摘要
目的 系统评价中国变应性鼻炎临床实践指南、专家共识和规范的方法学质量.方法 计算机检索中国知网、万方、维普、中国生物医学文献数据库、医脉通、中华医学会耳鼻咽喉头颈外科学分会、中华中医药学会、中国中西医结合学会等数据库或网站,收集发表的中文变应性鼻炎临床实践指南、专家共识和规范,检索时限均为建库至 2023 年 10 月,2 名研究者根据纳入排除标准独立筛选文献并提取相关信息,4 名研究者使用AGREE Ⅱ工具对纳入文献进行方法学质量评价,使用组内相关系数(intraclass correlation coefficient,ICC)评价一致性.结果 共纳入 14 篇文献,其中临床实践指南 4篇、专家共识 9 篇、规范 1 篇,研究者评价一致性ICC为 0.967.范围和目的、参与人员、严谨性、清晰性、应用性、独立性领域的平均标准化得分为别为 73.29%、42.43%、29.40%、69.19%、44.76%和4.76%,推荐等级为A级、B级、C级的文献分别有0篇、12篇、2 篇.结论 目前我国发表的中文变应性鼻炎临床实践指南、专家共识和规范方法学质量有待提高,需在应用性、独立性和严谨性等方面进一步完善,以促进变应性鼻炎患者的临床诊疗.
Abstract
Objective To systematically evaluate the methodological quality of clinical practice guideline,expert consensus and standard for allergic rhinitis in China.Methods Databases,including CNKI,Wanfang,VIP,CBM,and websites of Yimaitong,Society of Otorhinolaryngology Head and Neck Surgery of Chinese Medical Association,China Association of Chinese Medicine,and Chinese Association of Integrative Medicine were searched for clinical practice guidelines,expert consensus and standard for allergic rhinitis from inception to October 2023.Two researchers independently screeneds the literature and extracted relevant information according to the inclusion and exclusion criteria.The AGREE Ⅱ tool was used to assess the methodological quality of the included studies by four researchers and the intraclass correlation coefficient(ICC)was used to assess the consistency of results.Results A total of 14 articles were included,including 4 clinical practice guidelines,9 expert consensus,and 1 standard.The ICC between researchers was 0.967.The average standardized scores for the scope and purpose,stakeholder involvement,rigour of development,clarity of presentation,applicability,editorial independence were 73.29％,42.43％,29.40％,69.19％,44.76％,and 4.76％,respectively.There were 0,12,and 2 literatures with recommended level of A,B,and C,respectively.Conclusion The methodology qualities of clinical practice guidelines,expert consensus and standards for allergic rhinitis in China need to be improved in terms of applicability,editorial independence,and rigor of development,in order to promote the clinical diagnosis and treatment of allergic rhinitis patients.
基金项目
中国中医科学院科技创新工程重大攻关项目(CI2021A04701)
国家科技期刊平台
NSTL
万方数据