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肠梗阻临床实践指南方法学质量评价 预览

Methodological Quality Assessment of Clinical Practice Guidelines for Intestinal Obstruction
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摘要 目的:通过了解国内外肠梗阻指南的发布状况,评价和分析肠梗阻临床实践指南方法学质量,为临床实践提供明确的推荐意见。方法:检索PubMed、EMBASE、Web of Science、NGC、GIN、NICE、中国知网、万方和中国生物医学文献数据库等搜集肠梗阻临床实践指南。评价员独立筛选文献、提取资料后,采用AGREEⅡ工具对纳入的指南进行质量评价,计算每个结构域的得分。结果:纳入10部肠梗阻临床实践指南,纳入指南的总体质量不高,无A级推荐指南,3篇指南推荐级别为B级,其余指南的推荐级别为C级。AGREEⅡ6大领域得分最高为范围和目的(67.00±10.49)%,其次为清晰性(53.10±24.60)%、独立性(51.50±28.18)%、严谨性(38.70±19.96)%、应用性(22.40±6.06)%,得分最低为参与人员(20.60±12.90)%。结论:未来肠梗阻临床实践指南的制定者应该严格按照AGREEⅡ条目制定肠梗阻临床实践指南,以改善肠梗阻临床实践指南的方法学质量。 Objective: Through understanding the release status of intestind obstruction guidelines in China and abroad,we can evaluate and analyze the methodogical quality of intestind obstruction clinical practice guidelines to give reference for clinical practice. Methods: A systematic search of relevant literature databases( Pub Med,EMBASE,Web of Science,NGC,GIN,NICE,CNKI,Wanfang database and CBM et al.) were conducted to identify the intestinal obstruction clinical practice guidelines. Guidelines selection and data extraction were independently performed by two authors. AGREEⅡ instrument was used to evaluate the quality of the included guidelines. Results: A total of ten guidelines for intestinal obstruction were finally included,the quality of included guidelines was not good,no guidelines was A grade recommendation,three guidelines were B grade recommendation,seven guidelines were C grade recommendation. The scores of six domains by AGREE Ⅱ instrument were( 67. 00 ± 10. 49) %( scope and purpose),( 53. 10 ± 24. 60) %( clarity of presentation),( 51. 50 ± 28. 18) %( editorial independence),( 38. 70 ± 19. 96) %( rigor of development),( 22. 40 ±6. 06) %( applicability) and( 20. 60 ± 12. 90) %( participants). Conclusion: In the future,the researchers should develop the intestinal obstruction guidelines according to the AGREE Ⅱ instrument,so as to improve the quality of intestinal obstruction guidelines.
作者 贾俊海 杨敬致 刘爱萍 狄宝山 唐艳 JIA Junhai1, YANG Jingzhi1, LIU Aiping2, DI Baoshan3, TANG Yan4. ( 1. Gansu Provinee Hospital Rehabilitation Center, Gansu Lanzhou 730000, China ; 2. Gansu Health Vocational College, Gansu Lanzhou 730000, China; 3. Gansu Provineial Hospital, Gansu Lanzhou 730000, China; 4. The Second People's Hospital of Lanzhou City, Gansu Lanzhou 730000, China)
出处 《中国医药导刊》 2018年第4期193-198,共6页 Chinese Journal of Medicinal Guide
基金 兰州市人才创新创业项目(项目编号:2015-RC-65201525 项目名称:亚高原地区急诊疾病谱相关危险因素的研究及急救优化策略) 甘肃软科学专项项目(项目编号:1604ZCRA011 项目名称:城市流浪人员医疗救助模式对策研究)
关键词 肠梗阻 临床实践指南 AGREE Intestinal obstruction Clinical practice guidelines AGREE Ⅱ instrument
作者简介 贾俊海,男,副主任医师,研究方向:急诊医学。E-mail:617820230@qq.com.;[通讯作者]唐艳,女,主任医师,研究方向:急诊医学。E-mail:836417267@qq.com.
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