2019年期刊公开发表的中国临床实践指南文献调查与评价——传播与实施情况

吕萌; 罗旭飞; 刘云兰; 任梦娟; 刘萧; 史乾灵; 王子君; 卢姝亚; 刘辉; 李秋; 陈耀龙

doi:10.12290/xhyxzz.2022-0028

2019年期刊公开发表的中国临床实践指南文献调查与评价——传播与实施情况

doi: 10.12290/xhyxzz.2022-0028

吕萌^{1, 2, 3},
罗旭飞³,
刘云兰³,
任梦娟³,
刘萧³,
史乾灵⁴,
王子君⁵,
卢姝亚^{6, 7},
刘辉³,
李秋^{2, 8, ,},
陈耀龙^{1, 2, 5, 9, 10, 11, 12, 13, ,}

1.
重庆医科大学附属儿童医院儿童卓越证据与指南协同创新实验室，重庆 400014
2.
国家儿童健康与疾病临床医学研究中心，重庆 400014
3.
兰州大学公共卫生学院，兰州 730000
4.
兰州大学第一临床医学院，兰州 730000
5.
兰州大学基础医学院循证医学中心，兰州 730000
6.
四川省医学科学院·四川省人民医院，成都 610000
7.
电子科技大学医学院，成都 610000
8.
重庆医科大学附属儿童医院肾内科，重庆 400014
9.
中国医学科学院循证评价与指南研究创新单元兰州大学基础医学院，兰州 730000
10.
兰州大学健康数据科学研究院，兰州 730000
11.
世界卫生组织指南实施与知识转化合作中心，兰州 730000
12.
Cochrane中国协作网兰州大学分中心，兰州 730000
13.
兰州大学GRADE中心，兰州 730000

基金项目:

国家社会科学基金重大项目 19ZDA142

国家重点研发计划 2018YFC1705500

中央高校基本科研业务费专项资金资助项目 lzujbky-2021-ey13

详细信息

通讯作者:
李秋, E-mail：liqiu809@126.com

陈耀龙, E-mail：chevidence@lzu.edu.cn

吕萌、罗旭飞对本文同等贡献

中图分类号: R181.2
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- 文章访问数: 398
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- 被引次数: 0
出版历程
- 收稿日期: 2022-01-16
- 录用日期: 2022-04-01
- 网络出版日期: 2022-04-22
- 刊出日期: 2022-07-30

Investigation and Evaluation of Chinese Clinical Practice Guidelines Published in Medical Journals in 2019: Analysis on Dissemination and Implementation

LYU Meng^{1, 2, 3},
LUO Xufei³,
LIU Yunlan³,
REN Mengjuan³,
LIU Xiao³,
SHI Qianling⁴,
WANG Zijun⁵,
LU Shuya^{6, 7},
LIU Hui³,
LI Qiu^{2, 8
, ,},
CHEN Yaolong^{1, 2, 5, 9, 10, 11, 12, 13
, ,}

1.
Chevidence Lab of Child & Adolescent Health, Children's Hospital of Chongqing Medical University, Chongqing 400014, China
2.
National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing 400014, China
3.
School of Public Health, Lanzhou University, Lanzhou 730000, China
4.
The First Clinical Medical College, Lanzhou University, Lanzhou 730000, China
5.
Evidence-based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China
6.
Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610000, China
7.
School of Medicine, University of Electronic Science and Technology, Chengdu 610000, China
8.
Department of Nephrology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China
9.
Research Unit of Evidence-based Evaluation and Guidelines, Chinese Academy of Medical Sciences, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China
10.
Institute of Health Data Science, Lanzhou University, Lanzhou 730000, China
11.
WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou 730000, China
12.
Lanzhou University, an Affiliate of the Cochrane China Network, Lanzhou 730000, China
13.
Lanzhou University GRADE Center, Lanzhou 730000, China

Funds:

National Social Science Fund of China 19ZDA142

National Key Research and Development Program of China 2018YFC1705500

Fundamental Research Funds for the Central Universities lzujbky-2021-ey13

More Information

Corresponding author: LI Qiu, E-mail: liqiu809@126.com; CHEN Yaolong, E-mail: chevidence@lzu.edu.cn

