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Investigation and Evaluation of Chinese Clinical Practice Guidelines Published in Medical Journals in 2019:Reporting Status of Abstract
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摘要:
目的 调查2019年期刊公开发表的中国临床实践指南摘要报告现状，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)对摘要报告质量进行评价，并比较摘要与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篇(42.5%)；79篇(82.3%)指南发表语种为中文，其中同时提供中、英文摘要的指南52篇(65.8%)，17篇(17.7%)发表语种为英文；仅6篇(6.3%)指南为结构式摘要，仅16篇(16.7%)指南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13.0%，结果7.3%，审核1.0%，讨论、注册和资助的报告率均为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。 Abstract: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 RIGHT-Abstract reporting checklist (consisting of 7 domains and 19 items) and assessed the consistency between the abstract and the main text. Results A total of 226 guidelines were finally included, 96(42.5%) of which included abstracts. Among the 96 guidelines, 79(82.3%, 79/96) were published in Chinese and 17(17.7%, 17/96) were published in English. Among the 79 guidelines in Chinese, 52(65.8%, 52/79) provided bilingual abstracts in both Chinese and English. Of the 96 guidelines with abstracts, only 6(6.3%) 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), 13.0%(methods), 7.3%(results), 1.0%(review), 0(discussion, registry and funding). In terms of the consistency in content between the abstract and the main text, the item with 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, so as to provide a guidance for related researchers. -
Key words:
- clinical practice guidelines /
- abstract /
- reporting quality
作者贡献：任梦娟、杨楠、刘云兰和孙雅佳负责指南摘要信息提取及报告质量评价；任梦娟、杨楠负责数据统计和论文初稿撰写；杨楠、刘云兰、孙雅佳、史乾灵、周奇、王子君负责论文修订；陈耀龙负责论文选题、结构设计、团队组建、质量控制及文章修订。利益冲突：所有作者均声明不存在利益冲突 -
表 1 初拟版RIGHT-Abstract报告清单条目来源
领域 条目 Hayward等的摘要报告标准[4] CONSORT-Abstract[11] PRISMA-Abstract[12] RIGHT[13] 背景 指南关注疾病或卫生问题的简要描述 √ √ 指南制订的主要目的 √ √ √ √ 指南拟实施的主要目标人群 √ √ √ 指南推荐的主要使用者 √ 指南适合的使用环境 √ √ 方法 参与指南制订的主要人员 √ √ 证据检索相关信息 √ √ √ 证据选择的标准，如研究类型等 √ √ 证据综合相关信息 √ √ √ 证据质量分级方法 √ √ 指南的共识或决策方法及过程等信息 √ 结果 指南推荐意见关注的主要内容 √ √ 推荐强度相关内容，如分级方法等 √ 推荐意见实施的利弊 √ √ √ √ 审核 外部评审过程 √ √ 讨论 指南应用的促进和阻碍因素 √ √ 对未来研究的建议 √ 注册 指南注册信息，包括注册平台或注册号 √ √ 资助 指南制订过程中的资金来源 √ √ √ √ CONSORT：临床试验报告统一标准；PRISMA：系统评价和Meta分析优先报告条目；RIGHT：国际实践指南报告规范；√：初拟版RIGHT-Abstract报告清单的形成参考了该条目 
