糖尿病病临床实践指南的特点和质量:系统性审查
Wang Yuhuang1, Zhang Le2, Zhang Zhengshan1
1Department of Nephropathy and Endocrine, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100010, China.
概括
糖尿病病 (DKD) 的临床实践指南 (CPG) 经常存在方法上的缺陷. 需要在开发,应用和独立性方面提高严谨性,以获得更好的患者护理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 临床实践指南 临床实践指南
- 基于证据的医学 基于证据的医学
背景情况:
- 糖尿病病 (DKD) 是糖尿病的一个重要并发症.
- 高质量的临床实践指南 (CPG) 对于最佳的DKD管理至关重要.
- 现有的DKD CPG的方法质量需要进行彻底的评估.
研究的目的:
- 为了评估糖尿病病CPG的质量.
- 确定影响DKD CPG质量的因素.
- 为改善DKD CPG开发和应用提供建议.
主要方法:
- 在2023年7月之前,对八个数据库和组织网站进行了系统搜索.
- 包括专注于DKD诊断或治疗的CPG和共识声明.
- 四位审查员使用了研究和评估指南评估II (AGREE II) 工具来评估指南的质量.
主要成果:
- 包括16个CPG,主要来自亚洲 (14).
- 建议6个CPG,而5个需要修改,原因是利益相关者参与,适用性和编辑独立性得分低.
- 需要改进的关键领域包括开发的严格性 (33%),适用性 (36%) 和利益相关者的参与 (51%). 值得注意的是,患者的观点没有被考虑,证据分级系统被不一致地应用.
结论:
- 很大一部分DKD CPG的方法质量不佳.
- 在DKD指南小组的开发,应用和编辑独立性方面,需要改进.
- 利益相关者,开发者和用户在选择和实施DKD CPG时必须优先考虑方法质量.
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