Current Situation Analysis and Quality Evaluation of Chinese Clinical Practice Guidelines in General Practice
Background The clinical practice guidelines in general practice can improve healthcare quality in primary health care, however, no study has yet systematically investigated the current status and quality of the guidelines in China. Objective To investigate the current status and influencing factors...
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| Format: | Article |
| Language: | zho |
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Chinese General Practice Publishing House Co., Ltd
2023-05-01
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| Series: | Zhongguo quanke yixue |
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| Online Access: | https://www.chinagp.net/fileup/1007-9572/PDF/zx20230044.pdf |
| _version_ | 1797216698177159168 |
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| author | WANG Ping, WU Shouyuan, SUN Yajia, LAN Hui, REN Mengjuan, ZHAO Junxian, WANG Ling, SU Renfeng, ZHOU Qi, WANG Zijun, WANG Qi, MA Li, HOU Tianchun, CHEN Yaolong |
| author_facet | WANG Ping, WU Shouyuan, SUN Yajia, LAN Hui, REN Mengjuan, ZHAO Junxian, WANG Ling, SU Renfeng, ZHOU Qi, WANG Zijun, WANG Qi, MA Li, HOU Tianchun, CHEN Yaolong |
| author_sort | WANG Ping, WU Shouyuan, SUN Yajia, LAN Hui, REN Mengjuan, ZHAO Junxian, WANG Ling, SU Renfeng, ZHOU Qi, WANG Zijun, WANG Qi, MA Li, HOU Tianchun, CHEN Yaolong |
| collection | DOAJ |
| description | Background The clinical practice guidelines in general practice can improve healthcare quality in primary health care, however, no study has yet systematically investigated the current status and quality of the guidelines in China. Objective To investigate the current status and influencing factors of quality of the guidelines in China. Methods We searched China National Knowledge Infrastructure, Wanfang Data Knowledge Service Platform, Chinese biomedical literature database, and CQVIP website, and included the published guidelines in China. We analyzed the basic characteristics and used RIGHT to evaluate the reporting quality and AGREE-China for methodological quality. Results A total of 150 guidelines were included, mainly published from 2019 to 2021. Most of the guidelines〔108 (72.0%) 〕focused on the diagnosis and treatment of diseases. The top three specialties were cardiovascular disease〔40 (26.7%) 〕, gastroenterology〔31 (20.7%) 〕, and clinical pharmacy〔27 (18.0%) 〕. The main development institutions were the Chinese Medical Association and its branches〔123 (82.0%) 〕, the editorial committee of the Chinese Journal of General Practitioners〔119 (79.3%) 〕, and the Chinese Medical Journals Publishing House〔116 (77.3%) 〕. In terms of reporting quality, the average reporting rate of RIGHT was 23.6% (11.4%-42.9%) ; the reporting rate of basic information (59.8%) was higher, and that of evidence (0.3%) was the lowest. As for methodological quality, the average AGREE-China score was 23.4 (12.0-40.0) ; the reporting rates of conflicts of interest (63.0%) and availability/feasibility (53.0%) were higher, and that of economics (7.0%) was the lowest. Conclusion The number of Chinese clinical practice guidelines in general practice has increased rapidly in the past five years, which has played an important role in promoting the quality of primary health care. In the future, it is necessary to further develop the guidelines in different specialties and diseases and accelerate the methodology of development and reporting of the guidelines. |
| first_indexed | 2024-04-24T11:50:06Z |
| format | Article |
| id | doaj.art-60e73a54b57847e2ba8ee5a742c7996e |
| institution | Directory Open Access Journal |
| issn | 1007-9572 |
| language | zho |
| last_indexed | 2024-04-24T11:50:06Z |
| publishDate | 2023-05-01 |
| publisher | Chinese General Practice Publishing House Co., Ltd |
| record_format | Article |
| series | Zhongguo quanke yixue |
