المؤلفون: SHI Qianling, LIU Hui, WANG Zijun, LUO Xufei, WANG Bingyi, YANG Nan, MENG Wenbo, CHEN Yaolong

المصدر: Xiehe Yixue Zazhi, Vol 15, Iss 3, Pp 676-685 (2024)

مصطلحات موضوعية: clinical practice guidelines, recommendations, quality of evidence, grade, Medicine

الوصف: The essence of clinical practice guidelines lies in their recommendations. It is common to find strong recommendations supported by low-quality evidence in current published guidelines. There is a typical misunderstanding among medical professionals that without high-quality evidence, it is impossible to develop high-quality guidelines or only expert consensus can be developed. Based on the GRADE approach, this paper explains the concept and clinical significance of low-quality evidence, and introduces the methods for formulating recommendations based on low-quality evidence in guidelines, with the aim to provide reference for guideline developers and users in China.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1674-9081Test

الوصول الحر: https://doaj.org/article/dca2bb4a097f44e283999a2ff0c9e69eTest

المؤلفون: SU Renfeng, LIU Hui, SHI Qianling, LUO Xufei, YANG Nan, ZHAO Junxian, TIAN Qiannan, ZHANG Juanjuan, WU Liqun, CHEN Yaolong

المصدر: Xiehe Yixue Zazhi, Vol 15, Iss 2, Pp 435-441 (2024)

مصطلحات موضوعية: health standards, evidence-based concept, evidence-based medicine, Medicine

الوصف: National health standards involve all kinds of technical requirements formulated and numbered in accordance with the procedures and formats stipulated in the standardisation system for the implementation of national health and hygiene laws, regulations and policies, and the protection of human health. The establishment of health standards in China should align with our legal framework, including laws, regulations, departmental rules, and health and hygiene policies. During the development of these standards, a comprehensive approach is advocated, encompassing in-depth investigations, rigorous demonstrations, and extensive stakeholder engagement. However, the process of standard formulation may suffer from insufficient research evidence. The evidence-based concept emphasizes the significance of evidence. Therefore, integrating evidence-based concept into the process of developing health standards can enhance the quality and scientific basis of these standards. This article systematically elucidates the current status and development process of health standards in China, explores the necessity and feasibility of incorporating evidence-based concept into the development of these standards, analyzes the challenges and opportunities, and presents reflections and suggestions.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1674-9081Test

الوصول الحر: https://doaj.org/article/23da087b22f347768217c4f3aa1616a2Test

المؤلفون: LIU Hui, YANG Nan, SHI Qianling, LUO Xufei, ZHANG Hairong, TIAN Jinhui, JIN Yinghui, CHEN Yaolong, Methodology and Technology Specialisation Committee of the STAR Working Group

المصدر: Xiehe Yixue Zazhi, Vol 15, Iss 2, Pp 429-434 (2024)

مصطلحات موضوعية: guidelines, consensus, evaluation, ranking, star, Medicine

الوصف: With the development of the Scientific, Transparent and Applicable Rankings tool for clinical practice guidelines(STAR), the publication of evaluation and ranking for scientificity, transparency and applicability of Chinese guidelines and consensus published in the medical journals in 2021and 2022, as well as the publication of the STAR evaluation and ranking for some specialities, the STAR evaluation and ranking has received widespread attention in the medical community. In order to further enhance its scientificity and transparency, Methodology and Technology Specialization Committee of the STAR Working Group presents this article to introduce sample identification and speciality assignment in the evaluation and ranking process.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1674-9081Test

الوصول الحر: https://doaj.org/article/bafef787c0c44a5fb198f570c6431f0aTest

المؤلفون: TIAN Chen, YANG Qiuyu, SUN Mingyao, LIU Jie, TIAN Jinhui, CHEN Yaolong, YANG Kehu, GE Long

المصدر: Xiehe Yixue Zazhi, Vol 15, Iss 1, Pp 183-191 (2024)

مصطلحات موضوعية: clinical practice guidelines, rapid, living guidelines, update of guidelines, Medicine

الوصف: The aims of developing rapid and living guidelines is to keep the recommendations in the guideline up-to-date. Compared with the conventional guideline, the rapid and living guideline can make better use of the existing evidence and apply and transform the evidence in a timely manner. This paper introduces the advantages and usage of rapid and living guidelines, the development process and existing challenges, and offers some insights, in order to provide reference for domestic organizations and scholars engaged in guideline development.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1674-9081Test

