An introduction to the development methods and cases of living guidelines_Chinese Journal of Evidence-Based Medicine

Authors：

ZHANG Qian ¹ , WANG Qi ^2,3 , HOU Liangying ^2,3 , YANG Qiuyu ¹ , CAO Xiao ¹ , ZHOU Qi ^4,5 , CHEN Yaolong ^4,5,6 , TIAN Jinhui ^4,5,6 , YANG Kehu ^4,5,6 ,  GE Long ^1,2,3,6

1. School of Nursing, Lanzhou University, Lanzhou 730000, P.R.China;
2. Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou 730000, P.R.China;
3. Department of Social Science and Health Management, School of Public Health, Lanzhou University, Lanzhou 730000, P.R.China;
4. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, P.R.China;
5. Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, P.R.China;
6. WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou 730000, P.R.China;

Corresponding?author：

GE Long, Email: gelong2009@163.com

Keywords：

Guideline; Living guidelines; Evidence update

DOI：

10.7507/1672-2531.202012026

Video：

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As an essential tool for clinical practice, the clinical practice guidelines have been continuously completed and the quality of the guidelines has been improved. However, there are still issues in updating the guidelines and recommendations. This article introduces the living guideline formulation method, through dynamic monitoring, timely inclusion of new evidence, and living update of recommendations, etc. to improve the timeliness of clinical guidelines. The article aims to provide methodological references for the timely transformation of evidence and the update of guidelines.

Citation： ZHANG Qian, WANG Qi, HOU Liangying, YANG Qiuyu, CAO Xiao, ZHOU Qi, CHEN Yaolong, TIAN Jinhui, YANG Kehu, GE Long. An introduction to the development methods and cases of living guidelines. Chinese Journal of Evidence-Based Medicine, 2021, 21(4): 491-496. doi: 10.7507/1672-2531.202012026 Copy

1.	林夏, 楊克虎, 陳耀龍, 等. 中國臨床實踐指南的現狀與思考. 中國循證醫學雜志, 2017, 17(5): 497-500.
2.	陳耀龍, 羅旭飛, 王吉耀, 等. 如何區分臨床實踐指南與專家共識. 協和醫學雜志, 2019, 10(4): 403-408.
3.	陳耀龍, 楊克虎. 正確理解, 制訂和使用臨床實踐指南. 協和醫學雜志, 2018, 9(4): 367-373.
4.	陳耀龍, 王玲, 楊楠, 等. 臨床實踐指南如何“保鮮”. 協和醫學雜志, 2020, 11(2): 207-212.
5.	Akl EA, Meerpohl JJ, Elliott J, et al. Living systematic reviews: 4. Living guideline recommendations. J Clin Epidemiol, 2017, 91: 47-53.
6.	Paige E, Agostino J, Phillips C, et al. Living guidelines for absolute cardiovascular disease risk assessment and management. Heart Lung Circ, 2019, 28(6): 829-832.
7.	Lamontagne F, Agoritsas T, Macdonald H, et al. A living WHO guideline on drugs for covid-19. BMJ, 2020, 370: m3379.
8.	許吉, 鄧宏勇. 動態系統評價簡介. 中國循證醫學雜志, 2020, 20(2): 244-248.
9.	Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
10.	Guyatt GH, Oxman AD, Akl E, et al. GRADE指南: Ⅰ. 導論—GRADE證據概要表和結果總結表. 中國循證醫學雜志, 2011, 11(4): 437-445.
11.	Alonso-Coello P, Schünemann HJ, Moberg J, et al. Grade evidence to decision (ETD) frameworks: a systematic and transparent approach to making well informed healthcare choices. 1: introduction. BMJ, 2016, 353: i2016.
12.	孫鑫, 李玲, 李舍予, 等. 促進高質量臨床實踐指南快速制訂與有效使用: MAGIC體系與中國行動. 中國循證醫學雜志, 2020, 20(1): 2-6.
13.	Simmonds M, Salanti G, McKenzie J, et al. Living systematic reviews: 3. Statistical methods for updating meta-analyses. J Clin Epidemiol, 2017, 91: 38-46.
14.	Chung M, Newberry SJ, Ansari MT, et al. Two methods provide similar signals for the need to update systematic reviews. J Clin Epidemiol, 2012, 65(6): 660-668.
15.	Shekelle PG, Motala A, Johnsen B, et al. Assessment of a method to detect signals for updating systematic reviews. Syst Rev, 2014, 3: 13.
16.	Vogel JP, Dowswell T, Lewin S, et al. Developing and applying a 'living guidelines' approach to WHO recommendations on maternal and perinatal health. BMJ Glob Health, 2019, 4(4): e001683.
17.	WHO. Recommendations for prevention and treatment pre-eclampsia and eclampsia. Geneva: World Health Organization, 2011. Available at: https://apps.who.int/iris/bitstream/handle/10665/44703/9789241548335_eng.pdf?sequence=1.
18.	WHO. Recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization, 2016. Available at: https://www.who.int/publications/i/item/9789241549912.
19.	WHO. Recommendation: calcium supplementation during pregnancy for prevention of pre-eclampsia and its complications. Geneva: World Health Organization, 2018. Available at: https://apps.who.int/iris/bitstream/handle/10665/277235/9789241550451-eng.pdf?ua=1.
20.	WHO. Guideline: calcium supplementation in pregnant women. Geneva: World Health Organization, 2013. Available at: https://apps.who.int/iris/bitstream/handle/10665/85120/9789241505376_eng.pdf;jsessionid=77C9A0811F76F4D064F3EB0422B67356?sequence=1.
21.	WHO. Executive guideline steering group for updating WHO maternal and perinatal health recommendations (2017-2019). Geneva: World Health Organization, 2017. Available at: http://www.who.int/reproductivehealth/publications/updating-mnh-recommendations/en/.
22.	Guidelines for diagnosing and managing pediatric concussion. Guideline Central, 2014. Available at: https://www.guidelinecentral.com/summaries/guidelines-for-diagnosing-and-managing-pediatric-concussion/.
23.	Clinical guidelines for stroke management, clinical guidelines, 2017. Available at: https://www.clinicalguidelines.gov.au/portal/2585/clinical-guidelines-stroke-management-2017.
24.	國際實踐指南注冊平臺. 中西醫結合治療和預防COVID-19動態循證指南, 2020-10-19. Available at: http://www.guidelines-registry.cn/guid/945.

