WANG Ling, REN Yaxuan, LUO Xufei, ZHU Di, LI Zhewei, WANG Ye, WANG Bingyi, ZHANG Huayu, YANG Shu, CHEN Yaolong. Analysis of the Current Status of China's Adaptation Guidelines[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(1): 192-201. DOI: 10.12290/xhyxzz.2023-0545
Citation: WANG Ling, REN Yaxuan, LUO Xufei, ZHU Di, LI Zhewei, WANG Ye, WANG Bingyi, ZHANG Huayu, YANG Shu, CHEN Yaolong. Analysis of the Current Status of China's Adaptation Guidelines[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(1): 192-201. DOI: 10.12290/xhyxzz.2023-0545

Analysis of the Current Status of China's Adaptation Guidelines

Funds: 

the Central Universities lzujbky-2021-ey13

More Information
  • Corresponding author:

    CHEN Yaolong, E-mail: chevidence@lzu.edu.cn

  • Received Date: November 15, 2023
  • Accepted Date: December 28, 2023
  • Available Online: January 04, 2024
  • Issue Publish Date: January 29, 2024
  •   Objective  To analyze the current status of the development of adaptation guidelines in China, as well as their methodological quality and the reporting quality, in order to provide reference for the development of adaptation guidelines.
      Methods  We searched and collected adaptation guidelines led by Chinese researchers or institutions from 2015 to 2023 from four electronic databases, China National Knowledge Infrastructure, WanFang Data Knowledge Service Platform, SinoMed and PubMed, extracted the basic information of the adapted guidelines, and assessed their methodological quality and reporting quality using the Appraisal of Guidelines for REsearch and Evaluation (AGREE) Ⅱ and RIGHT-Ad@pt tools.
      Results  A total of 14 adaptation guidelines were included, mainly focusing on nursing (42.9%, 6/14), with the most frequently used adaptation method of ADAPTE (71.4%, 10/14), and with reference to pre-existing guidelines mainly from the United States, the United Kingdom, and international organizations. Assessment by the AGREE Ⅱ tool showed that the average methodological quality score of the adapted guidelines was 36.6%. The scores were relatively high in the domains of clarity of expression and rigor of formulation (44.4% and 54.9%), and lowest in the domain of applicability (15.3%). The results of the RIGHT-Ad@pt tool showed that the reporting quality of the adaptation guidelines was relatively good, with the highest reporting rate of 91.2% and the lowest of 35.3%, and the reporting rates of seven articles were higher than 70%.
      Conclusions  Adaptation guidelines in China are still in their infancy, with a relatively small number and mainly focusing on the nursing field. The most commonly used adaptation method is the ADAPTE method. The methodological quality and reporting quality of adaptation guidelines need to be further improved, and more research should be conducted on the specific conditions and timing of adaptation guidelines development.
  • [1]
    胡晶, 陈茹, 谢雁鸣, 等. 科学和规范的改编临床实践指南[J]. 中国循证儿科杂志, 2012, 7(3): 226-230. DOI: 10.3969/j.issn.1673-5501.2012.03.014

    Hu J, Chen R, Xie Y M, et al. Scientific and standardized adaptation of clinical practice guidelines[J]. Chin J Evid Based Pediatr, 2012, 7(3): 226-230. DOI: 10.3969/j.issn.1673-5501.2012.03.014
    [2]
    Mehndiratta A, Sharma S, Gupta N P, et al. Adapting clinical guidelines in India-a pragmatic approach[J]. BMJ, 2017, 359: j5147.
    [3]
    The ADAPTE Collaboration. The ADAPTE Process: Resource Toolkit for Guideline Adaptation. Version2.0[EB/OL]. [2023-11-10]. http://www.g-i-n.net.
    [4]
    牛珍, 刘振, 车刚, 等. 改编指南现状分析及研究前景[J]. 中国循证医学杂志, 2021, 21(11): 1339-1343.