摘要

摘要: 目的分析2019年期刊公开发表的中国临床实践指南传播与实施情况，为推动我国临床实践指南的转化与落地提供建议。方法针对2019年期刊公开发表的中国临床实践指南传播与实施相关内容报告情况，以及指南多期刊、多版本、多语种发表情况进行分析。同时，分析2019年中国临床实践指南解读类文献的发表情况，进一步了解我国指南的传播与实施现状。结果 2019年期刊公开发表的中国临床实践指南共226篇，仅5.8%(13/226)报告了传播与实施相关内容。共报告了12种传播与实施策略，其中通过学术会议及多媒体平台促进指南传播与实施被报告的次数最多，在8篇指南中均进行了报告。在传播与实施策略的应用方面，12.4%(28/226)的指南在多本期刊上公开发表，9.3%(21/226)的指南发表了不同版本，8.4%(19/226)的指南分别以中、英文语种进行发表。对2019年中国指南的解读类文献进行检索，共纳入48篇文献，分别对30篇(13.3%，30/226)指南进行了解读。指南与解读类文献发表的中位时间间隔为5.5个月。结论 2019年期刊公开发表的中国临床实践指南中传播与实施的报告率及相关策略的应用率均较低，建议指南制订者在指南制订过程中应制订有针对性、形式多样的传播与实施策略，并在撰写时遵循相应的报告规范。
- 临床实践指南 /
- 传播 /
- 实施
Abstract: Objective To analyze the status of dissemination and implementation of Chinese clinical practice guidelines published in medical journals in 2019, and to propose suggestions on promoting the dissemination and implementation of Chinese guidelines in the future. Methods We analyzed Chinese guidelines published in 2019 on the following aspects: reporting the dissemination and implementation; being published in multiple journals, editions and languages. Besides, we also searched published interpretation reports related to 2019 Chinese guidelines so as to understand the status of dissemination and implementation of guidelines in China. Results A total of 226 Chinese guidelines published in medical journals in 2019 were identified. Only 5.8% (13/226) reported the information on dissemination and implementation with 12 different strategies. Dissemination and implementation by academic conferences and social media were mostly mentioned and reported in 8 guidelines. As for the application of the strategies of dissemination and implementation, 12.4% (28/226) published in different journals; 9.3% (21/226) published different editions; 8.4% (19/226) published both English and Chinese versions. After search and screening, we included 48 interpretation reports, which interpreted 30 (13.3%, 30/226) Chinese guidelines. The median interval of publication time between the guideline and interpretation study was 5.5 months. Conclusions The reporting rate of dissemination and implementation and the application of related strategies of Chinese guidelines published in 2019 were relatively low. We suggest that guideline developers should develop specific and detailed strategies on guideline dissemination and implementation, and follow the reporting guidance.
- clinical practice guidelines /
- dissemination /
- implementation
注释:

作者贡献：吕萌负责数据提取、分析并撰写初稿；罗旭飞、刘云兰、任梦娟、卢姝亚负责数据提取；刘萧、史乾灵、王子君、刘辉负责初稿修改；陈耀龙、李秋负责文章选题、结构设计、团队组建、数据核查及文章修订。

利益冲突：所有作者均声明不存在利益冲突

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参考文献(25)