الوصول الحر: https://doaj.org/article/cbc4603cee524045add01dc0e1bf2693Test

المؤلفون: WANG Ling, REN Yaxuan, LUO Xufei, ZHU Di, LI Zhewei, WANG Ye, WANG Bingyi, ZHANG Huayu, YANG Shu, CHEN Yaolong

المصدر: Xiehe Yixue Zazhi, Vol 15, Iss 1, Pp 192-201 (2024)

مصطلحات موضوعية: clinical practice guideline, adaptation guideline, adapte, Medicine

الوصف: Objective To analyze the current status of the development of adaptation guidelines in China, as well as their methodological quality and the reporting quality, in order to provide reference for the development of adaptation guidelines. Methods We searched and collected adaptation guidelines led by Chinese researchers or institutions from 2015 to 2023 from four electronic databases, China National Knowledge Infrastructure, WanFang Data Knowledge Service Platform, SinoMed and PubMed, extracted the basic information of the adapted guidelines, and assessed their methodological quality and reporting quality using the Appraisal of Guidelines for REsearch and Evaluation (AGREE) Ⅱ and RIGHT-Ad@pt tools. Results A total of 14 adaptation guidelines were included, mainly focusing on nursing (42.9%, 6/14), with the most frequently used adaptation method of ADAPTE (71.4%, 10/14), and with reference to pre-existing guidelines mainly from the United States, the United Kingdom, and international organizations. Assessment by the AGREE Ⅱ tool showed that the average methodological quality score of the adapted guidelines was 36.6%. The scores were relatively high in the domains of clarity of expression and rigor of formulation (44.4% and 54.9%), and lowest in the domain of applicability (15.3%). The results of the RIGHT-Ad@pt tool showed that the reporting quality of the adaptation guidelines was relatively good, with the highest reporting rate of 91.2% and the lowest of 35.3%, and the reporting rates of seven articles were higher than 70%. Conclusions Adaptation guidelines in China are still in their infancy, with a relatively small number and mainly focusing on the nursing field. The most commonly used adaptation method is the ADAPTE method. The methodological quality and reporting quality of adaptation guidelines need to be further improved, and more research should be conducted on the specific conditions and timing of adaptation guidelines development.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1674-9081Test

الوصول الحر: https://doaj.org/article/c1462588199848ed85a1aa9b060c20e6Test

المؤلفون: HE Hongfeng, TIAN Qiannan, ZHOU Qi, ZHAO Junxian, SU Renfeng, LI Zhewei, LIU Hui, YANG Nan, CHEN Yaolong, WU Liqun, WANG Xiaohui

المصدر: Xiehe Yixue Zazhi, Vol 15, Iss 1, Pp 202-210 (2024)

مصطلحات موضوعية: hygiene and health standards, standard system, standard development, scoping review, Medicine

الوصف: Objective To promote the development of high-quality health standards in China and summarize the characteristics of global health standards management systems and development processes. Methods We conducted a systematic search of relevant databases and the websites of standardization institutions. A descriptive method was used to analyze the basic characteristics of the standard management systems and development processes. Results The majority of the investigated countries and organizations primarily implement voluntary standards, with the exception of Chinese and the European Committee for Standardization that enforce compulsory standards. All countries and organizations have health standards at the national, group, and enterprise levels. In China and Japan, standards authorities are subordinate to the government, while in other countries or organizations, they operate as independent civil societies. The development process for health standards generally involves five stages: 'Project/Proposal → Draft → Enquiry → Review → Publication'. However, the specific steps in the development of health standards vary across different countries and organizations. Furthermore, China ranks high in the number of both standards and health standards issued, but the proportion of health standards is only 2.06%. Conclusions There are significant differences between China and other countries in terms of the management system and development process of health standards. To promote the management and development of high-quality health standards in China, we recommend promoting the coordination mechanism for standard development, increasing efforts to publicize standards and evaluate the implementation effect, strengthening the construction of personnel for the development of health standards, optimizing the efficiency of standard development and improving the internationalization level of health standards.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1674-9081Test

