Michael G. DeGroote Institute for Pain Research and Care, McMaster University, Hamilton, Canada.
Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China.
Health Res Policy Syst. 2020 Jul 8;18(1):75. doi: 10.1186/s12961-020-00578-w.
Without adequate reporting of research, valuable time and resources are wasted. In the same vein, adequate reporting of practice guidelines to optimise patient care is equally important. Our study examines the quality of reporting of published WHO guidelines, over time, using the RIGHT (Reporting Items for Practice Guidelines in HealThcare) reporting checklist.
We examined English-language guidelines approved by the WHO Guidelines Review Committee from inception of the committee in 2007 until 31 December 2017. Pairs of independent, trained reviewers assessed the reporting quality of these guidelines. Descriptive data were summarised with frequencies and percentages.
We included 182 eligible guidelines. Overall, 25 out of the 34 RIGHT items were reported in 75% or more of the WHO guidelines. The reporting rates improved over time. Further, 90% of the guidelines reported document type in the title. The identification of evidence, the rationale for recommendations and the review process were reported in more than 80% of guidelines. The certainty of the evidence using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system was assessed in 81% of the guidelines assessed. While 82% of guidelines reported funding sources, only 25% mentioned the role of funders.
WHO guidelines provide adequate reporting of many of the RIGHT items and reporting has improved over time. WHO guidelines compare favourably to guidelines produced by other organisations. However, reporting can be further improved in a number of areas.
如果研究报告不充分，就会浪费宝贵的时间和资源。同样，为了优化患者护理而充分报告实践指南也同样重要。我们的研究使用 RIGHT（医疗保健实践指南报告项目）报告清单，随着时间的推移，检查发表的世界卫生组织指南的报告质量。
我们检查了自 2007 年委员会成立以来至 2017 年 12 月 31 日期间，经世界卫生组织指南审查委员会批准的英文指南。由两名独立的、受过培训的评审员对这些指南的报告质量进行评估。使用频率和百分比对描述性数据进行总结。
我们纳入了 182 项符合条件的指南。总体而言，在 75%或以上的世界卫生组织指南中报告了 34 项 RIGHT 项目中的 25 项。报告率随着时间的推移而提高。此外，90%的指南在标题中报告了文件类型。超过 80%的指南报告了证据的识别、建议的理由和审查过程。使用推荐评估、发展和评估（GRADE）系统评估了 81%评估的指南中的证据确定性。虽然 82%的指南报告了资金来源，但只有 25%的指南提到了资助者的作用。
世界卫生组织指南对许多 RIGHT 项目进行了充分报告，并且随着时间的推移，报告质量有所提高。世界卫生组织指南与其他组织制定的指南相比表现良好。然而，在许多方面，报告质量可以进一步提高。
