Quality Evaluation and Comparative Analysis on Recommendations of Guidelines for Degenerative Lumbar Spinal Stenosis
Background Degenerative lumbar spinal stenosis (DLSS) is a costly disease that mainly occurs during the old age, which seriously affects the normal life. There are many treatment options for DLSS. The development and clinical application of high-quality clinical practice guidelines are major ways to...
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| Format: | Article |
| Language: | zho |
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Chinese General Practice Publishing House Co., Ltd
2023-04-01
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| Series: | Zhongguo quanke yixue |
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| Online Access: | https://www.chinagp.net/fileup/1007-9572/PDF/zx20220614.pdf |
| _version_ | 1797216799504203776 |
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| author | AN Yi, CHEN Hong, ZHOU Yanji, LIU Luping, CHEN Qianji, LEI Yuan, SUN Yanyan, WANG Xiyou, LIU Changxin, ZHANG Yang, YU Changhe |
| author_facet | AN Yi, CHEN Hong, ZHOU Yanji, LIU Luping, CHEN Qianji, LEI Yuan, SUN Yanyan, WANG Xiyou, LIU Changxin, ZHANG Yang, YU Changhe |
| author_sort | AN Yi, CHEN Hong, ZHOU Yanji, LIU Luping, CHEN Qianji, LEI Yuan, SUN Yanyan, WANG Xiyou, LIU Changxin, ZHANG Yang, YU Changhe |
| collection | DOAJ |
| description | Background Degenerative lumbar spinal stenosis (DLSS) is a costly disease that mainly occurs during the old age, which seriously affects the normal life. There are many treatment options for DLSS. The development and clinical application of high-quality clinical practice guidelines are major ways to improve the diagnosis and treatment of DLSS. Objective To provide a reference for the development and reporting of clinical practice guidelines of DLSS, with guidelines of DLSS evaluated using AGREEⅡ and RIGHT, from the perspectives of methodology and quality. Methods Databases were searched for clinical practice guidelines, consensuses and specifications about DLSS, including CBM, CNKI, Wanfang Data, VIP, PubMed, Medlive, WHO, the National Institute for Health and Care Excellence, Guidelines International Network, National Guideline Clearinghouse and Scottish Intercollegiate Guideline Network from January 1, 2010 to January 1, 2022. The methodological quality and reporting quality of included studies were evaluated by two raters independently. And the recommendations in the studies were compared under the uniform grading criteria. Results Six studies were enrolled, including four guidelines and two consensuses. One guideline is based on TCM, and the other three are evidence-based guidelines. The evaluation results of AGREEⅡ showed that the ratio of the actual total score to the full score of the six included studies was 78.2%, 53.6%, 45.7%, 37.7%, 28.2% and 15.0%, from highest to the lowest. RIGHT evaluation showed that the ratio of the actual total score to the full score of the four guidelines was 72.9%, 72.9%, 62.9% and 34.3%, from highest to the lowest. A total of 46 therapeutic and 11 non-therapeutic recommendations were developed in the six studies. Conclusion The methodological quality and reporting specification of the present DLSS guidelines and consensuses require to be further improved. Further reference should be made to international standards such as AGREE Ⅱ and RIGHT in the process of guideline development and reporting. Surgical treatment is the preferred recommendation for patients with moderate or severe DLSS. |
| first_indexed | 2024-04-24T11:51:42Z |
| format | Article |
| id | doaj.art-e3d83f26655f4092a11e2ad7f9a464d5 |
| institution | Directory Open Access Journal |
| issn | 1007-9572 |
| language | zho |
| last_indexed | 2024-04-24T11:51:42Z |
| publishDate | 2023-04-01 |
| publisher | Chinese General Practice Publishing House Co., Ltd |
| record_format | Article |
| series | Zhongguo quanke yixue |
