临床实践指南的国际经验和中国道路
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摘要
为帮助医务人员、卫生政策的制定者和管理者及患者更清晰明确地理解指南的内涵、意义和作用,《协和医学杂志》特开辟临床实践指南系列文章专栏,首期策划包括10篇文章,立足指南的制订与评价,深度剖析国内外指南现状、挑战和机遇,力图为中国的指南发展提出建议与思考。
To help clinicians,health policy makers,health administrators,and patients better know the concepts,meaning,and roles of clinical practice guidelines,Medical Journal of Peking Union Medical College Hospital plans to dedicate one special column to publish a series of papers to analysis the status quo,challenges,and opportunities of domestic and international clinical practice guidelines,and then provide recommendations and suggestions on how to improve clinical practice guidelines in China.
To help clinicians,health policy makers,health administrators,and patients better know the concepts,meaning,and roles of clinical practice guidelines,Medical Journal of Peking Union Medical College Hospital plans to dedicate one special column to publish a series of papers to analysis the status quo,challenges,and opportunities of domestic and international clinical practice guidelines,and then provide recommendations and suggestions on how to improve clinical practice guidelines in China.
引文
[1]Wu Y,Yin D,Abbasi K.China's medical research revolution[J].BMJ,2018,360:k547.
[2]Chen Y,Wang C,Shang H,et al.Clinical practice guidelines in China[J].BMJ,2018,360:j5158.
[3]Fu W,Zhao S,Zhang Y,et al.Research in health policy making in China:out-of-pocket payments in Healthy China2030[J].BMJ,2018;360:k234.
[4]Zhang L,Wang H,Li Q,et al.Big data and medical research in China[J].BMJ,2018,360:j5910.
[5]Sun X,Tan J,Tang L,et al.Real world evidence:experience and lessons from China[J].BMJ,2018,360:j5262.
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[7]王琪.中国临床实践指南质量评价研究[D].兰州:兰州大学,2017.
[8]Abdul-Khalek RA,Darzi AJ,Godah MW,et al.Methods used in adaptation of health-related guidelines:A systematic survey[J].J Glob Health,2017,7:020412.
[9]ADAPTE Collaboration.ADAPTE Resource Toolkit for Guideline Adaptation Version 1.0:2007.https://www.g-i-n.net.
[10]Schu nemann HJ,Wiercioch W,Brozek J,et al.GRADEEvidence to Decision Frameworks for adoption,adaptation and de novo development of trustworthy recommendations:GRADE-ADOLOPMENT[J].J Clin Epidemiol,2016,81:101-110.
[11]Vernooij RWM,Pablo AC,Melissa B,et al.Reporting Items for Updated Clinical Guidelines:Checklist for the Reporting of Updated Guidelines(CheckUp)[J].PLoS Med,2017,14:e1002207.
[12]Schünemann HJ,Al-Ansary LA,Forland F,et al.Guidelines International Network:Principles for Disclosure of Interests and Management of Conflicts in Guidelines[J].Ann Intern Med,2015,163:548-553.
[13]Norris SL,Holmer HK,Ogden LA,et al.Conflict of Interest in Clinical Practice Guideline Development:A Systematic Review[J].PLoS One,2011,6:e25153.
[14]Sox HC.Conflict of interest in practice guidelines panels[J].JAMA,2017,317:1739-1740.
[15]Chen Y,Yang K,Norris SL.Managing conflicts of interest in practice guidelines panels[J].JAMA,2017,318:866-867.
[16]Guidelines 2.0:systematic development of a comprehensive checklist for a successful guideline enterprise[J].CMAJ,2014,186:E123-E142.
[17]Yawn BP,Akl EA,Qaseem A,et al.Identifying target audiences:who are the guidelines for?:article 1 in Integrating and coordinating efforts in COPD guideline development.An official ATS/ERS workshop report[J].Proc Am Thorac Soc,2012,9:219-224.