    Niu Z, Liu Z, Che G, et al. Current situation and research prospects of adaptation guidelines[J]. Chin J Evid Based Pediatr, 2021, 21(11): 1339-1343.
    [5]
    Brouwers M C, Kho M E, Browman G P, et al. AGREE Ⅱ: advancing guideline development, reporting and evaluation in health care[J]. CMAJ, 2010, 182(18): E839-E842. DOI: 10.1503/cmaj.090449
    [6]
    Song Y, Alonso-Coello P, Ballesteros M, et al. A reporting tool for adapted guidelines in health care: the RIGHT-Ad@pt checklist[J]. Ann Intern Med, 2022, 175(5): 710-719. DOI: 10.7326/M21-4352
    [7]
    上海市循证护理中心. 艾滋病护理临床实践指南[EB/OL]. [2023-11-10]. http://ebn.nursing.fudan.edu.cn/detail/137?p=resource%2Fguide&name=%E6%8C%87%E5%8D%97.

    Shanghai Evidence-based Nursing Center. HIV/AIDS nursing clinical practice guidelines[E/OL]. [2023-11-10]. http://ebn.nursing.fudan.edu.cn/detail/137?p=resource%2Fguide&name=%E6%8C%87%E5%8D%97.
    [8]
    高尚谦, 王芳, 郭海玲, 等. 基于指南的脑卒中患者吞咽困难识别与管理循证实践方案的构建[J]. 中国护理管理, 2016, 16(12): 1623-1627.

    Gao S Q, Wang F, Guo H L, et al. Construction of evidence-based clinical practice program for identification and management of dysphagia in stroke[J]. Chin Nurs Manag, 2016, 16(12): 1623-1627.
    [9]
    Lee G H M, McGrath C, Yiu C K Y. Developing clinical practice guidelines for caries prevention and management for pre-school children through the ADAPTE process and Delphi consensus[J]. Health Res Policy Syst, 2016, 14(1): 44. DOI: 10.1186/s12961-016-0117-0
    [10]
    杨漂羽, 施姝澎, 张玉侠, 等. 住院新生儿母乳喂养循证指南的改编及评价[J]. 中华护理杂志, 2018, 53(1): 57-64.

    Yang P Y, Shi S P, Zhang Y X, et al. Adaptation and evaluation of evidence-based guidelines for breastfeeding in neonates in hospital[J]. Chin J Nurs, 2018, 53(1): 57-64.
    [11]
    Hu J L, Yu L L, Jiang L L, et al. Developing a guideline for endotracheal suctioning of adults with artificial airways in the perianesthesia setting in China[J]. J Perianesth Nurs, 2019, 34(1): 160-168.e4. DOI: 10.1016/j.jopan.2018.03.005
    [12]
    章孟星, 周英凤, 钟婕, 等. 妊娠期糖尿病临床护理实践指南的整合研究[J]. 中华护理杂志, 2019, 54(1): 104-113. DOI: 10.3761/j.issn.0254-1769.2019.01.022

    Zhang M X, Zhou Y F, Zhong J, et al. The adaptation of clinical nursing practice guideline for gestational diabetes mellitus[J]. Chin J Nurs, 2019, 54(1): 104-113. DOI: 10.3761/j.issn.0254-1769.2019.01.022
    [13]
    单亚维, 陈维佳, 金丽娟, 等. 全膝关节置换术加速康复循证护理实践方案的构建[J]. 护理学报, 2020, 27(21): 33-39.

    Shan Y W, Chen W J, Jin L J, et al. Development of evidence-based practice protocol for enhanced recovery after total knee arthroplasty[J]. J Nurs, 2020, 27(21): 33-39.
    [14]
    金晓超, 吴荣, 孙秋子, 等. 糖尿病高危足患者健康教育临床护理实践指南的整合研究[J]. 护理学报, 2020, 27(10): 49-53.

