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[1]葉恒力,賈朝旭,傅繁譽(yù),等.國(guó)內(nèi)膝骨關(guān)節(jié)炎指南和共識(shí)的質(zhì)量評(píng)價(jià)[J].中醫(yī)正骨,2021,33(06):36-41.
　YE Hengli,JIA Zhaoxu,FU Fanyu,et al.Quality evaluation of Chinese clinical guidelines/consensus for knee osteoarthritis based on AGREEⅡ[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(06):36-41.
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國(guó)內(nèi)膝骨關(guān)節(jié)炎指南和共識(shí)的質(zhì)量評(píng)價(jià)()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年06期
頁碼:
36-41
欄目:
文獻(xiàn)研究
出版日期:
2021-06-20

文章信息/Info

Title:
Quality evaluation of Chinese clinical guidelines/consensus for knee osteoarthritis based on AGREEⅡ
作者:
葉恒力1; 賈朝旭1; 傅繁譽(yù)2; 宋夢(mèng)歌3; 陳兆軍1; 陳衛(wèi)衡1
1.北京中醫(yī)藥大學(xué)第三附屬醫(yī)院,北京 100029; 2.貴州中醫(yī)藥大學(xué),貴州 貴陽 550025; 3.中國(guó)中醫(yī)科學(xué)院望京醫(yī)院,北京 100102
Author(s):
YE Hengli1; JIA Zhaoxu1; FU Fanyu2; SONG Mengge3; CHEN Zhaojun1; CHEN Weiheng1
1.The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China 2.Guizhou University of Traditional Chinese Medicine,Guiyang 550025,Guizhou,China 3.Wangjing Hospital of CACMS,Beijing 100102,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝;  指南;  共識(shí);  臨床指南研究與評(píng)價(jià)系統(tǒng)Ⅱ
Keywords:
osteoarthritis; knee;  guidebooks;  consensus;  AGREEⅡ
摘要:
目的:評(píng)價(jià)國(guó)內(nèi)膝骨關(guān)節(jié)炎(knee osteoarthritis,KOA)指南和共識(shí)的質(zhì)量。方法:應(yīng)用計(jì)算機(jī)檢索中國(guó)知網(wǎng)、萬方數(shù)據(jù)庫、維普網(wǎng)、中國(guó)生物醫(yī)學(xué)文獻(xiàn)數(shù)據(jù)庫、醫(yī)脈通網(wǎng),搜集國(guó)內(nèi)發(fā)表的KOA指南和共識(shí),檢索時(shí)限均為建庫至2020年12月31日。由3位研究者獨(dú)立篩選文獻(xiàn)、提取數(shù)據(jù)后,使用臨床指南研究與評(píng)價(jià)系統(tǒng)Ⅱ(appraisal of guidelines for research and evaluationⅡ,AGREEⅡ)對(duì)納入的指南和共識(shí)進(jìn)行質(zhì)量評(píng)價(jià)。結(jié)果:共納入13篇KOA指南和共識(shí),在AGREEⅡ的范圍與目的、參與人員、制定嚴(yán)謹(jǐn)性、表達(dá)清晰性、應(yīng)用性及編輯獨(dú)立性6個(gè)領(lǐng)域的評(píng)分分別為(64.25±17.61)%、(40.31±18.05)%、(24.04±18.64)%、(57.27±21.83)%、(15.81±15.04)%、(32.48±27.30)%。3位研究者評(píng)價(jià)的總體一致性較好[ICC=0.91,95%CI(0.89,0.92)]。西醫(yī)類KOA指南和共識(shí)的各領(lǐng)域評(píng)分均高于中國(guó)傳統(tǒng)醫(yī)學(xué)類KOA指南和共識(shí); 除制定嚴(yán)謹(jǐn)性和應(yīng)用性領(lǐng)域外,由行業(yè)學(xué)會(huì)組織制定的KOA指南和共識(shí)的其他領(lǐng)域評(píng)分均高于由課題專家組制定的KOA指南和共識(shí); 采用循證結(jié)合共識(shí)方法制定的KOA指南和共識(shí)的各領(lǐng)域評(píng)分均高于以共識(shí)和共識(shí)(有證據(jù))方法制定的KOA指南和共識(shí); 有基金資助的KOA指南和共識(shí)在編輯獨(dú)立性領(lǐng)域的評(píng)分明顯高于無基金資助的KOA指南和共識(shí),但在其他領(lǐng)域并無明顯優(yōu)勢(shì); 除應(yīng)用性領(lǐng)域外,2018年及以后發(fā)表的KOA指南和共識(shí)在其他領(lǐng)域的評(píng)分均更高,且2020年發(fā)表的KOA指南和共識(shí)在各領(lǐng)域的評(píng)分均為最高。結(jié)論:國(guó)內(nèi)現(xiàn)有KOA指南和共識(shí)的總體質(zhì)量不高,特別是中國(guó)傳統(tǒng)醫(yī)學(xué)類KOA指南和共識(shí),但總體質(zhì)量在逐步提高; 今后制定或更新相關(guān)指南和共識(shí)時(shí),需在方法學(xué)上進(jìn)一步提高,尤其是制定嚴(yán)謹(jǐn)性和應(yīng)用性方面。
Abstract:
Objective:To evaluate the methodological quality of clinical guidelines/consensus for knee osteoarthritis(KOA)in China.Methods:The KOA clinical guidelines/consensus that published at home included from database establishing to December 31,2020 were retrieved from the China National Knowledge Internet,Wanfang Data Knowledge Service Platform,Vip Database,Chinese biomedical literature database and medlive.cn through computer.The articles were screened and the information was extracted independently by three researchers.The methodological quality of included KOA clinical guidelines/consensus was evaluated by using appraisal of guidelines for research and evaluationⅡ(AGREEⅡ).Results:Thirteen KOA clinical guidelines/consensus were included in the final appraisal,and their scores in the six domains,including the scope and purpose of AGREEⅡ,participants,rigor of development,clarity of presentation,applicability and editorial independence,were scored as 64.25±17.61,40.31±18.05,24.04±18.64,57.27±21.83,15.81±15.04 and 32.48±27.30% respectively.The consistency of the appraisal was good among the three researchers(ICC=0.91,95%CI(0.89,0.92)).The scores of KOA clinical guidelines/consensus in each domains were higher in western medicine compared with the counterparts in traditional Chinese medicine(TCM),and the scores of KOA clinical guidelines/consensus formulated by Industry Associations in all domains except for the rigor of development and applicability were higher in contrast to those by project expert groups.The scores of KOA clinical guidelines/consensus developed by the evidence-based and consensus approaches in all domains exceeded that of the ones by consensus and consensus(with evidence)-based approaches.Compared with the non-funded KOA clinical guidelines/consensus,the funded ones exhibited an apparently high score in editorial independence,whereas no obvious advantages in other domains.The KOA clinical guidelines/consensus published in 2018 or later showed higher scores in all domains except for the applicability,particularly those published in 2020 displayed the highest scores across all domains.Conclusion:The overall quality of the existing KOA clinical guidelines/consensus,especially those in TCM,remains to be improved even though they have kept being modified.In subsequent formulation or updating,it should be further improved in the quality of methodology,especially in the rigor of development and applicability.

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備注/Memo

備注/Memo:
基金項(xiàng)目:國(guó)家中醫(yī)藥管理局重大疑難疾病中西醫(yī)臨床協(xié)作試點(diǎn)項(xiàng)目(201803190106)
通訊作者:陳兆軍 E-mail:[email protected]
陳衛(wèi)衡 E-mail:[email protected]
更新日期/Last Update: 2021-12-20