单位:[1]Department of Respiratory Diseases, Beijing Children’s Hospital, Capital Medical University, Key Laboratory of Major Diseases in Children, Ministry of Education, National Clinical Research Center for Respiratory Diseases, National Center for Children’s Health, Beijing首都医科大学附属北京儿童医院[2]Department of Respiratory, Shenzhen Children’s Hospital, Shenzhen, Guangdong深圳市康宁医院深圳医学信息中心[3]Department of Paediatrics, Beijing Friendship Hospital, Capital Medical University, Beijing首都医科大学附属北京友谊医院[4]Laboratory of Respiratory Diseases, Beijing Key Laboratory of Pediatric Respiratory Infection Diseases, Beijing Pediatric Research Institute, Beijing Children’s Hospital, Capital Medical University, Key Laboratory of Major Diseases in Children, Ministry of Education, National Clinical Research Center for Respiratory Diseases, National Center for Children’s Health, Beijing, China首都医科大学附属北京儿童医院
BACKGROUND: The quality of available clinical practice guidelines (CPGs) for childhood wheezing disorders have not been systematically evaluated.METHODS: CPGs were systematically evaluated by four independent reviewers using Appraisal of Guidelines Research and Evaluation (AGREE) II instrument and the Reporting Items for Practice Guidelines in HealTHcare (RIGHT) checklist. We calculated the overall agreement among reviewers with the intraclass correlation coefficient (ICC).RESULTS: A total of 35 CPGs published between January 2000 and December 2020 were evaluated. The overall agreement among reviewers was good (ICC 0.85, 95% CI 0.83-0.87). The average CPGs score was 42% (range: 25-79). The mean scores of four domains were low: 37% for Stakeholder Involvement (range: 10-85), 28% for Rigour of Development (range: 42-81), 35% for Applicability (range: 11-73) and 24% for Editorial Independence (range: 0-83). The mean reporting rate of the RIGHT checklist was 31%. The Basic Information domain had the highest reporting rate (65%); the Review and Quality Assurance domain had the lowest rate (3%).CONCLUSIONS: The quality of the CPGs was poor. Greater efforts are needed to improve quality in domains to provide high-quality guidelines that can be used as reliable tools for clinical decision-making.
基金:
The authors thank the grant from the Respiratory Research Project
of the National Clinical Research Centre for Respiratory Diseases,
Beijing, China (No. HXZX-202101).
第一作者单位:[1]Department of Respiratory Diseases, Beijing Children’s Hospital, Capital Medical University, Key Laboratory of Major Diseases in Children, Ministry of Education, National Clinical Research Center for Respiratory Diseases, National Center for Children’s Health, Beijing[2]Department of Respiratory, Shenzhen Children’s Hospital, Shenzhen, Guangdong
通讯作者:
通讯机构:[1]Department of Respiratory Diseases, Beijing Children’s Hospital, Capital Medical University, Key Laboratory of Major Diseases in Children, Ministry of Education, National Clinical Research Center for Respiratory Diseases, National Center for Children’s Health, Beijing[2]Department of Respiratory, Shenzhen Children’s Hospital, Shenzhen, Guangdong[*1]Department of Respiratory, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, National Clinical Research Center of Respiratory Diseases, No. 56 Nan-Li-Shi Road, Beijing 100045, China
推荐引用方式(GB/T 7714):
Qiao J-J,Wang Z-M,Liu T-T,et al.Quality assessment of clinical practice guidelines for the management of wheezing disorders in children[J].The International Journal Of Tuberculosis And Lung Disease : The Official Journal Of The International Union Against Tuberculosis And Lung Disease.2022,26(12):1118-1127.doi:10.5588/ijtld.22.0154.
APA:
Qiao J-J,Wang Z-M,Liu T-T,Zhao Z-P,Yin J...&Shen K-L.(2022).Quality assessment of clinical practice guidelines for the management of wheezing disorders in children.The International Journal Of Tuberculosis And Lung Disease : The Official Journal Of The International Union Against Tuberculosis And Lung Disease,26,(12)
MLA:
Qiao J-J,et al."Quality assessment of clinical practice guidelines for the management of wheezing disorders in children".The International Journal Of Tuberculosis And Lung Disease : The Official Journal Of The International Union Against Tuberculosis And Lung Disease 26..12(2022):1118-1127