    Jin X C, Wu R, Sun Q Z, et al. Clinical nursing practice guidelines on health education for high risk diabetic foot patients: an integrated study[J]. J Nurs, 2020, 27(10): 49-53.
    [15]
    张纹, 程湘玮, 王培红, 等. 新生儿低血糖预防与管理策略的构建[J]. 中国护理管理, 2020, 20(11): 1694-1699. DOI: 10.3969/j.issn.1672-1756.2020.11.021

    Zhang W, Cheng X W, Wang P H, et al. Development of optimize the blood glucose management strategies of neonates[J]. Chin Nurs Manag, 2020, 20(11): 1694-1699. DOI: 10.3969/j.issn.1672-1756.2020.11.021
    [16]
    龚德, 王颖敏, 钟丽容, 等. 神经源性膀胱功能障碍评估与管理相关指南的整合研究[J]. 护理学报, 2021, 28(3): 27-33.

    Gong D, Wang Y M, Zhong L R, et al. Integrated study of guidelines on assessment and management of neurogenic bladder dysfunction[J]. J Nurs, 2021, 28(3): 27-33.
    [17]
    中国儿童原发性免疫性血小板减少症诊断与治疗指南改编工作组, 中华医学会儿科学分会血液学组, 中华儿科杂志编辑委员会. 中国儿童原发性免疫性血小板减少症诊断与治疗改编指南(2021版)[J]. 中华儿科杂志, 2021, 59(10): 810-819.

    Working Group of Chinese Guideline for the Diagnosis and Treatment of Childhood Primary Immune Thrombocytopenia, the Subspecialty Group of Hematologic Diseases, the Society of Pediatrics, Chinese Medical Association, the Editorial Board, Chinese Journal of Pediatrics. Adapted guideline for the diagnosis and treatment of primary immune thrombocytopenia for Chinese children (2021)[J]. Chin J Pediatr, 2021, 59(10): 810-819.
    [18]
    中国抗癌协会乳腺癌专业委员会. 中国乳腺癌筛查与早期诊断指南[J]. 中国癌症杂志, 2022, 32(4): 363-372.

    The Society of Breast Cancer, China Anti-Cancer Associa-tion. Screening and early diagnosis of breast cancer in China: a practice guideline[J]. China Oncol, 2022, 32(4): 363-372.
    [19]
    Fu L, Yang Y, Hu Y, et al. Distress management in cancer patients: guideline adaption based on CAN-IMPLEMENT[J]. Int J Nurs Sci, 2022, 9(1): 56-62.
    [20]
    ADAPTE Collaboration. Manual for guideline adaptation. Version 1.0[EB/OL]. [2023-11-10]. http://www.adapte.org.
    [21]
    ADAPTE Collaboration. The ADAPTE Process: Resource Toolkit for Guideline Adaptation. Version 2.0[M/OL]. [2023-11-10]. https://g-i-n.net/document-store/working-groups-documents/adaptation/adapte-resource-tool-kit-guidel-ine-adaptation-2-0.pdf.
    [22]
    Fervers B, Burgers J S, Voellinger R, et al. Guideline adaptation: an approach to enhance efficiency in guideline development and improve utilisation[J]. BMJ Qual Saf, 2011, 20(3): 228-236. DOI: 10.1136/bmjqs.2010.043257
    [23]
    Fervers B, Burgers J S, Haugh M C, et al. Adaptation of clinical guidelines: literature review and proposition for a framework and procedure[J]. Int J Qual Health Care, 2006, 18(3): 167-176. DOI: 10.1093/intqhc/mzi108
    [24]
    Oxman A D, Guyatt G H, Singer J, et al. Agreement among reviewers of review articles[J]. J Clin Epidemiol, 1991, 44(1): 91-98. DOI: 10.1016/0895-4356(91)90205-N
    [25]
    Joanna Briggs Institute. Levels of evidence FAME[EB/OL][2023-11-10]. http://www.joannabriggs.edu.au/Levels%20of%20Evidence.
    [26]
    Joanna Briggs Institute. Levels of Evidence and Grades of Recommendation Working Party. JBI grades of recommendation[EB/OL]. (2013-10)[2023-11-10]. https://jbi.global/sites/default/files/2019-05/JBI-grades-of-recommendation_2014.pdf.
    [27]
    Titler M G, Kleiber C, Steelman V J, et al. The Iowa model of evidence-based practice to promote quality care[J]. Crit Care Nurs Clin North Am, 2001, 13(4): 497-509. DOI: 10.1016/S0899-5885(18)30017-0
    [28]
    胡雁. 循证护理学[M]. 北京: 人民卫生出版社, 2012.