[18]Jiang L,Krumholz HM,Li X,et al.Achieving best outcomes for patients with cardiovascular disease in China by enhancing the quality of medical care and establishing a learning health-care system[J].Lancet,2015,386:1493-1505.
[19]Hirsh J,Guyatt G.Clinical experts or methodologists to write clinical guidelines?[J].Lancet,2009,374:273-275.
[20]Shekelle PG,Ortiz E,Rhodes S,et al.Validity of the A-gency for Healthcare Research and Quality Clinical Practice Guidelines:How Quickly Do Guidelines Become Outdated?[J].JAMA,2001,286:1461-1467.
[21]Akl EA,Meerpohl JJ,Elliott J,et al.Living systematic reviews:4.Living guideline recommendations[J].J Clin Epidemiol,2017,91:47-53.
[22]Siemieniuk RA,Agoritsas T,Macdonald H,et al.Introduction to BMJ rapid recommendations[J].BMJ,2016,354:i5191.
[23]Johnston A,Kelly SE,Hsieh SC,et al.Systematic reviews of clinical practice guidelines:a methodological guide[J].JClin Epidemiol,2018.[Epub ahead of print].
[24]王小琴,童雅婧,何江华,等.患者指南制订的基本原则和方法(一)[J].中国循证儿科杂志,2017,12:476-478.
[25]王小琴,肖玉洁,马艳芳,等.中国临床实践指南制订者对患者指南认知度的调查[J].中国循证医学杂志,2019,19:12-17.
[26]Guideline-International-Network.G-I-N PublicToolkit:Patient and Public Involvement in Guidelines[EB/M].2015.https://www.g-i-n.net/document-store/working-groupsdocuments/g-i-n-public/toolkit/toolkit-2015.
[27]姚沙,卢传坚,陈耀龙,等.中医(中西医结合)临床实践指南制修订方法---指南的定义与分类[J].中华中医药杂志,2016,31:165-168.
[28]姚沙,卢传坚,陈耀龙,等.中医(中西医结合)临床实践指南制修订方法---指南选题[J].中华中医药杂志,2016,31:542-546.
[29]Joint Commission International.Clinical practice guidelines:closing the gap between theory and practice[EB/M].JCI,2016.https://www.elsevier.com/_data/assets/pdf_file/0007/190177/JCI-Whitepaper_cpgs-closing-the-gap.pdf.
[30]Peek N,Combi C,Marin R,et al.Thirty years of artificial intelligence in medicine(AIME)conferences:A review of research themes[J].Artif Intell Med,2015,65:61-73.
[2]Chen Y,Wang C,Shang H,et al.Clinical practice guidelines in China[J].BMJ,2018,360:j5158.
[3]Fu W,Zhao S,Zhang Y,et al.Research in health policy making in China:out-of-pocket payments in Healthy China2030[J].BMJ,2018;360:k234.
[4]Zhang L,Wang H,Li Q,et al.Big data and medical research in China[J].BMJ,2018,360:j5910.
[5]Sun X,Tan J,Tang L,et al.Real world evidence:experience and lessons from China[J].BMJ,2018,360:j5262.
[6]Brouwers M,Kho ME,Browman GP,et al.AGREE Next Steps Consortium:AGREE II:Advancing guideline development,reporting and evaluation in healthcare[J].CMAJ,2010,182:E839-E842.
[7]王琪.中国临床实践指南质量评价研究[D].兰州:兰州大学,2017.
[8]Abdul-Khalek RA,Darzi AJ,Godah MW,et al.Methods used in adaptation of health-related guidelines:A systematic survey[J].J Glob Health,2017,7:020412.
[9]ADAPTE Collaboration.ADAPTE Resource Toolkit for Guideline Adaptation Version 1.0:2007.https://www.g-i-n.net.
[10]Schu nemann HJ,Wiercioch W,Brozek J,et al.GRADEEvidence to Decision Frameworks for adoption,adaptation and de novo development of trustworthy recommendations:GRADE-ADOLOPMENT[J].J Clin Epidemiol,2016,81:101-110.
