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Analysis of quality of clinical practice guidelines for otorhinolaryngology in China.
PLoS One 2013; 8(1):e53566Plos

Abstract

OBJECTIVE

To evaluate the quality of clinical practice guidelines (CPGs) for otorhinolaryngology in China.

MATERIALS AND METHODS

A systematic search of relevant literature databases (CBM, WANFANG, VIP, CNKI, China Guideline Clearinghouse) published between 1978 and March 2012 was undertaken to identify and select CPGs related to otorhinolaryngology. Four independent reviewers assessed the eligible guidelines using the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument. Their degree of agreement was evaluated using the intraclass correlation coefficient (ICC).

RESULT

From 170 citations, 21 relevant guidelines were included. The overall agreement among reviewers was moderate (ICC = 0.87; 95% confidence interval [CI], 0.78-0.91). The scores for each of the AGREE domains were the following: "scope and purpose" (mean ± standard error [SE] = 45.4±4.4; ICC = 0.92), "stakeholder involvement" (mean ± SE = 30.4±3.1; ICC = 0.81), "rigor of development" (mean ± SE = 20.9±2.8; ICC = 0.87), "clarity of presentation" (mean ± SE = 48.8±3.7; ICC = 0.80), "applicability" (mean ± SE = 12.6±1.7; ICC = 0.72), and "editorial independence" (mean ± SE = 6.2±0.8; ICC = 0.76). Three guidelines (14%) mentioned updates, and the average update frequency was 7 years. None used the GRADE system.

CONCLUSION

The quality of otorhinolaryngology guidelines in China is low. Greater efforts are needed to provide high-quality guidelines that serve as a useful and reliable tool for clinical decision-making in this field.

Authors+Show Affiliations

School of Basic Medical Sciences, Lanzhou University, Lanzhou, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

23349719

Citation

Zhang, Zhe-wen, et al. "Analysis of Quality of Clinical Practice Guidelines for Otorhinolaryngology in China." PloS One, vol. 8, no. 1, 2013, pp. e53566.
Zhang ZW, Liu XW, Xu BC, et al. Analysis of quality of clinical practice guidelines for otorhinolaryngology in China. PLoS ONE. 2013;8(1):e53566.
Zhang, Z. W., Liu, X. W., Xu, B. C., Wang, S. Y., Li, L., Kang, Y. Y., & Guo, Y. F. (2013). Analysis of quality of clinical practice guidelines for otorhinolaryngology in China. PloS One, 8(1), pp. e53566. doi:10.1371/journal.pone.0053566.
Zhang ZW, et al. Analysis of Quality of Clinical Practice Guidelines for Otorhinolaryngology in China. PLoS ONE. 2013;8(1):e53566. PubMed PMID: 23349719.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Analysis of quality of clinical practice guidelines for otorhinolaryngology in China. AU - Zhang,Zhe-wen, AU - Liu,Xiao-wen, AU - Xu,Bai-cheng, AU - Wang,Su-yang, AU - Li,Li, AU - Kang,Ying-ying, AU - Guo,Yu-fen, Y1 - 2013/01/18/ PY - 2012/09/05/received PY - 2012/11/29/accepted PY - 2013/1/26/entrez PY - 2013/1/26/pubmed PY - 2013/7/10/medline SP - e53566 EP - e53566 JF - PloS one JO - PLoS ONE VL - 8 IS - 1 N2 - OBJECTIVE: To evaluate the quality of clinical practice guidelines (CPGs) for otorhinolaryngology in China. MATERIALS AND METHODS: A systematic search of relevant literature databases (CBM, WANFANG, VIP, CNKI, China Guideline Clearinghouse) published between 1978 and March 2012 was undertaken to identify and select CPGs related to otorhinolaryngology. Four independent reviewers assessed the eligible guidelines using the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument. Their degree of agreement was evaluated using the intraclass correlation coefficient (ICC). RESULT: From 170 citations, 21 relevant guidelines were included. The overall agreement among reviewers was moderate (ICC = 0.87; 95% confidence interval [CI], 0.78-0.91). The scores for each of the AGREE domains were the following: "scope and purpose" (mean ± standard error [SE] = 45.4±4.4; ICC = 0.92), "stakeholder involvement" (mean ± SE = 30.4±3.1; ICC = 0.81), "rigor of development" (mean ± SE = 20.9±2.8; ICC = 0.87), "clarity of presentation" (mean ± SE = 48.8±3.7; ICC = 0.80), "applicability" (mean ± SE = 12.6±1.7; ICC = 0.72), and "editorial independence" (mean ± SE = 6.2±0.8; ICC = 0.76). Three guidelines (14%) mentioned updates, and the average update frequency was 7 years. None used the GRADE system. CONCLUSION: The quality of otorhinolaryngology guidelines in China is low. Greater efforts are needed to provide high-quality guidelines that serve as a useful and reliable tool for clinical decision-making in this field. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/23349719/Analysis_of_quality_of_clinical_practice_guidelines_for_otorhinolaryngology_in_China_ L2 - http://dx.plos.org/10.1371/journal.pone.0053566 DB - PRIME DP - Unbound Medicine ER -