Jiang B S, Yao P T, Ge Y B, Yang M, Sun X, Ren J S, Chen W Q, Dai M, Li J, Li N
School of Public Health, Capital Medical University/Program Office for Cancer Screening in Urban China, Beijing 100069, China.
School of Medical Humanities, Capital Medical University/Program Office for Cancer Screening in Urban China, Beijing 100069, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2020 Mar 6;54(3):314-319. doi: 10.3760/cma.j.issn.0253-9624.2020.03.013.
To systematically evaluate the quality of gastric cancer screening guidelines/recommendations, and provide a reference for the update of gastric cancer screening guidelines/recommendations in China. "guidelines/consensus/specifications/standards" , "stomach/gastric tumors" , "screening/diagnosis" , "guideline/recommendation" , "gastric cancer/gastric tumor," "early detection of cancer/screening" were searched as keywords in PubMed, Embase, Web of knowledge, China Knowledge Network, Wanfang, China Biomedical Literature Database, and Cochrane Library, as well as the US Preventive Services Working Group, the American Cancer Society, the International Agency for Research on Cancer, the Australia Cancer Council and the International Guide Collaboration Network at the end of July 2018. The inclusion criteria were independent guidelines/recommendation documents for gastric cancer screening. The exclusion criteria were guideline abstracts, interpretation and evaluation literature, duplicate publications, updated original guidelines, and clinical treatment or practice guidelines for gastric cancer. The language was limited to Chinese and English. The European Guide to Research and Evaluation Tools (AGREE Ⅱ) and Practice Guideline Reporting Standard (RIGHT) for Gastric Cancer Screening Guidelines/Recommendations were used to compare and evaluate the quality and reporting standard of gastric cancer screening guidelines/recommendations. A total of five guides/recommendations were included. The results of the AGREE Ⅱ quality evaluation showed that the overall quality of five guides/recommendations was different, including one recommended for "A", one for "B", and three for "C". Each guide/recommendation scored higher in the scope and purpose, clarity, and scores were more significant in the areas of rigor and independence. In the participants, the application field scores were generally low. The RIGHT evaluation results showed that the quality of five guides/recommendations should be improved. The six items with poor report quality were background, evidence, recommendations, review and quality assurance, funding and conflict of interest statement and management, and other aspects. The quality of the included gastric cancer screening guidelines/recommendations is generally low, and the standardization should be strengthened.
系统评价胃癌筛查指南/建议的质量,为我国胃癌筛查指南/建议的更新提供参考。以“指南/共识/规范/标准”“胃/胃肿瘤”“筛查/诊断”“指南/建议”“胃癌/胃肿瘤”“癌症早期检测/筛查”为关键词,检索了截至2018年7月底的PubMed、Embase、Web of knowledge、中国知网、万方、中国生物医学文献数据库、Cochrane图书馆,以及美国预防服务工作组、美国癌症协会、国际癌症研究机构、澳大利亚癌症理事会和国际指南协作网络。纳入标准为独立的胃癌筛查指南/建议文件。排除标准为指南摘要、解读与评价文献、重复发表文献、更新的原指南以及胃癌临床治疗或实践指南。语言限定为中文和英文。采用欧洲研究与评价工具指南(AGREE Ⅱ)和胃癌筛查指南/建议的实践指南报告标准(RIGHT)对胃癌筛查指南/建议的质量和报告标准进行比较评价。共纳入5篇指南/建议。AGREE Ⅱ质量评价结果显示,5篇指南/建议的总体质量不同,其中1篇推荐为“A”级,1篇为“B”级,3篇为“C”级。各指南/建议在范围与目的、清晰度方面得分较高,在严谨性和独立性方面得分差异更显著。在参与人员方面,应用领域得分普遍较低。RIGHT评价结果显示,5篇指南/建议的质量有待提高。报告质量较差的6个项目为背景、证据、建议、评审与质量保证、资金与利益冲突声明及管理以及其他方面。纳入的胃癌筛查指南/建议质量总体较低,应加强规范化。