文章摘要
贾俊海,杨敬致,刘爱萍,狄宝山,唐艳.癫痫临床实践指南方法学质量评价[J].中国医药导刊,2018,20(2):65-68.
癫痫临床实践指南方法学质量评价
Methodological Quality Assessment of Clinical Practice Guidelines for Epilepsy
投稿时间:2018-04-25  修订日期:2018-04-25
DOI:
中文关键词: 癫痫  临床实践指南  AGREEⅡ  质量评价
英文关键词: Epilepsy  Clinical practice guidelines  AGREE Ⅱ instrument  Methodological quality assessment
基金项目:兰州市人才创新创业项目 (项目编号:2015-RC-65201525;项目名称:亚高原地区急诊疾病谱相关危险因素的研究及急救优化策略);甘肃软科学专项项目(项目编号:1604ZCRA011;项目名称:城市流浪人员医疗救助模式对策研究)
作者单位E-mail
贾俊海 甘肃省康复中心医院 617820230@qq.com 
杨敬致 甘肃省康复中心医院  
刘爱萍 甘肃卫生职业学院  
狄宝山 甘肃省人民医院  
唐艳 兰州市第二人民医院 836417267@qq.com 
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中文摘要:
      目的:通过了解国内外癫痫指南的发布状况,评价和分析癫痫临床实践指南方法学质量,为临床实践提供明确的推荐意见。方法:检索PubMed、EMBASE、Web of Science、National Guideline Clearinghouse(NGC)、中国知网、万方和CBM等数据库搜集相关的癫痫临床实践指南。评价员独立筛选文献、提取资料后,采用AGREEⅡ工具对纳入的指南进行质量评价,计算每个结构域的得分并通过组内相关系数对评价者间的一致性进行评价。结果:10部指南被纳入(3部中文指南和7部英文指南)。10部指南6个领域得分(M±SD)分别为:范围和目的(60±6.6)%,参与人员(40±12.2)%,制定的严谨性(33±10.7)%,表达的明晰性(52±6.5)%,应用性(33±7.4)%,编辑独立性(28±8.7)%。结论:国内外癫痫临床实践指南的整体质量不佳,可借鉴AGREEⅡ的评价体系结合国内实际情况制定高水平的临床实践指南。
英文摘要:
      Objective: Through understanding the release status of epilepsy guidelines in China and abroad,we can evaluate and analyze the quality of epilepsy clinical practice guidelines, in order to give reference for doctors. Methods:A systematic search of relevant literature databases(PubMed, EMBASE, Web of Science, National Guideline Clearinghouse, CNKI, Wanfang Database and CBM et al.) were conducted to identify the epilepsy clinical practice guidelines. Guidelines selection and data extraction were independently performed by authors. AGREEⅡinstrument was used to evaluate the quality of the included guidelines. Intra-class correlation coefficient tests were performed to appraise the uniformity of the overall assessment scores.Results: A total of ten guidelines (three Chinese guidelines and seven English guidelines) for epilepsy were finally included. The mean scores of six domains were (60±6.6)%, (40±12.2)%, (33±10.7)%, (52±6.5)%, (33±7.4)% and (28±8.7)%.Conclusion: The quality of epilepsy clinical practice guidelines is not good, the researcher should develop high level epilepsy clinical practice guidelines based on the AGREE Ⅱ tool and current situation.
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