中医药临床实践指南适用性评价建议清单及解读

Applicability evaluation recommendation list and interpretation of traditional Chinese medicine clinical practice guidelines

指南的制定不仅要满足严谨的方法学要求,还要确保指南推荐意见应用于临床时的可信性或可实施性。基于建立一个完善的适用于中医药领域的指南评价体系的构想,笔者认为一个完整的中医药领域临床实践指南评价体系分为质量评价、适用性评价及临床应用性调查3部分。其中,适用性评价指的是评价指南与临床的贴合程度,即指南是否具有良好的可读性和临床适用性,以促进临床的应用。评价人员是中医药相关专业领域的临床专家。一个逻辑清晰、详细全面的指南适用性评价清单将为中医药指南制订小组人员提供好的评价工具,对于指南的质量以及推广应用起到重要的促进作用。笔者主要参考国际上适用性评价工具的制订流程及方法,以及通过权威的中医药临床专家及方法学家的论证,制订出适用于中医药领域的临床实践指南适用性评价建议清单。该文介绍了整个适用性评价建议清单的条目,并对每个条目给予详细解读,希望为将来中医药临床实践指南制订过程的规范化提供借鉴和参考。

The development of the guidelines should not only meet the rigorous methodological requirements, but also ensure the credibility or enforceability of the guideline recommendations when they are applied in clinical practice. Based on the idea of establi-shing a perfect guideline evaluation system applicable to the field of traditional Chinese medicine(TCM), the author believed that a complete evaluation system of clinical practice guidelines in the field of TCM shall be divided into three parts: quality evaluation, applicability evaluation and clinical application investigation. Among them, applicability evaluation refers to the evaluation of the degree of fit between the guideline and clinical practice, that is, whether the guidelines have good readability and clinical applicability to promote clinical application. The evaluators are clinical experts in the related fields of TCM. Therefore, a logical, detailed and comprehensive guideline quality evaluation list will provide good evaluation tools for the TCM guideline formulation team and play an important role in promoting the quality and application of the guidelines. Based on the internationally recognized development process and methods of evaluation tools, as well as the proof by authoritative TCM clinical experts and methodologists, the author worked out the quality evaluation list of clinical practice guidelines applicable to the field of TCM. In this paper, the author introduces the whole list of quality evaluation, and interprets each item in details, hoping to provide reference for the standardization of TCM clinical practice guidelines in the future.