LYU Meng, LUO Xufei, LIU Yunlan, REN Mengjuan, LIU Xiao, SHI Qianling, WANG Zijun, LU Shuya, LIU Hui, LI Qiu, CHEN Yaolong. Investigation and Evaluation of Chinese Clinical Practice Guidelines Published in Medical Journals in 2019: Analysis on Dissemination and Implementation[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(4): 673-678. DOI: 10.12290/xhyxzz.2022-0028
Citation: LYU Meng, LUO Xufei, LIU Yunlan, REN Mengjuan, LIU Xiao, SHI Qianling, WANG Zijun, LU Shuya, LIU Hui, LI Qiu, CHEN Yaolong. Investigation and Evaluation of Chinese Clinical Practice Guidelines Published in Medical Journals in 2019: Analysis on Dissemination and Implementation[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(4): 673-678. DOI: 10.12290/xhyxzz.2022-0028

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

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

  • Received Date: January 15, 2022
  • Accepted Date: March 31, 2022
  • Available Online: April 21, 2022
  • Issue Publish Date: July 29, 2022
  •   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.
  • [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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