中国糖尿病足诊疗指南的方法学质量评价

Quality assessment of Chinese clinical practice guidelines for diagnosis and management of diabetic foot

目的系统评价中国糖尿病足诊疗指南的方法学质量。方法计算机检索CNKI、WanFang Data、VIP、CBM和医脉通数据库,以及中华医学会糖尿病学分会、中国中西医结合学会和中国微循环学会周围血管疾病专业委员会的网站,搜集中国国内发表的糖尿病足诊疗指南,检索时限均为建库至2020年5月。由4名研究者独立采用AGREEⅡ工具对纳入的指南进行方法学质量评价。结果共纳入10部指南,6个领域的平均得分依次为:范围和目的75.74%,参与人员36.85%,制订的严谨性28.61%,清晰性86.30%,应用性43.47%,编辑独立性9.44%。结论我国现有糖尿病足指南数量较少,但方法学质量不高,今后在指南制订中应按照国际公认的指南制订规范和流程,进一步提高我国糖尿病足指南质量。

Objective To systematically review the methodological quality of Chinese clinical practice guidelines(CPGs)for diagnosis and management of diabetic foot.Methods CNKI,WanFang Data,VIP,CBM,Yimaitong databases,website of Diabetes Branch of Chinese Medical Association,website of Chinese Integrative Medicine Association and website of Peripheral Vascular Disease Professional Committee of Chinese Society of Microcirculation were electronically searched to collect relevant CPGs from inception to May,2020.Four researchers independently evaluated the CPGs methodological quality by using AGREEⅡtool.Results A total of 10 Chinese CPGs for diabetes foot were included.The standardized mean scores for various fields were 75.74%for scope and purpose,36.58%for stakeholder involvement,28.61%for rigor of development,86.30%for clarity and presentation,43.47%for applicability,and 9.44%for editorial independence.Conclusions There are merely a small quantity of diabetic foot guidelines in China,and the methodological quality is insufficient.Therefore,more attention should be focused on the establishment of guidelines in the future,so as to further improve the quality of Chinese diabetic foot guidelines.