中医药临床实践指南/共识的质量评价：基于两种指南评价工具

BackgroundClinical practice guidelines are able to regulate the clinical behavior of clinicians and provide appropriate suggestions and references for patients. In recent yearsthe number of clinical practice guidelines in China has been on the rise. However, the quality of the guidelinesespecially traditional Chinese medicine (TCM) is very uneven. At present there have been some studies on the application of guideline evaluation toolsbut studies on the evaluation of TCM guidelines are scant. ObjectiveTo evaluate the selected TCM clinical practice guidelines using two guideline evaluation tools, and to analyze the important dimensions influencing the quality of TCM clinical practice guidelines. MethodsTCM clinical practiceguidelines for common and frequently occurring diseases in the GastroenterologyPediatricsOrthopedics and Gynecology were searched in China National Knowledge Infrastructure (CNKI)WanfangVIP and SinoMed databases from November 1 2023 to June 302024. Two guidelines of each specialty were selected after a negotiation with 2 clinical doctors. Journals that published the guidelinespublishing institutions/groupstools used for evidence grading and recommendation intensitynumber of referencesnumber of authorsnumber of experts formulatedwhether to update the guidelinesthe evaluation results of the AGREE-China evaluationthe evaluation results of the list of suggestions for quality evaluation of TCM clinical practice guidelinesand the evaluation time of the guidelines were collected. ResultsAmong the 8 guidelines evaluated 6 guidelines were strongly recommended after the AGREE-China evaluationand only 3 guidelines had more than half of the reports after the evaluation of the list of suggestions for quality evaluation of TCM clinical practice guidelines. The median time required for AGREE-China evaluation was 22 min. The median time required for the list of suggestions for quality evaluation of TCM clinical practice guidelines was 18.75 min. ConclusionAlthough AGREE-China evaluates 6 high-quality guidelinesthe tool lacks an evaluation of TCM content and takes a relatively long time. Although the list of suggestions for the quality evaluation of TCM clinical practice guidelines has increased the content of TCM evaluation and shortened the time consumingonly three guideline reports have reached more than half in the numberand the evaluation results are not quantitative and intuitive. Therefore, there are still some inconveniences in clinical use.