    Hu Y. Evidence based nursing[M]. Beijing: People's Medical Publishing House, 2012.
    [29]
    王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11): 964-967.

    Wang C Q, Hu Y. JBI evidence pre-classification and evidence rank system (2014 Edition)[J]. J Nurses Train, 2015, 30(11): 964-967.
    [30]
    JBI Levels of Evidence and Grades of Recommendation Working Party. JBI levels of evidence[EB/OL]. (2013-10)[2023-11-10]. https://jbi.global/sites/default/files/2020-07/Supporting_Doc_JBI_Levels_of_Evidence.pdf.
    [31]
    Schünemann H, Brożek J, Guyatt G, et al. GRADE handbook[M/OL]. (2013-10)[2023-11-10]. https://gdt.gradepro.org/app/handbook/handbook.html.
    [32]
    Provan D, Arnold D M, Bussel J B, et al. Updated international consensus report on the investigation and management of primary immune thrombocytopenia[J]. Blood Adv, 2019, 3(22): 3780-3817. DOI: 10.1182/bloodadvances.2019000812
    [33]
    Harrison M B, Graham I D, van den Hoek J, et al. Guideline adaptation and implementation planning: a prospective observational study[J]. Implementation science, 2013, 8(49): 1-14.
    [34]
    Schünemann H J, Wiercioch W, Brozek J, et al. GRADE evidence to decision (EtD) frameworks for adoption, adaptation, and de novo development of trustworthy recommendations: GRADE-ADOLOPMENT[J]. J Clin Epidemiol, 2017, 81: 101-110. DOI: 10.1016/j.jclinepi.2016.09.009
    [35]
    令娟, 王明霞, 王琪, 等. 2015年中国临床实践指南的报告质量分析[J]. 中国循证医学杂志, 2018, 18(7): 721-728.

    Ling J, Wang M X, Wang Q, et al. Reporting quality of clinical practice guidelines of China in 2015[J]. Chin J Evid Based Med, 2018, 18(7): 721-728.
    [36]
    中华医学会杂志社指南与标准研究中心, 中国医学科学院循证评价与指南研究创新单元, 世界卫生组织指南实施与知识转化合作中心. 2021年医学期刊发表中国指南和共识的科学性、透明性和适用性的评级[J]. 中华医学杂志, 2022, 102(30): 2319-2328.

    Chinese Medical Association Journal Guidelines and Standards Research Center, Evidence based Evaluation and Guidelines Research Innovation Unit of the Chinese Academy of Medical Sciences, World Health Organization Guidelines Implementation and Knowledge Transfer Cooperation Center. Rating the scientificity, transparency, and applicability of Chinese guidelines and consensus published in medical journals in 2021[J]. Natl Med J China, 2022, 102(30): 2319-2328.
    [37]
    中华医学会杂志社指南与标准研究中心, 中国医学科学院循证评价与指南研究创新单元(2021RU017), 世界卫生组织指南实施与知识转化合作中心, 等. 2022年医学期刊发表中国指南和共识的科学性、透明性和适用性的评级[J]. 中华医学杂志, 2023, 103(37): 2912-2920. DOI: 10.3760/cma.j.cn112137-20230724-00076