الوصول الحر: https://doaj.org/article/b2b33be9bf3b4acab3b7225f92f2dae1Test

المؤلفون: WANG Ling, WANG Ping, SU Renfeng, ZHAO Junxian, ZHU Di, LI Zhewei, HE Hongfeng, LUO Xufei, LIU Hui, ZHANG Hairong, WANG Xiaohui, CHEN Yaolong

المصدر: Xiehe Yixue Zazhi, Vol 14, Iss 6, Pp 1310-1318 (2023)

مصطلحات موضوعية: clinical practice guidelines in primary care, guideline development, evidence-based medicine, Medicine

الوصف: Objective To analyze the development method of existing clinical practice guidelines in primary care to inform the future development of high-quality clinical practice guidelines in primary care. Methods Chinese and English databases and guideline websites were systematically searched for clinical practice guidelines in primary care published from January 1, 2019 to December 31, 2021, with additional searches conducted by reference tracing and Google Scholar. After screening was completed, basic information on included studies and information related to the development methodology was extracted and analyzed. Results Twenty primary guidelines published between 2019 and 2021 were finally included, 95% of which originated from developed countries. The most common developing institutions were universities/research institutes (8, 40%), the disciplines with the most attention were nursing (4, 20%), infectious diseases (3, 15%), and gastroenterology (3, 15%), and the areas of the guidelines were mainly focused on management (4, 20%), treatment (4, 20%) and nursing (3, 15%).None of the guidelines were registered, and 11 (55%) guidelines used evidence grading and strength of recommendation criteria. Mean reporting on the 18 topics in the Guideline 2.0 inventory was 40%, with relatively good reporting on the topics of guideline panelists (85%), conflict of interest considerations (75%), and evidence retrieval and incorporation (75%), and low reporting on the topics of organizing-budgeting-planning-training (15%), and summarizing the evidence and considering other information (15%). Conclusions The number of clinical practice guidelines in primary care that explicitly report on the methodology and process of development is low, and there is insufficient consideration of the relevant topics in the Guideline 2.0 checklist. It is recommended that future research focus on standardizing the reporting of clinical practice guidelines in primary care and developing the methodological guidebook for guideline development.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1674-9081Test

الوصول الحر: https://doaj.org/article/26bba30621584ed2a0741cbf04683c11Test

المؤلفون: ZHAO Junxian, YANG Nan, LIU Hui, LI Jun, SU Renfeng, ZHANG Juanjuan, HE Hongfeng, ZHOU Qi, TIAN Qiannan, WANG Zijun, CHEN Yaolong, WANG Xiaohui, WU Liqun, WANG Qiang

المصدر: Xiehe Yixue Zazhi, Vol 14, Iss 6, Pp 1325-1329 (2023)

مصطلحات موضوعية: medicine, health and hygiene, standard, Medicine

الوصف: This study conducted a comprehensive assessment of the current state of health standards in China by systematically searching the National Health Commission's Health Standards website and variousliterature databases. By identifying key issues within the domain of health standards, this study subsequently presentstargeted strategies and recommendations. These findings serve as a valuable reference for refining China's health standard system and developing policies related to health standards.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1674-9081Test

الوصول الحر: https://doaj.org/article/c9102a52630041839ca97ccab2cfb18bTest

المؤلفون: SU Renfeng, YU Xuan, SHI Qianling, LUO Xufei, SUN Yajia, LAN Hui, REN Mengjuan, WU Shouyuan, WANG Ping, WANG Ling, ZHAO Junxian, CHEN Yaolong

المصدر: Xiehe Yixue Zazhi, Vol 14, Iss 6, Pp 1301-1309 (2023)

مصطلحات موضوعية: evidence synthesis, methodology, current situation and progress, Medicine

الوصف: Evidence synthesis is the synthesis of existing research using a systematic and appropriate method. Various types of evidence synthesis are currently in use. Correctly choosing and applying the best evidence synthesis method is crucial for researchers, policymakers, and stakeholders. Thus, based on summarizing the current situation, progress, and classification of evidence synthesis methods, we introduced the definition and characteristics of common evidence synthesis methods and problems in their application, and presented thoughts and suggestions for the problems in the application of evidence synthesis methods.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1674-9081Test

الوصول الحر: https://doaj.org/article/9d333e146b3040d9915169e31dc9e528Test