[1]	Institute of Medicine. Clinical practice guidelines we can trust[M]. Washington DC: the National Academies Press, 2011.
[2]	陈耀龙, 史乾灵, 赵俊强, 等. 从知到行: 跨越指南理论与实践的鸿沟[J]. 协和医学杂志, 2020, 11: 746-753. doi: 10.3969/j.issn.1674-9081.2020.06.020
[3]	Frantsve-Hawley J, Rindal DB. Translational Research: Bringing Science to the Provider Through Guideline Implementation[J]. Dent Clin North Am, 2019, 63: 129-144.
[4]	Pronovost PJ. Enhancing physicians' use of clinical guidelines[J]. JAMA, 2013, 310: 2501-2502.
[5]	Djulbegovic B, Guyatt GH. Progress in evidence-based medicine: a quarter century on[J]. Lancet, 2017, 390: 415-423.
[6]	Yang J, Han C, Yoon HK, et al. Experiences and barriers to implementation of clinical practice guideline for depression in Korea[J]. BMC Psychiatry, 2013, 13: 150.
[7]	Taba P, Rosenthal M, Habicht J, et al. Barriers and facilitators to the implementation of clinical practice guidelines: a cross-sectional survey among physicians in Estonia[J]. BMC Health Serv Res, 2012, 12: 455.
[8]	林照, 徐颖, 葛卫星, 等. 苏皖地区部分重症医师对重症病人营养支持指南临床实施情况调查与分析[J]. 肠外与肠内营养, 2018, 25: 342-345. https://www.cnki.com.cn/Article/CJFDTOTAL-CWCN201806005.htm
[9]	牛蓓蓓, 李佳, 王军, 等. 神经外科监护室护士预防胃内容物误吸指南实施现状调查与分析[J]. 中华现代护理杂志, 2018, 24: 1517-1521.
[10]	黄超, 杜亮, 陈耀龙, 等. 中国医务人员对临床实践指南的使用和需求调查[J]. 中国循证医学杂志, 2019, 19: 635-638. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXZ201906002.htm
[11]	李绪辉, 黄桥, 王永博, 等. 临床实践指南实施性促进研究之一: 实施性现状与促进策略[J]. 医学新知, 2021, 31: 410-418. https://www.cnki.com.cn/Article/CJFDTOTAL-YXXZ202106002.htm
[12]	Institute of Medicine. Clinical practice guidelines: directions for a new program[M]. Washington DC: the National Academies Press, 1990.
[13]	王子君, 史乾灵, 刘云兰, 等. 2019年期刊公开发表的中国临床实践指南文献调查与评价——制订人员及工作组情况[J]. 协和医学杂志, 2021, 12: 552-559. doi: 10.12290/xhyxzz.2021-0438
[14]	Brouwers MC, Kerkvliet K, Spithoff K, et al. The AGREE Reporting Checklist: a tool to improve reporting of clinical practice guidelines[J]. BMJ, 2016, 352: i1152.
[15]	Chen YL, Yang KH, Marušić A, et al. A reporting tool for practice guidelines in health care: the RIGHT statement[J]. Ann Intern Med, 2017, 166: 128-132.
[16]	王贵强, 王福生, 庄辉, 等. 慢性乙型肝炎防治指南(2019年版)[J]. 临床肝胆病杂志, 2019, 35: 2648-2669. https://www.cnki.com.cn/Article/CJFDTOTAL-LCGD201912010.htm
[17]	林夏, 杨克虎, 陈耀龙, 等. 中国临床实践指南的现状与思考[J]. 中国循证医学杂志, 2017, 17: 497-500. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXZ201705001.htm
[18]	Gruβ I, Pihlstrom DJ, Kaplan CD, et al. Stakeholder assessment of evidence-based guideline dissemination and implementation in a dental group practice[J]. JDR Clin Trans Res, 2021, 6: 87-95.
[19]	Li X, Yu X, Xie Y, et al. Critical appraisal of the quality of clinical practice guidelines for idiopathic pulmonary fibrosis[J]. Ann Transl Med, 2020, 8: 1405.
[20]	Al Wattar BH, Fisher M, Bevington L, et al. Clinical Practice Guidelines on the Diagnosis and Management of Polycystic Ovary Syndrome: A Systematic Review and Quality Assessment Study[J]. J Clin Endocrinol Metab, 2021, 106: 2436-2446.
[21]	Szeto CC, Lo WK, Li PK. Clinical practice guidelines for the provision of renal service in Hong Kong: Peritoneal Dialysis[J]. Nephrology, 2019, 24: 27-40.
[22]	Bhatt NR, Czarniecki SW, Borgmann H, et al. A syste-matic review of the use of social media for dissemination of clinical practice guidelines[J]. Eur Urol Focus, 2021, 7: 1195-1204.
[23]	Fischer F, Lange K, Klose K, et al. Barriers and strategies in guideline implementation-a scoping review[J]. Healthcare (Basel), 2016, 4: 36.
[24]	International Committee of Medical Journal Editors. Uniform requirements for manuscripts submitted to biomedical journals[J]. N Engl J Med, 1997, 336: 309-315.
[25]	王子君, 周奇, 邢丹, 等. 中国临床实践指南/共识解读类文献报告质量分析[J]. 协和医学杂志, 2021, 12: 260-267. doi: 10.12290/xhyxzz.20200250

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2019年期刊公开发表的中国临床实践指南文献调查与评价——传播与实施情况

doi: 10.12290/xhyxzz.2022-0028

通讯作者:
李秋, E-mail：liqiu809@126.com

陈耀龙, E-mail：chevidence@lzu.edu.cn

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Investigation and Evaluation of Chinese Clinical Practice Guidelines Published in Medical Journals in 2019: Analysis on Dissemination and Implementation

Corresponding author: LI Qiu, E-mail: liqiu809@126.com; CHEN Yaolong, E-mail: chevidence@lzu.edu.cn

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2019年期刊公开发表的中国临床实践指南文献调查与评价——传播与实施情况

doi: 10.12290/xhyxzz.2022-0028

通讯作者: 李秋, E-mail：liqiu809@126.com 陈耀龙, E-mail：chevidence@lzu.edu.cn

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出版历程

Investigation and Evaluation of Chinese Clinical Practice Guidelines Published in Medical Journals in 2019: Analysis on Dissemination and Implementation

Corresponding author: LI Qiu, E-mail: liqiu809@126.com; CHEN Yaolong, E-mail: chevidence@lzu.edu.cn

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出版历程

目录

通讯作者:
李秋, E-mail：liqiu809@126.com

陈耀龙, E-mail：chevidence@lzu.edu.cn