    Guidelines and Standards Research Center Chinese Medical Association Publishing House, Research Unit of Evidence-Based Evaluation and Guidelines (2021RU017), Chinese Academy of Medical Sciences, WHO Collaborating Centre for Guideline Implementation and Knowledge Translation, et al. Evaluation and ranking for scientific, transparent and applicable of Chinese guidelines and consensus published in the medical journals in 2022[J]. Natl Med J China, 2023, 103(37): 2912-2920. DOI: 10.3760/cma.j.cn112137-20230724-00076
    [38]
    Chen Y L, Wang C, Shang H C, et al. Clinical practice guidelines in China[J]. BMJ, 2018, 360: j5158.
    [39]
    陈耀龙, 张先卓, 周奇, 等. 临床实践指南的改编[J]. 协和医学杂志, 2020, 11(1): 102-108. DOI: 10.3969/j.issn.1674-9081.20200001

    Chen Y L, Zhang X Z, Zhou Q, et al. Adaptation of clinical practice guidelines[J]. Med J PUMCH, 2020, 11(1): 102-108. DOI: 10.3969/j.issn.1674-9081.20200001
    [40]
    卫生部. 艾滋病诊疗指南艾滋病病理变化、临床表现与分期及诊断标准(2)[J]. 中国临床医生, 2005, 33(11): 35-37.

    Ministry of Health. Guidelines for diagnosis and treatment of AIDS: pathological changes, clinical manifestations, stages and diagnostic criteria of AIDS (2)[J]. Chin J Clin, 2005, 33(11): 35-37.
    [41]
    卫生部. 艾滋病诊疗指南[N]. 中国医药报, 2005-02-17(A6).

    Ministry of Health. AIDS diagnosis and treatment guide[N]. China Pharmaceutical News, 2005-02-17(A6).
    [42]
    中华医学会感染病学分会艾滋病学组. 艾滋病诊疗指南(2011版)[J]. 中华临床感染病杂志, 2011, 4(6): 321-330.

    AIDS Group, Society of Infectious Diseases, Chinese Medical Association. Guideline of diagnosis and treatment for AIDS[J]. Chin J Clin Infect Dis, 2011, 4(6): 321-330.
    [43]
    中华医学会妇产科学分会产科学组, 中华医学会围产医学分会妊娠合并糖尿病协作组. 妊娠合并糖尿病诊治指南(2014)[J]. 中华围产医学杂志, 2014, 17(8): 537-545. DOI: 10.3760/cma.j.issn.1007-9408.2014.08.009

    Obstetrics and Gynecology Group of the Obstetrics and Gynecology Branch of the Chinese Medical Association, Collaborative Group of Pregnancy with diabetes, Perinatal Medicine Branch, Chinese Medical Association. Guidelines for diagnosis and treatment of pregnancy complicated with diabetes (2014)[J]. Chin J Perinat Med, 2014, 17(8): 537-545. DOI: 10.3760/cma.j.issn.1007-9408.2014.08.009
    [44]
    国际血管联盟中国分会糖尿病足专业委员会. 糖尿病足诊治指南[J]. 介入放射学杂志, 2013, 22(9): 705-708.

    Diabetes Foot Professional Committee of International Vascular Alliance China Branch. Guideline on the diagnosis and treatment of diabetic foot[J]. J Interv Radiol, 2013, 22(9): 705-708.
    [45]
    Kristiansen A, Brandt L, Agoritsas T, et al. Adaptation of trustworthy guidelines developed using the GRADE methodology: a novel five-step process[J]. Chest, 2014, 146(3): 727-734. DOI: 10.1378/chest.13-2828
    [46]
    Muth C, Gensichen J, Beyer M, et al. The systematic guideline review: method, rationale, and test on chronic heart failure[J]. BMC Health Serv Res, 2009, 9: 74. DOI: 10.1186/1472-6963-9-74
    [47]
    Graham I D, Harrison M B. Evaluation and adaptation of clinical practice guidelines[J]. Evid Based Nurs, 2005, 8(3): 68-72. DOI: 10.1136/ebn.8.3.68
    [48]
    刘云兰, 张静怡, 史乾灵, 等. 2019年期刊公开发表的中国临床实践指南文献调查与评价: 方法学质量和报告质量[J]. 协和医学杂志, 2022, 13(2): 324-331. DOI: 10.12290/xhyxzz.2022-0027

