衰弱老年人管理循证指南的质量评价

Quality evaluation of evidence-based guidelines for the management of frail elderly

目的评价国内外衰弱老年人管理相关的循证指南,分析各指南的特点,为国内开展衰弱老年人管理的实践提供参考。方法系统检索国内外权威指南网站、中英文数据库以及老年学医学专业学会网站中老年人衰弱管理的相关指南,检索时限为建库至2018年10月。采用临床研究与评估工具对符合纳入、排除标准的指南进行质量评价,并分析各指南的特点。结果共检索出3篇循证指南,质量评价的6个领域的平均标准化得分分别为:范围和目的97.5%,参与人员68.5%,严谨性65.3%,清晰性95.7%,应用性68.7%,编辑的独立性61.1%,指南总体质量评价为1篇A级,2篇B级。结论国内外衰弱老年人管理的循证指南数量较少,指南的总体质量有待提高,内容有待细化,国内有待形成本土的循证指南,指导衰弱老年人管理实践的开展。

Objective To evaluate the evidence-based guidelines for the management of frail elderly at home and abroad,and analyze the characteristics of each guideline,so as to provide references for the management of frail elderly in China.Methods We conducted a systematic retrieval of the relevant guidelines on frailty management of the elderly published or updated since the database was established until October 2018(the deadline for retrieval),in authoritative domestic and foreign guide websites,Chinese and English databases and the website of the professional society of gerontology and medicine.The 2017 updated version of the clinical research and evaluation tool for quality evaluation of guidelines meeting inclusion and exclusion criteria was used to analyze the characteristics of the guidelines.Results A total of 3 relevant evidence-based guidelines at home and abroad were retrieved.The average standardized scores of quality evaluation for the 6 areas were 97.5%for scope and purpose,68.5%for participants,65.3%for rigor,95.7%for clarity,68.7%for application,and 61.1%for independence.For overall quality,1 was Grade A and 2 were Grade B.Conclusion There is still a lack of evidence-based guidelines for the management of frail elderly at home and abroad,and the quality of developed guidelines needs to be improved,and contents need to be refined.Local evidence-based guidelines in China should be developed to guide the implementation of management of frail elderly.