临床实践指南基层版报告规范的研发

Development of Reporting Items for Practice Guidelines in Primary Care

背景临床实践指南基层版(简称基层指南)是指导基层临床实践的重要工具,但存在质量偏低、报告不规范的问题。目的基于国际实践指南报告规范(RIGHT)主文件,制定适合基层指南的报告规范。方法按照提高卫生研究质量和透明度(EQUATOR)协作网推荐的制订方法,成立条目研发组和专家共识组,研发组采用内容分析、头脑风暴和主题分析法形成初始条目,对专家共识组开展2轮德尔菲问卷调查,以确定最终条目。结果共形成13个基层指南初始条目(修改5个条目,新增8个条目),涵盖基层指南的标题、卫生问题、应用环境、推荐意见和对未来研究的建议5个主题。2022-12-02至2022-12-26,经2轮德尔菲问卷调查(22位专家,回复率均为100%)最终形成了15个条目的临床实践指南基层版报告规范。结论基层指南报告规范清单为基层指南的制订者和撰写人员提供了详细指导,将进一步提高基层指南特别是中国基层指南的报告质量。

Background Clinical practice guidelines in primary care are important tools to guide primary care practice,but they are found with relatively low quality and unstandardized reporting on the whole.Objective To develop the reporting guideline for clinical practice guidelines in primary care based on the Reporting Items for practice Guidelines in HealThcare(RIGHT).Methods According to the reporting methods recommended by EQUATOR Network,an item development group and an expert consensus group were established to develop reporting guideline for clinical practice guidelines in primary care.Content analysis,brainstorming,and topic analysis were used in developing the initial items.The Delphi survey was conducted to determine the final items.Results Thirteen items(five were modified and eight were added) were developed initially,covering five domains:guideline title,health issues,intended setting,recommendations and suggestions for future research.Then the initial item checklist was revised to a final version consisting of 15 items according to the results of two rounds of Delphi survey(with 100% response rates from 22 experts)conducted from December 2 to December 26,2022.Conclusion This reporting checklist will provide a detailed guide for developers of guidelines in primary care,which will further improve the reporting quality of guidelines in primary care,especially that of those in China.