基于循证的指导和指南的范围综述，由普通实践专业组织发布。

A scoping review of evidence-based guidance and guidelines published by general practice professional organizations.

机构信息

Department of General Practice, RCSI University of Medicine and Health Sciences, Dublin, Ireland.

Irish College of General Practitioners, Dublin, Ireland.

出版信息

Fam Pract. 2024 Aug 14;41(4):404-418. doi: 10.1093/fampra/cmad015.

DOI:10.1093/fampra/cmad015

PMID:36812366

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11324327/

Abstract

BACKGROUND

General practitioners (GPs) need robust, up-to-date evidence to deliver high-quality patient care. There is limited literature regarding the role of international GP professional organizations in developing and publishing clinical guidelines to support GPs clinical decision making.

OBJECTIVE

To identify evidence-based guidance and clinical guidelines produced by GP professional organizations and summarize their content, structure, and methods of development and dissemination.

METHODS

Scoping review of GP professional organizations following Joanna Briggs Institute guidance. Four databases were searched and a grey literature search was conducted. Studies were included if they were: (i) evidence-based guidance documents or clinical guidelines produced de novo by a national GP professional organization, (ii) developed to support GPs clinical care, and (iii) published in the last 10 years. GP professional organizations were contacted to provide supplementary information. A narrative synthesis was performed.

RESULTS

Six GP professional organizations and 60 guidelines were included. The most common de novo guideline topics were mental health, cardiovascular disease, neurology, pregnancy and women's health and preventive care. All guidelines were developed using a standard evidence-synthesis method. All included documents were disseminated through downloadable pdfs and peer review publications. GP professional organizations indicated that they generally collaborate with or endorse guidelines developed by national or international guideline producing bodies.

CONCLUSION

The findings of this scoping review provide an overview of de novo guideline development by GP professional organizations and can support collaboration between GP organizations worldwide thus reducing duplication of effort, facilitating reproducibility, and identifying areas of standardization.

PROTOCOL REGISTRATION

Open Science Framework: https://doi.org/10.17605/OSF.IO/JXQ26.

摘要

背景

全科医生（GP）需要可靠的、最新的证据来提供高质量的患者护理。关于国际 GP 专业组织在制定和发布临床指南以支持 GP 临床决策方面的作用，相关文献有限。

目的

确定 GP 专业组织制定和发布的基于证据的指南和临床指南，并总结其内容、结构以及制定和传播的方法。

方法

根据 Joanna Briggs 研究所的指导，对 GP 专业组织进行范围综述。检索了四个数据库并进行了灰色文献搜索。如果研究符合以下条件，则将其纳入：（i）由国家 GP 专业组织新制定的基于证据的指导文件或临床指南，（ii）为支持 GP 临床护理而制定，以及（iii）在过去 10 年内发布。联系 GP 专业组织以获取补充信息。采用叙述性综合方法进行分析。

结果

纳入了 6 个 GP 专业组织和 60 个指南。最常见的新制定指南主题是心理健康、心血管疾病、神经病学、妊娠和妇女健康以及预防保健。所有指南均使用标准的证据综合方法制定。所有纳入的文件均通过可下载的 pdf 版和同行评审出版物进行传播。GP 专业组织表示，他们通常与国家或国际指南制定机构合作或认可其制定的指南。