AGREEⅡ系统对现行国内外急性胰腺炎指南的评价分析

王宇; 饶友义; 郭军; 杨建波; 刘华柱; 赵新华; 潘沈亮; 宁红

doi:10.3969/j.issn.1001-5256.2018.06.019

AGREEⅡ系统对现行国内外急性胰腺炎指南的评价分析

DOI: 10.3969/j.issn.1001-5256.2018.06.019

1. 绵阳市中心医院药剂科
2. 绵阳市中心医院儿科
3. 绵阳市中心医院消化内科

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中图分类号: R576
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出版历程
- 收稿日期: 2017-11-16
- 出版日期: 2018-06-20

Evaluation and analysis of the current guidelines for acute pancreatitis using Appraisal of Guidelines for Research and Evaluation Ⅱ

Department of Pharmacy, Mianyang Central Hospital

摘要

摘要: 目的采用AGREEⅡ系统对目前国内外急性胰腺炎指南质量进行评价分析。方法按照纳入和排除标准筛选检索万方、中国知网、维普和Pub Med、Cochrane、Elsevier等数据库2005年-2016年急性胰腺炎综合诊治指南。对纳入指南的颁布机构、证据评价依据、发表年份等内容进行统计。采用AGREEⅡ系统对纳入临床指南的质量进行评价。国内外指南评分比较采用独立样本非参数Mann-Whitney U检验。结果共纳入指南/共识10篇,其中国外指南6篇,国内指南4篇。3位评分者对10篇指南的AGREEⅡ评价结果组内相关系数均大于0.75（P值均<0.05）,具有极好的一致性。评价结果显示,目前国内外指南中,范围和目的及表达的明晰性领域得分均值较高,分别为50.37%、53.15%,其中国外指南评分平均值高于国内指南（64.51%vs 29.16%,Z=-2.558,P=0.011;73.77%vs 22.22%,Z=-2.574,P=0.010）;参与人员、制订的严谨性及实用性方面得分均值较低（分别为28.70%、30.49%、19.17%）,其中在制订的严谨性方面国外指南评分平均值高于...
- 胰腺炎 /
- 诊疗准则 /
- 评价研究
Abstract: Objective To investigate the quality of the guidelines for acute pancreatitis in China and foreign countries using Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. Methods According to inclusion and exclusion criteria, Wanfang Data, CNKI, VIP, Pub Med, Cochrane, and Elsevier were searched for the guidelines for the diagnosis and treatment of acute pancreatitis published from 2005 to 2016. As for the guidelines included, the information on the institutions that issued the guidelines, the basis for evidence evaluation, and the year of issuance was collected. The AGREE II instrument was used to evaluate the quality of the guidelines included in this study. The independent-samples nonparametric Mann-Whitney U test was used to compare the scores of guidelines in China and foreign countries. Results A total of 10 guidelines/consensus statements were included, among which 4 were published by China and 6 were published by foreign countries. The AGREE II results of 10 guidelines evaluated by three reviewers had an interclass correlation coefficient of> 0. 75 (all P < 0. 05) , which showed good consistency. The evaluation results showed that these guidelines had high mean scores of“Scope and Purpose”and“Clarity of Presentation” (50. 37% and 53. 15%, respectively) , and the guidelines in foreign countries had significantly higher mean scores than the guidelines in China (64. 51% vs 29. 16%, Z =-2. 558, P = 0. 011; 73. 77% vs 22. 22%, Z =-2. 574, P = 0. 010) . The guidelines had low mean scores of “Stakeholder Involvement”, “Rigour of Development”, and“Applicability” (28. 70%, 30. 49%, and 19. 17%, respectively) , and the guidelines in foreign countries had a significantly higher mean score of“Rigour of Development”than the guidelines in China (48. 96% vs 2. 78%, Z =-2. 557, P = 0. 011) . All guidelines had a mean score of“Editorial Independence”of 41. 39%, and the guidelines in foreign countries had a significantly higher mean score than the guidelines in China (68. 98% vs 0, Z =-2. 648, P = 0. 008) . The recommendation levels of the guidelines in China and foreign countries were C and B, respectively. Conclusion “Stakeholder Involvement”, “Rigour of Development”, and“Applicability”of the guidelines for acute pancreatitis need to be improved. The guidelines for acute pancreatitis in foreign countries are evidence-based guidelines and can be used after appropriate revision. The overall quality of the guidelines in China are inferior to those in foreign countries in the aspects of “Rigour of Development”, “Applicability”, and“Editorial Independence”, and therefore, it is recommended to further regulate the drafting and editing of evidence-based guidelines for acute pancreatitis in China, in order to promote the standard diagnosis and treatment of acute pancreatitis in China.
- pancreatitis /
- practice guideline /
- evaluation studies

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参考文献(20)

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