Department of Oncology, McMaster University, Hamilton, Ontario, Canada; Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada; Center for Clinical Practice Guideline Conduction and Evaluation, Children's Hospital of Fudan University, Shanghai, China.
Nottingham Ningbo GRADE Centre, The University of Nottingham Ningbo, Ningbo, Zhejiang, China; School of Medicine, The University of Nottingham, Nottingham, United Kingdom.
J Clin Epidemiol. 2022 Jun;146:77-85. doi: 10.1016/j.jclinepi.2022.02.015. Epub 2022 Mar 8.
To produce a mapping and feature summary of approaches and tools available for the clinical practice guideline (CPG) community to develop, report, or assess four types of CPGs: (1) Standard original (or de novo) CPGs, (2) Rapid original CPGs, (3) Adapted/adopted CPGs, and (4) Updated CPGs.
The systematic literature search was conducted using Embase and PubMed, covering the period from January 2010 to October 13, 2020. Two websites that collect and recommend approaches/tools to develop, report, or assess CPGs were also searched: Guidelines International Network and Equator Network. We screened the search results to include methodological papers that aimed to develop specific approaches/tools to develop, report, or assess any of the aforementioned four CPG types.
Among 10,581 citations, 46 papers reporting 46 approaches/tools were included. Of these 46 approaches/tools, 33 were about CPG development, seven were for CPG reporting, and six for CPG assessment. Among the 33 development approaches/tools, 26 did not state usability or validity information; but nine from 13 reporting or assessment approaches/tools did.
This study provides an overall summary of the currently available approaches/tools, which serves to improve users' understanding to pave the way for informed choice and application.
为临床实践指南（CPG）社区制作一份方法和工具的映射和特征总结，以开发、报告或评估以下四种类型的 CPG：（1）标准原始（或从头开始）CPG；（2）快速原始 CPG；（3）改编/采用的 CPG；（4）更新的 CPG。
系统文献检索使用 Embase 和 PubMed 进行，时间范围为 2010 年 1 月至 2020 年 10 月 13 日。还搜索了两个收集和推荐开发、报告或评估 CPG 的方法/工具的网站：国际指南网络和赤道网络。我们筛选了搜索结果，以纳入旨在开发特定方法/工具以开发、报告或评估上述四种 CPG 类型中任何一种的方法论文。
在 10581 条引文中，有 46 篇论文报道了 46 种方法/工具。在这 46 种方法/工具中，有 33 种用于 CPG 开发，7 种用于 CPG 报告，6 种用于 CPG 评估。在 33 种开发方法/工具中，有 26 种未说明可用性或有效性信息；但在 13 种报告或评估方法/工具中，有 9 种。
本研究提供了目前可用方法/工具的总体概述，有助于提高用户的理解，为明智的选择和应用铺平道路。
