康复临床实践指南:方法学质量研究

doi:10.3969/j.issn.1006-9771.2020.02.003

Abstract

Abstract:

Objective To evaluate the methodological quality of clinical practice guidelines of rehabilitation using Appraisal of Guidelines for Research and Evaluation (AGREE) II.Methods Clinical practice guidelines of rehabilitation were searched in databases such as PubMed, EMBASE, Wanfang database, CNKI, China Biology Medicine disc and related websites from medlive.cn, National Institute for Health and Care Excellence, National Guideline Clearinghouse, Scottish Intercollegiate Guidelines Network, World Health Organization, and Guidelines International Network from establishment to January 11, 2020. Two researchers reviewed literatures and assessed the methodological quality of the guidelines independently by using AGREE II; any disagreements needed to be discussed in a consensus meeting.Results A total of 84 guidelines were included in the study, with 67 foreign guidelines and 17 domestic guidelines. The average score rate for all the guidelines was 48.1%, in which 49.9% for the foreign guidelines and 40.7% for the domestic guidelines. In the six areas of AGREE II, the average score rate of the foreign guidelines was higher than that of domestic ones (|Z| > 2.034, P < 0.05), expect applicability; the average score rate of clarity and independence improved with the launch of AGREE Ⅱ ( Z > 2.130, P < 0.05). The average scores rate ranged from high to low followed as range and purpose (41.6%), clarity (39.9%), participants (24.5%), rigor (23.2%), independence (15.5%) and applicability (12.9%). Conclusion Clinical practice guidelines of rehabilitation is mainly of low quality by AGREE II. Guideline developers need to work after AGREE Ⅱ standard in the future.

Key words: rehabilitation, clinical practice guidelines, Appraisal of Guidelines for Research and Evaluation II, guideline evaluation

CLC Number:

WEI Li-li,LI Hao-ran,WANG Zi-jun,HUANG Jia-jun,ZHOU Qi,HUANG Tian-xiang,CHEN Pei-yao,LI Xing-jie,CHEN Yao-long,YANG Ke-hu. Clinical Practice Guidelines of Rehabilitation: Methodological Quality[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(2): 144-149.

Figures/Tables 2

References 48

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类别	范围和目的	参与人员	制订严谨性	表达清晰性	应用性	编辑独立性
国内	35.5%	15.1%	15.8%	33.6%	9.4%	8.1%
国外	43.2%	26.9%	25.1%	41.5%	13.8%	17.3%
Z值	-2.190	-3.171	-2.289	-2.034	-0.786	-2.046
P值	0.029	0.002	0.022	0.042	0.432	0.041

时间	范围和目的	参与人员	制订严谨性	表达清晰性	应用性	编辑独立性
发布前	39.9%	20.2%	19.0%	34.7%	9.3%	5.5%
发布后	42.5%	26.7%	25.1%	42.0%	14.6%	19.7%
Z值	0.813	1.504	1.307	2.130	1.837	3.400
P值	0.416	0.133	0.191	0.033	0.066	0.001

Clinical Practice Guidelines of Rehabilitation: Methodological Quality

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