| spelling | doaj.art-60e73a54b57847e2ba8ee5a742c7996e2024-04-09T07:49:00ZzhoChinese General Practice Publishing House Co., LtdZhongguo quanke yixue1007-95722023-05-0126131551155810.12114/j.issn.1007-9572.2023.0044Current Situation Analysis and Quality Evaluation of Chinese Clinical Practice Guidelines in General PracticeWANG Ping, WU Shouyuan, SUN Yajia, LAN Hui, REN Mengjuan, ZHAO Junxian, WANG Ling, SU Renfeng, ZHOU Qi, WANG Zijun, WANG Qi, MA Li, HOU Tianchun, CHEN Yaolong01. Evidence-based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China;2. School of Public Health, Lanzhou University, Lanzhou 730000, China;3. Department of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster University, Hamilton L8P3H9, Canada;4. Department of General Practice, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China;5. Children's Hospital of Chongqing Medical University, Chongqing 400014, China;6. WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou 730000, China;7. Research Unit of Evidence-based Evaluation and Guidelines, Chinese Academy of Medical Sciences/School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, ChinaBackground The clinical practice guidelines in general practice can improve healthcare quality in primary health care, however, no study has yet systematically investigated the current status and quality of the guidelines in China. Objective To investigate the current status and influencing factors of quality of the guidelines in China. Methods We searched China National Knowledge Infrastructure, Wanfang Data Knowledge Service Platform, Chinese biomedical literature database, and CQVIP website, and included the published guidelines in China. We analyzed the basic characteristics and used RIGHT to evaluate the reporting quality and AGREE-China for methodological quality. Results A total of 150 guidelines were included, mainly published from 2019 to 2021. Most of the guidelines〔108 (72.0%) 〕focused on the diagnosis and treatment of diseases. The top three specialties were cardiovascular disease〔40 (26.7%) 〕, gastroenterology〔31 (20.7%) 〕, and clinical pharmacy〔27 (18.0%) 〕. The main development institutions were the Chinese Medical Association and its branches〔123 (82.0%) 〕, the editorial committee of the Chinese Journal of General Practitioners〔119 (79.3%) 〕, and the Chinese Medical Journals Publishing House〔116 (77.3%) 〕. In terms of reporting quality, the average reporting rate of RIGHT was 23.6% (11.4%-42.9%) ; the reporting rate of basic information (59.8%) was higher, and that of evidence (0.3%) was the lowest. As for methodological quality, the average AGREE-China score was 23.4 (12.0-40.0) ; the reporting rates of conflicts of interest (63.0%) and availability/feasibility (53.0%) were higher, and that of economics (7.0%) was the lowest. Conclusion The number of Chinese clinical practice guidelines in general practice has increased rapidly in the past five years, which has played an important role in promoting the quality of primary health care. In the future, it is necessary to further develop the guidelines in different specialties and diseases and accelerate the methodology of development and reporting of the guidelines.https://www.chinagp.net/fileup/1007-9572/PDF/zx20230044.pdfclinical practice guidelines|status analysis|quality evaluation|reporting guideline|general practice|primary health care|right|agree-china |
| spellingShingle | WANG Ping, WU Shouyuan, SUN Yajia, LAN Hui, REN Mengjuan, ZHAO Junxian, WANG Ling, SU Renfeng, ZHOU Qi, WANG Zijun, WANG Qi, MA Li, HOU Tianchun, CHEN Yaolong Current Situation Analysis and Quality Evaluation of Chinese Clinical Practice Guidelines in General Practice Zhongguo quanke yixue clinical practice guidelines|status analysis|quality evaluation|reporting guideline|general practice|primary health care|right|agree-china |
| title | Current Situation Analysis and Quality Evaluation of Chinese Clinical Practice Guidelines in General Practice |
| title_full | Current Situation Analysis and Quality Evaluation of Chinese Clinical Practice Guidelines in General Practice |
| title_fullStr | Current Situation Analysis and Quality Evaluation of Chinese Clinical Practice Guidelines in General Practice |
| title_full_unstemmed | Current Situation Analysis and Quality Evaluation of Chinese Clinical Practice Guidelines in General Practice |
| title_short | Current Situation Analysis and Quality Evaluation of Chinese Clinical Practice Guidelines in General Practice |
| title_sort | current situation analysis and quality evaluation of chinese clinical practice guidelines in general practice |
| topic | clinical practice guidelines|status analysis|quality evaluation|reporting guideline|general practice|primary health care|right|agree-china |
| url | https://www.chinagp.net/fileup/1007-9572/PDF/zx20230044.pdf |
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