Bai Xue, Liu Jian-Ping, Guo Yu-Bo, Feng Xue, Fang Sai-Nan, Yang Si-Hong, Guan Ying-Jie, Chen Wei
Centre for Evidence-based Chinese Medicine, Beijing University of Chinese Medicine Beijing 100029, China.
Standards and Guideline Developing Office,China Association of Chinese Medicine Beijing 100029, China.
Zhongguo Zhong Yao Za Zhi. 2020 Apr;45(7):1596-1599. doi: 10.19540/j.cnki.cjcmm.20191230.503.
Standardization is the technical support for the development of traditional Chinese medicine(TCM), and the guidelines have become the main component of the core standards of TCM technology. With the rise and development of evidence-based medicine in China, more than 500 guidelines have been issued in China, and the number is still increasing, but the quality of guidelines still lags far behind the international level. Similarly, the formulation of evidence-based clinical practice guidelines for TCM has gradually attracted the attention of the industry, but the quality is not so good, and most guidelines are not really evidence-based guidelines. Only reliable guidelines can fully and effectively play the role of clinical guidance. In order to comprehensively improve the scientificity and credibility of the guidelines, guideline evaluation can be used as a means to improve the quality of the guidelines. For the development of traditional Chinese medicine, it has become an urgent task to establish a complete evaluation standard system of guidelines, especially the evaluation standard system that conforms to the technical characteristics of traditional Chinese medicine. In this paper, the advantages and limitations of a series of domestic and foreign guideline evaluation tools were systematically analyzed, and the thinking and difficulties to establish the evaluation system of TCM guidelines were put forward, with a purpose to further improve the quality of TCM clinical practice guidelines, so that they can be better applied in clinical practice to enhance the clinical efficacy of TCM and ensure the quality of medical services.
标准化是中医药发展的技术支撑,而指南已成为中医技术核心标准的主要组成部分。随着循证医学在中国的兴起与发展,我国已发布500余项指南,且数量仍在增加,但指南质量仍远远落后于国际水平。同样,中医循证临床实践指南的制定逐渐受到业界关注,但质量欠佳,多数指南并非真正的循证指南。只有可靠的指南才能充分有效地发挥临床指导作用。为全面提高指南的科学性和可信度,可将指南评价作为提高指南质量的手段。对于中医药发展而言,建立一套完整的指南评价标准体系,尤其是符合中医技术特点的评价标准体系,已成为一项紧迫任务。本文系统分析了一系列国内外指南评价工具的优缺点,提出了建立中医指南评价体系的思路与难点,旨在进一步提高中医临床实践指南质量,使其能更好地应用于临床实践,提高中医临床疗效,保障医疗服务质量。