[11]Vernooij RWM,Pablo AC,Melissa B,et al.Reporting Items for Updated Clinical Guidelines:Checklist for the Reporting of Updated Guidelines(CheckUp)[J].PLoS Med,2017,14:e1002207.
[12]Schünemann HJ,Al-Ansary LA,Forland F,et al.Guidelines International Network:Principles for Disclosure of Interests and Management of Conflicts in Guidelines[J].Ann Intern Med,2015,163:548-553.
[13]Norris SL,Holmer HK,Ogden LA,et al.Conflict of Interest in Clinical Practice Guideline Development:A Systematic Review[J].PLoS One,2011,6:e25153.
[14]Sox HC.Conflict of interest in practice guidelines panels[J].JAMA,2017,317:1739-1740.
[15]Chen Y,Yang K,Norris SL.Managing conflicts of interest in practice guidelines panels[J].JAMA,2017,318:866-867.
[16]Guidelines 2.0:systematic development of a comprehensive checklist for a successful guideline enterprise[J].CMAJ,2014,186:E123-E142.
[17]Yawn BP,Akl EA,Qaseem A,et al.Identifying target audiences:who are the guidelines for?:article 1 in Integrating and coordinating efforts in COPD guideline development.An official ATS/ERS workshop report[J].Proc Am Thorac Soc,2012,9:219-224.
[18]Jiang L,Krumholz HM,Li X,et al.Achieving best outcomes for patients with cardiovascular disease in China by enhancing the quality of medical care and establishing a learning health-care system[J].Lancet,2015,386:1493-1505.
[19]Hirsh J,Guyatt G.Clinical experts or methodologists to write clinical guidelines?[J].Lancet,2009,374:273-275.
[20]Shekelle PG,Ortiz E,Rhodes S,et al.Validity of the A-gency for Healthcare Research and Quality Clinical Practice Guidelines:How Quickly Do Guidelines Become Outdated?[J].JAMA,2001,286:1461-1467.
[21]Akl EA,Meerpohl JJ,Elliott J,et al.Living systematic reviews:4.Living guideline recommendations[J].J Clin Epidemiol,2017,91:47-53.
[22]Siemieniuk RA,Agoritsas T,Macdonald H,et al.Introduction to BMJ rapid recommendations[J].BMJ,2016,354:i5191.
[23]Johnston A,Kelly SE,Hsieh SC,et al.Systematic reviews of clinical practice guidelines:a methodological guide[J].JClin Epidemiol,2018.[Epub ahead of print].
[24]王小琴,童雅婧,何江华,等.患者指南制订的基本原则和方法(一)[J].中国循证儿科杂志,2017,12:476-478.
[25]王小琴,肖玉洁,马艳芳,等.中国临床实践指南制订者对患者指南认知度的调查[J].中国循证医学杂志,2019,19:12-17.
[26]Guideline-International-Network.G-I-N PublicToolkit:Patient and Public Involvement in Guidelines[EB/M].2015.https://www.g-i-n.net/document-store/working-groupsdocuments/g-i-n-public/toolkit/toolkit-2015.
[27]姚沙,卢传坚,陈耀龙,等.中医(中西医结合)临床实践指南制修订方法---指南的定义与分类[J].中华中医药杂志,2016,31:165-168.
[28]姚沙,卢传坚,陈耀龙,等.中医(中西医结合)临床实践指南制修订方法---指南选题[J].中华中医药杂志,2016,31:542-546.
[29]Joint Commission International.Clinical practice guidelines:closing the gap between theory and practice[EB/M].JCI,2016.https://www.elsevier.com/_data/assets/pdf_file/0007/190177/JCI-Whitepaper_cpgs-closing-the-gap.pdf.
[30]Peek N,Combi C,Marin R,et al.Thirty years of artificial intelligence in medicine(AIME)conferences:A review of research themes[J].Artif Intell Med,2015,65:61-73.