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[Development of a Ranking Tool for Scientificity, Transparency and Applicability of Clinical Practice Guidelines].
Yang, N; Zhao, W; Pan, Y; Lyu, X Z; Hao, X Y; Qi, W A; Du, L; Liu, E M; Chen, T; Zhang, W S; Zhang, C F; Zhu, G N; Wang, Q M; Meng, W B; Liang, Y B; Jin, Y H; Wang, W; Xing, D; Tian, J H; Ma, B; Wang, X H; Song, X P; Ge, L; Yang, K H; Liu, X Q; Wei, J M; Chen, Yaolong.
  • Yang N; Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China.
  • Zhao W; General Editorial Office, Chinese Medical Association Publishing House, Beijing 100052, China.
  • Pan Y; Marketing and Sales Department, Chinese Medical Association Publishing House, Beijing 100052, China.
  • Lyu XZ; Editorial Department, Chinese Medical Journal, Chinese Medical Association Publishing House, Beijing 100052, China.
  • Hao XY; Editorial Department, Chinese Medical Journal (English Edition), Chinese Medical Association Publishing House, Beijing 100052, China.
  • Qi WA; Editorial Department, British Medical Journal (Chinese Edition), Chinese Medical Association Publishing House, Beijing 100052, China.
  • Du L; Evidence-Based Medicine Center, West China School of Medicine, West China Hospital, Sichuan University, Chengdu 610041.
  • Liu EM; Department of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400014.
  • Chen T; Department of Hematology, Huashan Hospital, Fudan University, Shanghai 200040, China.
  • Zhang WS; Department of Obstetrics and Gynecology, Xiangya Hospital, Central South University, Changsha 410008, China.
  • Zhang CF; Children's Hospital of Fudan University, Shanghai 201102, China.
  • Zhu GN; Department of Dermatology, Xijing Hospital, Xi'an 710032, China.
  • Wang QM; Department of Medical Oncology, Henan Cancer Hospital, Zhengzhou 450008, China.
  • Meng WB; Department of General Surgery, The First Hospital of Lanzhou University, Lanzhou 730000, China.
  • Liang YB; Department of Ophthalmology, The Eye Hospital of Wenzhou Medical University, Wenzhou 325027, China.
  • Jin YH; Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430072, China.
  • Wang W; Department of Urology, The Fifth People's Hospital of Shanghai, Fudan University, Shanghai 200240, China.
  • Xing D; Department of Trauma and Orthopaedics, Peking University People's Hospital, Beijing 100044, China.
  • Tian JH; Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China.
  • Ma B; Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China.
  • Wang XH; School of Public Health, Lanzhou University, Lanzhou 730000.
  • Song XP; School of Public Health, Lanzhou University, Lanzhou 730000.
  • Ge L; School of Public Health, Lanzhou University, Lanzhou 730000.
  • Yang KH; Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China.
  • Liu XQ; Department of Infectious Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union & Peking Union Medical College, Beijing 100730.
  • Wei JM; Chinese Medical Association Publishing House, Beijing 100052, China.
  • Chen Y; Research Unit of Evidence-Based Evaluation and Guidelines (2021RU017), Chinese Academy of Medical Sciences, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China Guidelines and Standards Research Center, Chinese Medical Association Publishing House, Beijing 100052, China.
Zhonghua Yi Xue Za Zhi ; 102: 1-10, 2022 May 31.
Article en Zh | MEDLINE | ID: mdl-35701091
ABSTRACT

Objective:

To address the limitations of existing methods and tools for evaluating clinical practice guidelines, we aimed to develop a comprehensive instrument focusing on the three main dimensions of guideline development scientificity, transparency, applicability. We will use it to rank the guidelines according to the scores. We abbreviated it as STAR, and its reliability, validity and usability were also tested.

Methods:

A multidisciplinary expert working group was set up, including methodologists, statisticians, journal editors, medical professionals, and others. Scoping review, Delphi methods and hierarchical analysis were used to determine the final checklist of STAR.

Results:

The new instrument contained 11 domains and 39 items. Intrinsic reliability of each domain was indicated by Cronbach's α coefficient, with a average value of 0.646. The Cohen's kappa coefficients for methodological evaluators and clinical evaluators were 0.783 and 0.618. The overall content validity index was 0.905. The R2 for the criterion validity analysis was 0.76. The average score for usability of the items was 4.6, and the mean time spent to evaluate each guideline was 20 minutes.

Conclusion:

The instrument has good reliability, validity and evaluating efficiency, and can be used for evaluating and ranking guidelines more comprehensively.
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Texto completo: 1 Banco de datos: MEDLINE Tipo de estudio: Guideline Idioma: Zh Año: 2022 Tipo del documento: Article
Texto completo
Imprimir
XML
PubMed Links
Search on Google

Texto completo: 1 Banco de datos: MEDLINE Tipo de estudio: Guideline Idioma: Zh Año: 2022 Tipo del documento: Article