《中国康复理论与实践》

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (2): 161-169.doi: 10.3969/j.issn.1006-9771.2020.02.006

• 专题 康复指南研究:理论架构、方法体系、发展状况与质量评价 • 上一篇    下一篇

基于RIGHT康复临床实践指南报告质量研究

王子君1,2,3,4,王玲1,2,3,4,5,玉炫2,3,周奇6,史乾灵6,赵思雅5,荀杨芹1,2,3,4,张先卓6,杨楠1,2,3,4,石秀娥7,8,陈耀龙1,2,3,4(),杨克虎1,2,3,4,6()   

  1. 1.兰州大学基础医学院循证医学中心,甘肃兰州市 730000
    2.世界卫生组织指南实施与知识转化合作中心,甘肃兰州市 730000
    3.GRADE中国中心,甘肃兰州市 730000
    4.甘肃省循证医学与临床转化重点实验室,甘肃兰州市 730000
    5.兰州大学公共卫生学院,甘肃兰州市 730000
    6.兰州大学第一临床医学院,甘肃兰州市 730000
    7.甘肃省康复中心医院,甘肃兰州市 730000
    8.甘肃省循证康复医学研究中心,甘肃兰州市 730000
  • 收稿日期:2020-02-02 修回日期:2020-02-13 出版日期:2020-02-25 发布日期:2020-03-19
  • 通讯作者: 陈耀龙,杨克虎 E-mail:chenyaolong21@vip.163.com;kehuyangebm2006@126.com
  • 作者简介:王子君(1996-),女,汉族,河北保定市人,硕士研究生,主要研究方向:循证医学。|王玲(1998-),女,汉族,甘肃陇西县人,主要研究方向:公共卫生、循证医学。
  • 基金资助:
    1.国家社科基金重大项目(19ZDA142);2.甘肃省循证医学与临床转化重点实验室创新基金项目(CXJJ2019002)

Report Quality of Clinical Practice Guidelines of Rehabilitation Based on RIGHT

WANG Zi-jun1,2,3,4,WANG Ling1,2,3,4,5,YU Xuan2,3,ZHOU Qi6,SHI Qian-ling6,ZHAO Si-ya5,XUN Yang-qin1,2,3,4,ZHANG Xian-zhuo6,YANG Nan1,2,3,4,SHI Xiu-e7,8,CHEN Yao-long1,2,3,4(),YANG Ke-hu1,2,3,4,6()   

  1. 1. Evidence-based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, Gansu 730000, China
    2. WHO Collaborating Centre for Guideline Implementation and Knowledge Translation, Lanzhou, Gansu 730000, China
    3. Chinese GRADE Center, Lanzhou, Gansu 730000, China
    4. Key Laboratory of Evidence-based Medicine and Clinical Transformation of Gansu Province, Lanzhou, Gansu 730000, China
    5. School of Public Health, Lanzhou University, Lanzhou, Gansu 730000, China
    6. the First School of Clinical Medicine, Lanzhou University, Lanzhou, Gansu 730000, China
    7. Rehabilitation Center Hospital of Gansu, Lanzhou, Gansu 730000, China
    8. Gansu Evidence-based Rehabilitation Medical Research Center, Lanzhou, Gansu 730000, China
  • Received:2020-02-02 Revised:2020-02-13 Published:2020-02-25 Online:2020-03-19
  • Contact: CHEN Yao-long,YANG Ke-hu E-mail:chenyaolong21@vip.163.com;kehuyangebm2006@126.com
  • Supported by:
    Major Project of the National Social Science Fund(19ZDA142);Gansu Key Laboratory of Evidence-based Medicine and Clinical Translation Innovation Fund(CXJJ2019002)

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摘要：

目的 评价康复临床实践指南的报告质量。方法 检索PubMed、EMBASE、CNKI、中国生物医学文献数据库(CBM)和万方等数据库以及指南相关网站的康复临床实践指南,检索时限均为2017年1月1日至2020年1月11日。由2名研究人员独立筛选文献并交叉核对,基于RIGHT清单对康复领域指南进行报告质量研究。结果 最终纳入16篇指南,平均报告率为(44.8±27.9)%。其中指南在领域一基本信息方面(57.3%)报告率最高,领域三证据(31.3%)和领域七其他方面(31.3%)报告率最低。国内发表的指南平均报告率低于国外(OR = 0.80, 95%CI 0.56~1.16),初始版的指南平均报告率低于更新版(OR = 0.79, 95%CI 0.54~1.16),由学会/协会制订的指南平均报告率高于非学会/协会制订的指南(OR = 1.15, 95%CI 0.82~1.61),但均无显著性差异。结论 国内外康复临床实践指南的报告质量整体有待提高。建议未来康复指南制订者严格按照RIGHT标准规范化撰写指南内容,充分报告指南关键信息和内容,提升康复指南报告的有效性。

关键词: 康复医学, 临床实践指南, RIGHT, 报告质量

Abstract:

Objective To evaluate the quality of reporting of clinical practice guidelines of rehabilitation.Methods A comprehensive retrieve was performed in electronic databases of PubMed, EMBASE, CNKI, China Biology Medicine disc, Wanfang data, etc., from January 1, 2017 to January 11, 2020. Supplementary searches had been done on relevant websites. Two researchers reviewed literatures and assessed the reporting quality independently by using Reporting Items for Practice Guidelines in Healthcare (RIGHT), and any disagreements needed to be discussed in a consensus meeting.Results A total of 16 guidelines were included, with an average reporting rate of (44.8±27.9)%. Among the seven domains of RIGHT, basic information was reported the highest (57.3%), and evidence (31.3%) and other information (31.3%) was the lowest. The reporting rate was less as the guidelines published in China than in foreign contries (OR = 0.80, 95%CI 0.56-1.16), in original version than in update version (OR = 0.79, 95%CI 0.54-1.16); and higher as developed by various societies or associations than developed by non-societies or associations (OR = 1.15, 95%CI 0.82-1.61), however, no statistically significant difference was found in above comparisons.Conclusion Current clinical practice guidelines of rehabilitation reported with low quality. It is proposed that future guideline developers should report guidelines after RIGHT statements, including key information and content, in order to improve the quality of reporting guidelines.

Key words: rehabilitation medicine, clinical practice guidelines, Reporting Items for Practice Guidelines in Healthcare, quality of reporting

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