目的 调查2019年期刊公开发表的中国临床实践指南的摘要报告现状,为相关研究人员撰写指南摘要及开展指南摘要报告规范研究提供参考。 方法 系统检索并筛选2019年期刊公开发表的中国临床实践指南,提取指南摘要相关信息,对2019年中国指南摘要的报告情况进行分析;基于初拟版RIGHT-Abstract报告清单(包含7个领域,19个条目)对摘要的报告质量进行评价,并比较摘要和正文内容报告的一致性。 结果 共纳入符合要求的指南226篇,报告摘要的指南96(42.5%)篇。其中,79(82.3%)篇指南发表语种为中文,同时提供中、英文摘要的指南占65.8%(52/79),17(17.7%)篇发表语种为英文;仅6(6.2%)篇指南为结构式摘要,仅16(16.7%)篇在摘要中报告了推荐意见关注的主要内容。RIGHT-Abstract各领域的报告率分别为:背景61.0%,方法13.2%,结果7.3%,审核2.1%,讨论、注册和资助均为0%。分析2019年中国指南摘要与正文内容报告的一致性,发现"疾病和卫生问题"的报告一致性最高(91.7%),其次为"目的"(78.1%)、"目标人群"(70.8%)、"使用者"(38.5%)和"制订人员"(38.5%),其余条目的一致性均低于20.0%。 结论 2019年中国指南摘要的整体报告率较低,结构式摘要占比较少,摘要报告的信息有限,未来需研发和推广正式的指南摘要报告规范,为相关研究人员提供指导。
Objective To investigate the reporting status of abstracts of Chinese clinical practice guidelines published in medical journals in 2019 and provide a reference for related researchers to write guideline abstracts and develop the reporting standard. Methods We systematically searched four electronic databases and additional sources for Chinese clinical practice guidelines published in medical journals in 2019. Four researchers independently screened the identified literature and extracted data related to abstracts. We analyzed the current status of abstract report, evaluated the reporting quality of guideline abstracts using the preliminary RIGHTAbstract reporting checklist (consists of 7 domains and 19 items) and assessed the consistency between the abstract and main text in content. Results A total of 226 guidelines were finally included, and 96 (42.5%) of which included abstracts. Among them, 79 (82.3%, 79/96) guidelines were published in Chinese, 65.8% (52/79) of which provided bilingual abstracts written in Chinese and English, and 17 (17.7%, 17/96) guidelines were published in English. Of the 96 guidelines that included abstracts, only 6 (6.2%) guidelines included structured abstracts, and 16 (16.7%) guidelines reported the main contents of recommendations in the abstract. The reporting rates in each RIGHT-Abstract domain were as follows:61.0% (background), 13.2% (methods), 7.3% (results), 2.1% (review), 0% (discussion, registry and funding). In terms of the consistency in content of abstract and main text, the item of the best consistency was the "diseases and health problems" (91.7%), followed by the "purpose" (78.1%), "target populations" (70.8%), "users" (38.5%) and "developers" (38.5%). For the rest of items, the consistencies were less than 20.0%. Conclusions The proportion of Chinese clinical practice guidelines published in medical journals in 2019 that included abstracts was relatively low, especially the structured abstracts. And the guideline abstracts provided limited information. It is necessary to develop and promote the formal reporting standard for the guideline abstracts in the future, to provide a guidance for related researchers.