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表 2 226篇2019年期刊公开发表的中国临床实践指南摘要报告率[n(%)]
分组 报告摘要的指南数量 报告结构式摘要的指南数量 发表语种 中文(n=187) 79(42.2) 3(1.6) 英文(n=39) 17(43.6) 3(7.7) 期刊收录类型* CSCD收录(n=114) 57(50.0) 1(0.9) 非CSCD收录(n=73) 22(30.1) 2(2.7) SCI收录(n=34) 12(35.3) 2(5.9) 非SCI收录(n=5) 5(100.0) 1(20.0) CSCD：中国科学引文数据库；SCI：科学引文索引；*中文期刊按照是否被CSCD收录进行分类，英文期刊按照是否被SCI收录进行分类
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表 3 96篇2019年期刊公开发表的中国临床实践指南摘要各领域报告率(%)
分组 背景 方法 结果 审核 讨论 注册 资助 整体报告率(n=96) 61.0 13.0 7.3 1.0 0 0 0 发表语种 中文(n=79) 62.8 12.0 5.9 1.3 0 0 0 英文(n=17) 52.9 17.6 13.7 5.9 0 0 0 期刊收录类型* CSCD收录(n=57) 62.5 11.1 5.8 1.8 0 0 0 非CSCD收录(n=22) 63.6 14.4 6.1 0 0 0 0 SCI收录(n=12) 53.3 15.3 16.7 0 0 0 0 非SCI收录(n=5) 52.0 23.3 6.7 20.0 0 0 0 CSCD、SCI：同表 2；*同表 2
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表 4 96篇2019年期刊公开发表的中国临床实践指南摘要各条目报告情况[n(%)]
领域 条目 指南总数(n=96) 中文指南(n=79) 英文指南(n=17) 背景 疾病和卫生问题 88(91.7) 72(91.1) 16(94.1) 目的 84(87.5) 72(91.1) 12(70.6) 目标人群 68(70.8) 54(68.4) 14(82.4) 使用者 41(42.7) 38(48.1) 3(17.6) 使用环境 12(12.5) 12(15.2) 0(0) 方法 制订人员 37(38.5) 32(40.5) 5(29.4) 证据检索 6(6.3) 4(5.1) 2(11.8) 证据选择 2(2.1) 1(1.3) 1(5.9) 证据综合 4(4.2) 3(3.8) 1(5.9) 证据分级 7(7.3) 3(3.8) 4(23.5) 共识或决策过程 19(19.8) 14(17.7) 5(29.4) 结果 推荐意见 16(16.7) 13(16.5) 3(17.6) 推荐强度 4(4.2) 1(1.3) 3(17.6) 利弊 1(1.0) 0(0) 1(5.9) 审核 外部评审 1(1.0) 1(1.3) 0(0) 讨论 应用的促进和阻碍因素 0(0) 0(0) 0(0) 未来的研究建议 0(0) 0(0) 0(0) 注册 指南注册信息 0(0) 0(0) 0(0) 资助 资金来源 0(0) 0(0) 0(0)
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表 5 96篇2019年期刊公开发表的中国临床实践指南摘要与正文内容一致性分析[n(%)]
领域 条目 摘要与正文均报告 仅正文报告 仅摘要报告 均未报告 背景 疾病和卫生问题 88(91.7) 8(8.3) 0(0) 0(0) 目的 75(78.1) 5(5.2) 9(9.4) 7(7.3) 目标人群 68(70.8) 28(29.2) 0(0) 0(0) 使用者 37(38.5) 20(20.8) 4(4.2) 35(36.5) 使用环境 9(9.4) 9(9.4) 3(3.1) 75(78.1) 方法 制订人员 37(38.5) 59(61.5) 0(0) 0(0) 证据检索 5(5.2) 15(15.6) 1(1.0) 75(78.1) 证据选择 1(1.0) 11(11.5) 1(1.0) 83(86.5) 证据综合 4(4.2) 3(3.1) 0(0) 89(92.7) 证据分级 7(7.3) 46(47.9) 0(0) 43(44.8) 共识或决策过程 17(17.7) 10(10.4) 2(2.1) 67(69.8) 结果 推荐意见 13(13.5) 44(45.8) 3(3.1) 36(37.5) 推荐强度 4(4.2) 42(43.8) 0(0) 50(52.1) 利弊 1(1.0) 93(96.9) 0(0) 2(2.1) 审核 外部评审 1(1.0) 11(11.5) 0(0) 84(87.5) 讨论 应用的促进和阻碍因素 0(0) 38(39.6) 0(0) 58(60.4) 未来的研究建议 0(0) 16(16.7) 0(0) 80(83.3) 注册 指南注册信息 0(0) 6(6.3) 0(0) 90(93.8) 资助 资金来源 0(0) 39(40.6) 0(0) 57(59.4)
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