    Liu Y L, Zhang J Y, Shi Q L, et al. Investigation and evaluation of Chinese clinical practice guidelines published in medical journals in 2019: methodological and reporting quality[J]. Med J PUMCH, 2022, 13(2): 324-331. DOI: 10.12290/xhyxzz.2022-0027
  • Related Articles

    [1]ZHAO Qing, LIU Wei, ZHANG Hongmei, ZHAO Xinming, ZHOU Chunwu. Exploration of the Joint Teaching Model of Tomographic-radiologic Anatomy and Topographic Anatomy in A Way of Case-based Learning[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(5): 1217-1223. DOI: 10.12290/xhyxzz.2023-0531
    [2]ZHANG Shan, LIU Jie. Interpretation of NCCN Clinical Practice Guidelines for Primary Cutaneous Lymphomas (Version 1.2024) Based on the Current Diagnosis and Treatment Status of China[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(5): 1029-1037. DOI: 10.12290/xhyxzz.2024-0605
    [3]ZHANG Ning, YANG Chenhao, ZHOU Liangrui, SUN Xiaohong, LIU Xiaohong, KANG Lin, LI Ji, LI Hailong. Cronkhite-Canada Syndrome Combined with Asymptomatic Novel Coronavirus Infection: A Case Report[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(2): 406-412. DOI: 10.12290/xhyxzz.2023-0476
    [4]WEN Bei, ZHU He, XU Li, HUANG Yuguang. Association Between Coffee Consumption and Pain: A Cross-sectional Study Based on American National Health and Nutrition Examination Survey[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(2): 351-358. DOI: 10.12290/xhyxzz.2023-0553
    [5]LI Wei, XU Lingling, HU Yingli, ZHU Huijuan, LI Yuxiu, XIA Weibo. Integrating Education of School History into Teaching of Clinical Courses and Developing Professional Courses with PUMC Characteristics: Taking Diabetes Teaching in Internal Medicine as an Example[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(5): 1111-1115. DOI: 10.12290/xhyxzz.2023-0148
    [6]LI Wendao, GU Hao, WANG Wei, WU Runhui, SONG Hongmei. First Case Report of FOXN1 Haploinsufficiency in China and Literature Review[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(2): 366-372. DOI: 10.12290/xhyxzz.2022-0040
    [7]LIU Yuan, ZHAO Lin. Update and Interpretation of 2022 National Comprehensive Cancer Network Clinical Practice Guidelines for Gastric Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(6): 999-1004. DOI: 10.12290/xhyxzz.2022-0271
    [8]PAN Bo, ZHOU Yidong, YAO Ru, ZHAO Jun, JIANG Yingzi, LUO Linzhi, PAN Hui. Case-based Sandwich Teaching Improves Communication Confidence of Eight-year Undergraduates: Treatment of Breast Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(2): 349-352. DOI: 10.12290/xhyxzz.2021-0749
    [9]Jie LIU, Yue-ping ZENG, Chun-xia HE, Qin LONG, Hong-zhong JIN, Qiu-ning SUN. Corticosteroids plus Intravenous Immunoglobulin in the Treatment of 7 Cases with Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis[J]. Medical Journal of Peking Union Medical College Hospital, 2012, 3(4): 381-385. DOI: 10.3969/j.issn.1674-9081.2012.04.004
    [10]Jing YANG, Bao-lai HUA, Shu-jie WANG, Chang-wen GE, Lian-kai FAN, Ye-hua HAN, Yong-qiang ZHAO. Fechtner Syndrome in a Chinese Family: A Case Report and Literature Review[J]. Medical Journal of Peking Union Medical College Hospital, 2010, 1(2): 171-175.

Catalog

    Article Metrics

    Article views (282) PDF downloads (38) Cited by()
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close