1. 林夏, 楊克虎, 陳耀龍, 等. 中國臨床實踐指南的現狀與思考. 中國循證醫學雜志, 2017, 17(5): 497-500.
2. 陳耀龍, 羅旭飛, 王吉耀, 等. 如何區分臨床實踐指南與專家共識. 協和醫學雜志, 2019, 10(4): 403-408.
3. 陳耀龍, 楊克虎. 正確理解, 制訂和使用臨床實踐指南. 協和醫學雜志, 2018, 9(4): 367-373.
4. 陳耀龍, 王玲, 楊楠, 等. 臨床實踐指南如何“保鮮”. 協和醫學雜志, 2020, 11(2): 207-212.
5. Akl EA, Meerpohl JJ, Elliott J, et al. Living systematic reviews: 4. Living guideline recommendations. J Clin Epidemiol, 2017, 91: 47-53.
6. Paige E, Agostino J, Phillips C, et al. Living guidelines for absolute cardiovascular disease risk assessment and management. Heart Lung Circ, 2019, 28(6): 829-832.
7. Lamontagne F, Agoritsas T, Macdonald H, et al. A living WHO guideline on drugs for covid-19. BMJ, 2020, 370: m3379.
8. 許吉, 鄧宏勇. 動態系統評價簡介. 中國循證醫學雜志, 2020, 20(2): 244-248.
9. Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
10. Guyatt GH, Oxman AD, Akl E, et al. GRADE指南: Ⅰ. 導論—GRADE證據概要表和結果總結表. 中國循證醫學雜志, 2011, 11(4): 437-445.
11. Alonso-Coello P, Schünemann HJ, Moberg J, et al. Grade evidence to decision (ETD) frameworks: a systematic and transparent approach to making well informed healthcare choices. 1: introduction. BMJ, 2016, 353: i2016.
12. 孫鑫, 李玲, 李舍予, 等. 促進高質量臨床實踐指南快速制訂與有效使用: MAGIC體系與中國行動. 中國循證醫學雜志, 2020, 20(1): 2-6.
13. Simmonds M, Salanti G, McKenzie J, et al. Living systematic reviews: 3. Statistical methods for updating meta-analyses. J Clin Epidemiol, 2017, 91: 38-46.
14. Chung M, Newberry SJ, Ansari MT, et al. Two methods provide similar signals for the need to update systematic reviews. J Clin Epidemiol, 2012, 65(6): 660-668.
15. Shekelle PG, Motala A, Johnsen B, et al. Assessment of a method to detect signals for updating systematic reviews. Syst Rev, 2014, 3: 13.
16. Vogel JP, Dowswell T, Lewin S, et al. Developing and applying a 'living guidelines' approach to WHO recommendations on maternal and perinatal health. BMJ Glob Health, 2019, 4(4): e001683.
17. WHO. Recommendations for prevention and treatment pre-eclampsia and eclampsia. Geneva: World Health Organization, 2011. Available at: https://apps.who.int/iris/bitstream/handle/10665/44703/9789241548335_eng.pdf?sequence=1.
18. WHO. Recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization, 2016. Available at: https://www.who.int/publications/i/item/9789241549912.
19. WHO. Recommendation: calcium supplementation during pregnancy for prevention of pre-eclampsia and its complications. Geneva: World Health Organization, 2018. Available at: https://apps.who.int/iris/bitstream/handle/10665/277235/9789241550451-eng.pdf?ua=1.
20. WHO. Guideline: calcium supplementation in pregnant women. Geneva: World Health Organization, 2013. Available at: https://apps.who.int/iris/bitstream/handle/10665/85120/9789241505376_eng.pdf;jsessionid=77C9A0811F76F4D064F3EB0422B67356?sequence=1.
21. WHO. Executive guideline steering group for updating WHO maternal and perinatal health recommendations (2017-2019). Geneva: World Health Organization, 2017. Available at: http://www.who.int/reproductivehealth/publications/updating-mnh-recommendations/en/.
22. Guidelines for diagnosing and managing pediatric concussion. Guideline Central, 2014. Available at: https://www.guidelinecentral.com/summaries/guidelines-for-diagnosing-and-managing-pediatric-concussion/.
23. Clinical guidelines for stroke management, clinical guidelines, 2017. Available at: https://www.clinicalguidelines.gov.au/portal/2585/clinical-guidelines-stroke-management-2017.
24. 國際實踐指南注冊平臺. 中西醫結合治療和預防COVID-19動態循證指南, 2020-10-19. Available at: http://www.guidelines-registry.cn/guid/945.

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