Current status and challenges of living guidelines_Chinese Journal of Evidence-Based Medicine

Authors：

SUN Mingyao ^1,2 , ZENG Yinru ¹ , LAI Honghao ^3,4 , LIU Jianing ⁵ , TIAN Chen ^3,4 , HUANG Jiajie ⁵ , LI Ying ^3,4 , TIAN Jinhui ^6,7,8 ,  ZHANG Zhigang ^1,2 ,  GE Long ^3,4,6,7

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

Corresponding?author：

ZHANG Zhigang, Email: zzg3444@163.com; GE Long, Email: gelong2009@163.com

Keywords：

Clinical practice guideline; Living guideline; Evidence update; Current status and challenges

DOI：

10.7507/1672-2531.202304133

Video：

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With the rapid development of medicine and the emergence of new evidence, the formulation of living guidelines is significant in guiding clinical practice and providing timely and effective references for clinical workers. This article summarizes the status of living guidelines, and puts forward thoughts and suggestions on the challenges and opportunities of the development of living guidelines, in order to promote the development of living guidelines and provide a reference for guideline developers and users.

Citation： SUN Mingyao, ZENG Yinru, LAI Honghao, LIU Jianing, TIAN Chen, HUANG Jiajie, LI Ying, TIAN Jinhui, ZHANG Zhigang, GE Long. Current status and challenges of living guidelines. Chinese Journal of Evidence-Based Medicine, 2023, 23(8): 970-977. doi: 10.7507/1672-2531.202304133 Copy

1.	王強, 李幼平, 張伯禮, 等. 指南臨床適用性評價的問題與需求. 中國循證醫學雜志, 2020, 20(3): 249-251.
2.	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.
3.	World Health Organization. Selected practice recommendations for contraceptive use (3rd edition). Geneva: World Health Organization, 2016.
4.	Siu AL, Bibbins-Domingo K, et al. Screening for depression in adults: US preventive services task force recommendation statement. JAMA, 2016, 315(4): 380-387.
5.	Wright L, Hill KM, Bernhardt J, et al. Stroke management: updated recommendations for treatment along the care continuum. Intern Med J, 2012, 42(5): 562-569.
6.	Akl EA, Meerpohl JJ, Elliott J, et al. Living systematic reviews: 4. living guideline recommendations. J Clin Epidemiol, 2017, 91: 47-53.
7.	World Health Organization. Therapeutics and COVID-19: living guideline. 2022.
8.	World Health Organization. Drugs to prevent COVID-19: a WHO living guideline. 2022.
9.	World Health Organization. Clinical management of COVID-19 patients: living guideline. 2022.
10.	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.
11.	MAGIC. MAGIC app. 2022.
12.	張遷, 王琪, 后亮瑛, 等. 動態指南制訂方法及案例介紹. 中國循證醫學雜志, 2021, 21(4): 491-496.
13.	Vogel JP, Tendal B, Giles M, et al. Clinical care of pregnant and postpartum women with COVID-19: living recommendations from the National COVID-19 Clinical Evidence Taskforce. Aust N Z J Obstet Gynaecol, 2020, 60(6): 840-851.
14.	World Health Organization. WHO guidelines for malaria. Geneva: World Health Organization, 2022.
15.	El Mikati IK, Khabsa J, Harb T, et al. A framework for the development of living practice guidelines in health care. Ann Intern Med, 2022, 175(8): 1154-1160.
16.	Martínez García L, Sanabria AJ, García Alvarez E, et al. The validity of recommendations from clinical guidelines: a survival analysis. CMAJ, 2014, 186(16): 1211-1219.
17.	鄭卿勇, 程露穎, 許建國, 等. 動態系統評價的研究現狀與進展. 中國藥物評價, 2021, 38(6): 471-478.
18.	Dixon C, Dixon PE, Sultan S, et al. Guideline developers in the United States were inconsistent in applying criteria for appropriate grading of recommendations, assessment, development and evaluation use. J Clin Epidemiol, 2020, 124: 193-199.
19.	曾力楠, 張伶俐. COVID-19證據現狀對快速建議指南制訂的啟示與思考. 協和醫學雜志, 2021, 12(4): 544-551.
20.	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.
21.	靳英輝, 段冬雪, 曾憲濤, 等. 臨床實踐指南制定方法—指南的注冊與計劃書設計與撰寫. 中國循證心血管醫學雜志, 2018, 10(2): 129-132,137.
22.	Elliott JH, Synnot A, Turner T, et al. Living systematic review: 1. introduction-the why, what, when, and how. J Clin Epidemiol, 2017, 91: 23-30.
23.	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.
24.	Chen Y, Yang K, Maru?ic A, et al. A reporting tool for practice guidelines in health care: the RIGHT statement. Ann Intern Med, 2017, 166(2): 128-132.
25.	楊楠, 趙巍, 潘旸, 等. 針對臨床實踐指南科學性、透明性和適用性的評級工具研發. 中華醫學雜志, 2022, 102(30): 2329-2337.
26.	賴鴻皓, 孫銘謠, 黃嘉杰, 等. 中西醫結合臨床實踐指南實施框架構建的思考. 協和醫學雜志, 2023, 14(1): 31-38.

