Analysis of Development Method of Clinical Practice Guidelines in Primary Care

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 clinica...

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Main Authors: WANG Ling, WANG Ping, SU Renfeng, ZHAO Junxian, ZHU Di, LI Zhewei, HE Hongfeng, LUO Xufei, LIU Hui, ZHANG Hairong, WANG Xiaohui, CHEN Yaolong
Format: Article
Language:zho
Published: Editorial Office of Medical Journal of Peking Union Medical College Hospital 2023-11-01
Series:Xiehe Yixue Zazhi
Subjects:
Online Access:https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2023-0455
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author WANG Ling
WANG Ping
SU Renfeng
ZHAO Junxian
ZHU Di
LI Zhewei
HE Hongfeng
LUO Xufei
LIU Hui
ZHANG Hairong
WANG Xiaohui
CHEN Yaolong
author_facet WANG Ling
WANG Ping
SU Renfeng
ZHAO Junxian
ZHU Di
LI Zhewei
HE Hongfeng
LUO Xufei
LIU Hui
ZHANG Hairong
WANG Xiaohui
CHEN Yaolong
author_sort WANG Ling
collection DOAJ
description 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.
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spelling doaj.art-26bba30621584ed2a0741cbf04683c112023-12-04T02:54:02ZzhoEditorial Office of Medical Journal of Peking Union Medical College HospitalXiehe Yixue Zazhi1674-90812023-11-011461310131810.12290/xhyxzz.2023-0455Analysis of Development Method of Clinical Practice Guidelines in Primary CareWANG Ling0WANG Ping1SU Renfeng2ZHAO Junxian3ZHU Di4LI Zhewei5HE Hongfeng6LUO Xufei7LIU Hui8ZHANG Hairong9WANG Xiaohui10CHEN YaolongSchool of Public Health, Lanzhou University, Lanzhou 730000, ChinaSchool of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, ChinaSchool of Public Health, Lanzhou University, Lanzhou 730000, ChinaSchool of Public Health, Lanzhou University, Lanzhou 730000, ChinaSchool of Public Health, Lanzhou University, Lanzhou 730000, ChinaSchool of Public Health, Lanzhou University, Lanzhou 730000, ChinaSchool of Public Health, Lanzhou University, Lanzhou 730000, ChinaSchool of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, ChinaSchool of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, ChinaSchool of Public Health, Lanzhou University, Lanzhou 730000, ChinaSchool of Public Health, Lanzhou University, Lanzhou 730000, ChinaObjective  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.https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2023-0455clinical practice guidelines in primary careguideline developmentevidence-based medicine
spellingShingle WANG Ling
WANG Ping
SU Renfeng
ZHAO Junxian
ZHU Di
LI Zhewei
HE Hongfeng
LUO Xufei
LIU Hui
ZHANG Hairong
WANG Xiaohui
CHEN Yaolong
Analysis of Development Method of Clinical Practice Guidelines in Primary Care
Xiehe Yixue Zazhi
clinical practice guidelines in primary care
guideline development
evidence-based medicine
title Analysis of Development Method of Clinical Practice Guidelines in Primary Care
title_full Analysis of Development Method of Clinical Practice Guidelines in Primary Care
title_fullStr Analysis of Development Method of Clinical Practice Guidelines in Primary Care
title_full_unstemmed Analysis of Development Method of Clinical Practice Guidelines in Primary Care
title_short Analysis of Development Method of Clinical Practice Guidelines in Primary Care
title_sort analysis of development method of clinical practice guidelines in primary care
topic clinical practice guidelines in primary care
guideline development
evidence-based medicine
url https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2023-0455
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