临床实践指南推荐意见形成全流程实例:以世界针灸学会联合会《针灸临床实践指南:过敏性鼻炎》为例

Full process of recommendation formulation for clinical practice guidelines:Taking World Federation of Acupuncture-Moxibustion Societies Clinical Practice Guideline on Acupuncture and Moxibustion:Allergic Rhinitis as an example

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外文摘要：The formulation of recommendations is a crucial step in the development of clinical practice guide-lines,which requires tools provided by the GRADE methodology.These tools include the evidence quality assessment tool,the evidence summary tool,and the evidence-to-decision(EtD)framework.Although there is a methodologically guided standard pathway for formulating recommendations in clinical prac-tice guidelines.it remains unclear how to translate this theoretical pathway into the practical process for formulating recommendations and what the specific steps in this process entail.Therefore,this paper takes the World Federation of Acupuncture-Moxibustion Societies Clinical Practice Guidelines on Acupunc-ture and Moxibustion:Allergic Rhinitis as an example to detail the full process of formulating recommen-dations and summaries it into a three-step method.Step one:Collect original materials from different sources to create EtD table.Step two:Distribute and collect EtD table,and preliminarily gather the rec-ommendation voting results.Step three:Organize"salami-slicing pattern"guideline development group consensus meeting to formulate recommendations.The three-step method for formulating recommenda-tions in clinical practice guidelines fully utilizes the GRADE EtD table to provide guideline development group with decision-making foundation and reference from multiple dimensions,including the impor-tance of clinical questions,balance of benefits and harms,quality of evidence,resource required,values and preferences,health equity,acceptability,and feasibility.This approach enhances the scientific and practical nature of guideline recommendations.This paper provides a standard operating procedure to formulate recommendations for the incoming clinical practice guidelines,which aims to establish a stan-dard pathway for the formulation of acupuncture clinical practice guideline recommendations.

外文关键词：

Clinical practice guidelinesGRADEEvidence-to-decision(EtD)AcupunctureMoxibustionAllergic rhinitisParadigmStandard operating procedure(SOP)Three-step methodSalami-slicing pattern

作者：

杨超、王冠群、陈晟、杜朔、王舢泽、解小龙、彭碧辉、郭玮、杜世豪、赵吉平

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作者单位：

北京中医药大学东直门医院针灸科,北京 100700,中国

广东省中医院针灸科,广州 510120,中国

上海交通大学医学院附属第九人民医院中医科,上海 200011,中国

中国中医科学院针灸研究所,北京 100700,中国

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关键词：

Clinical practice guidelines GRADE Evidence-to-decision(EtD) Acupuncture Moxibustion Allergic rhinitis Paradigm Standard operating procedure(SOP) Three-step method Salami-slicing pattern

基金：

National Key Research and Development Program of ChinaNational Key Research and Development Program of China

项目编号：

2019YFC17122002019YFC1712203

出版年：

2024

DOI：

10.1016/j.wjam.2024.07.003

世界针灸杂志(英文版)

世界针灸学会联合会,中国中医研究院针灸研究所

世界针灸杂志(英文版)

CSTPCD

影响因子：0.375

ISSN：1003-5257

年,卷(期)：2024.34(3)

参考文献量5