜志, 2013, 22(9): 705-708.
18. 中華醫學會糖尿病學分會, 中華醫學會感染病學分會, 中華醫學會組織修復與再生分會. 中國糖尿病足防治指南 (2019 版)(Ⅲ). 中華糖尿病雜志, 2019, 11(4): 238-247.
19. 中華醫學會糖尿病學分會, 中華醫學會感染病學分會, 中華醫學會組織修復與再生分會. 中國糖尿病足防治指南 (2019 版)(Ⅳ). 中華糖尿病雜志, 2019, 11(5): 316-327.
20. 中華醫學會糖尿病學分會, 中華醫學會感染病學分會, 中華醫學會組織修復與再生分會. 中國糖尿病足防治指南 (2019 版)(V). 中華糖尿病雜志, 2019, 11(6): 387-397.
21. 谷涌泉. 中國糖尿病足診治指南. 中國臨床醫生雜志, 2020, 45(1): 19-27.
22. 中國中西醫結合學會周圍血管病專業委員會. 中西醫結合防治糖尿病足中國專家共識 (第 1 版). 血管與腔內血管外科雜志, 2019, 5(5): 379-402.
23. 中華醫學會糖尿病學分會, 糖尿病足與周圍血管病學組. 新型冠狀病毒肺炎疫情期間糖尿病足患者規范化診治專家建議. 中華糖尿病雜志, 2020, 12(4): 204-210.
24. Field MJ, Lohr KN. Guidelines for clinical practice: from development to use. Washington DC: Institute of Medicine National Academy, 1992.
25. Graham R, Mancher M. Clinical practice guidelines we can trust. Washington DC: National Academies Press, 2011.
26. Woolf SH, Grol R, Hutchinson A, et al. Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines. BMJ, 1999, 318(7182): 527-530.
27. Vlayen J, Aertgeerts B, Hannes K, et al. A systematic review of appraisal tools for clinical practice guidelines: multiple similarities and one common deficit. Int J Qual Health Care, 2005, 17(3): 235-242.
28. 高寧, 郭海玲, 寇嘉靚, 等. 糖尿病足部潰瘍循證實踐指南的質量評價及內容分析. 護理學雜志, 2018, 33(23): 29-32, 35.
29. 王吉耀, 王小欽, 金雪娟, 等. 中國臨床實踐指南評價體系的制訂與初步驗證. 中華醫學雜志, 2018, 98(20): 1544-1548.
30. 韋當, 王聰堯, 肖曉娟, 等. 指南研究與評價 (AGREE Ⅱ) 工具實例解讀. 中國循證兒科雜志, 2013, 8(4): 316-319.

Chinese Journal of Evidence-Based Medicine

Quality assessment of Chinese clinical practice guidelines for diagnosis and management of diabetic foot

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