1. 王強, 李幼平, 張伯禮, 等. 指南臨床適用性評價的問題與需求. 中國循證醫學雜志, 2020, 20(3): 249-251.
2. 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.
3. World Health Organization. Selected practice recommendations for contraceptive use (3rd edition). Geneva: World Health Organization, 2016.
4. Siu AL, Bibbins-Domingo K, et al. Screening for depression in adults: US preventive services task force recommendation statement. JAMA, 2016, 315(4): 380-387.
5. Wright L, Hill KM, Bernhardt J, et al. Stroke management: updated recommendations for treatment along the care continuum. Intern Med J, 2012, 42(5): 562-569.
6. Akl EA, Meerpohl JJ, Elliott J, et al. Living systematic reviews: 4. living guideline recommendations. J Clin Epidemiol, 2017, 91: 47-53.
7. World Health Organization. Therapeutics and COVID-19: living guideline. 2022.
8. World Health Organization. Drugs to prevent COVID-19: a WHO living guideline. 2022.
9. World Health Organization. Clinical management of COVID-19 patients: living guideline. 2022.
10. 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.
11. MAGIC. MAGIC app. 2022.
12. 張遷, 王琪, 后亮瑛, 等. 動態指南制訂方法及案例介紹. 中國循證醫學雜志, 2021, 21(4): 491-496.
13. Vogel JP, Tendal B, Giles M, et al. Clinical care of pregnant and postpartum women with COVID-19: living recommendations from the National COVID-19 Clinical Evidence Taskforce. Aust N Z J Obstet Gynaecol, 2020, 60(6): 840-851.
14. World Health Organization. WHO guidelines for malaria. Geneva: World Health Organization, 2022.
15. El Mikati IK, Khabsa J, Harb T, et al. A framework for the development of living practice guidelines in health care. Ann Intern Med, 2022, 175(8): 1154-1160.
16. Martínez García L, Sanabria AJ, García Alvarez E, et al. The validity of recommendations from clinical guidelines: a survival analysis. CMAJ, 2014, 186(16): 1211-1219.
17. 鄭卿勇, 程露穎, 許建國, 等. 動態系統評價的研究現狀與進展. 中國藥物評價, 2021, 38(6): 471-478.
18. Dixon C, Dixon PE, Sultan S, et al. Guideline developers in the United States were inconsistent in applying criteria for appropriate grading of recommendations, assessment, development and evaluation use. J Clin Epidemiol, 2020, 124: 193-199.
19. 曾力楠, 張伶俐. COVID-19證據現狀對快速建議指南制訂的啟示與思考. 協和醫學雜志, 2021, 12(4): 544-551.
20. 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.
21. 靳英輝, 段冬雪, 曾憲濤, 等. 臨床實踐指南制定方法—指南的注冊與計劃書設計與撰寫. 中國循證心血管醫學雜志, 2018, 10(2): 129-132,137.
22. Elliott JH, Synnot A, Turner T, et al. Living systematic review: 1. introduction-the why, what, when, and how. J Clin Epidemiol, 2017, 91: 23-30.
23. 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.
24. Chen Y, Yang K, Maru?ic A, et al. A reporting tool for practice guidelines in health care: the RIGHT statement. Ann Intern Med, 2017, 166(2): 128-132.
25. 楊楠, 趙巍, 潘旸, 等. 針對臨床實踐指南科學性、透明性和適用性的評級工具研發. 中華醫學雜志, 2022, 102(30): 2329-2337.
26. 賴鴻皓, 孫銘謠, 黃嘉杰, 等. 中西醫結合臨床實踐指南實施框架構建的思考. 協和醫學雜志, 2023, 14(1): 31-38.

Chinese Journal of Evidence-Based Medicine

Current status and challenges of living guidelines

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