对国内针灸临床实践指南制定中共识达成的分析与思考

Analysis and thought on reaching the consensus during the development of acupuncture and moxibustion clinical practice guidelines in China

以28部国内针灸临床实践指南为对象,对其制定过程中与共识相关的内容进行归纳与分析。经统计,28部指南均报告了在“形成推荐意见”环节使用了共识,并对共识人员、共识方法、共识过程及共识材料等方面进行了报告。但研究发现目前国内针灸临床实践指南对共识的报告尚不规范,主要表现为对“专家组”的定义不清且职责不明、对“共识会议”和“专家讨论会”存在概念混淆、“形成推荐意见”环节的共识流程不规范和缺乏对共识过程的详细报告等。建议未来研究者就如何进一步规范指南制定中各共识环节开展研究,以提升针灸临床实践指南的质量与临床适用性。

Based on the 28 Chinese clinical practice guidelines of acupuncture and moxibustion,this study summarized and analyzed the contents related to reaching consensus during the development process.The results indicated that all the 28 guidelines reported they have used consensus in the"recommendations"section,and provided details on consensus personnel,consensus methods,consensus process and consensus materials.However,it was found that the reporting of consensus was in need of further improvement.The limitations included unclear definition and responsibilities of"expert group",obscure concept between"consensus meeting"and"expert discussion",non-rigorous process of reaching consensus when generating recommendations and lacking of detailed reporting of the consensus reaching process.As such,we suggested that future researchers should conduct researches to further standardized the consensus process when developing acupuncture and moxibustion clinical practice guidelines,so as to improve the quality and clinical applicability of guidelines.