| spelling | doaj.art-e3d83f26655f4092a11e2ad7f9a464d52024-04-09T07:44:34ZzhoChinese General Practice Publishing House Co., LtdZhongguo quanke yixue1007-95722023-04-0126111310131710.12114/j.issn.1007-9572.2022.0614Quality Evaluation and Comparative Analysis on Recommendations of Guidelines for Degenerative Lumbar Spinal StenosisAN Yi, CHEN Hong, ZHOU Yanji, LIU Luping, CHEN Qianji, LEI Yuan, SUN Yanyan, WANG Xiyou, LIU Changxin, ZHANG Yang, YU Changhe01. The First Clinical Medical College, Beijing University of Chinese Medicine, Beijing 100700, China;2. Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100007, ChinaBackground Degenerative lumbar spinal stenosis (DLSS) is a costly disease that mainly occurs during the old age, which seriously affects the normal life. There are many treatment options for DLSS. The development and clinical application of high-quality clinical practice guidelines are major ways to improve the diagnosis and treatment of DLSS. Objective To provide a reference for the development and reporting of clinical practice guidelines of DLSS, with guidelines of DLSS evaluated using AGREEⅡ and RIGHT, from the perspectives of methodology and quality. Methods Databases were searched for clinical practice guidelines, consensuses and specifications about DLSS, including CBM, CNKI, Wanfang Data, VIP, PubMed, Medlive, WHO, the National Institute for Health and Care Excellence, Guidelines International Network, National Guideline Clearinghouse and Scottish Intercollegiate Guideline Network from January 1, 2010 to January 1, 2022. The methodological quality and reporting quality of included studies were evaluated by two raters independently. And the recommendations in the studies were compared under the uniform grading criteria. Results Six studies were enrolled, including four guidelines and two consensuses. One guideline is based on TCM, and the other three are evidence-based guidelines. The evaluation results of AGREEⅡ showed that the ratio of the actual total score to the full score of the six included studies was 78.2%, 53.6%, 45.7%, 37.7%, 28.2% and 15.0%, from highest to the lowest. RIGHT evaluation showed that the ratio of the actual total score to the full score of the four guidelines was 72.9%, 72.9%, 62.9% and 34.3%, from highest to the lowest. A total of 46 therapeutic and 11 non-therapeutic recommendations were developed in the six studies. Conclusion The methodological quality and reporting specification of the present DLSS guidelines and consensuses require to be further improved. Further reference should be made to international standards such as AGREE Ⅱ and RIGHT in the process of guideline development and reporting. Surgical treatment is the preferred recommendation for patients with moderate or severe DLSS.https://www.chinagp.net/fileup/1007-9572/PDF/zx20220614.pdfdegenerative lumbar spinal stenosis|agree ⅱ|right|guidelines|consensus|methodological quality |
| spellingShingle | AN Yi, CHEN Hong, ZHOU Yanji, LIU Luping, CHEN Qianji, LEI Yuan, SUN Yanyan, WANG Xiyou, LIU Changxin, ZHANG Yang, YU Changhe Quality Evaluation and Comparative Analysis on Recommendations of Guidelines for Degenerative Lumbar Spinal Stenosis Zhongguo quanke yixue degenerative lumbar spinal stenosis|agree ⅱ|right|guidelines|consensus|methodological quality |
| title | Quality Evaluation and Comparative Analysis on Recommendations of Guidelines for Degenerative Lumbar Spinal Stenosis |
| title_full | Quality Evaluation and Comparative Analysis on Recommendations of Guidelines for Degenerative Lumbar Spinal Stenosis |
| title_fullStr | Quality Evaluation and Comparative Analysis on Recommendations of Guidelines for Degenerative Lumbar Spinal Stenosis |
| title_full_unstemmed | Quality Evaluation and Comparative Analysis on Recommendations of Guidelines for Degenerative Lumbar Spinal Stenosis |
| title_short | Quality Evaluation and Comparative Analysis on Recommendations of Guidelines for Degenerative Lumbar Spinal Stenosis |
| title_sort | quality evaluation and comparative analysis on recommendations of guidelines for degenerative lumbar spinal stenosis |
| topic | degenerative lumbar spinal stenosis|agree ⅱ|right|guidelines|consensus|methodological quality |
| url | https://www.chinagp.net/fileup/1007-9572/PDF/zx20220614.pdf |
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