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全球颈部疼痛指南的方法学、推荐和报告质量评估以及证据和建议的综合:系统评价方案。

Assessment of the methodological, recommendation and reporting quality of global guidelines for neck pain and synthesis of evidence and recommendations: a systematic review protocol.

机构信息

South China Research Center for Acupuncture and Moxibustion, Guangzhou University of Chinese Medicine, Guangzhou, China.

Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, Guangzhou, China.

出版信息

BMJ Open. 2024 Mar 19;14(3):e075748. doi: 10.1136/bmjopen-2023-075748.


DOI:10.1136/bmjopen-2023-075748
PMID:38508630
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10953299/
Abstract

INTRODUCTION: Neck pain is a global health problem that can cause severe disability and a huge medical burden. Clinical practice guideline (CPG) is an important basis for clinical diagnosis and treatment. A high-quality CPG plays a significant role in clinical practice. However, the quality of the CPGs for neck pain lacks comprehensive assessment. This protocol aims to evaluate the methodological, recommendation, reporting quality of global CPGs for neck pain and identify key recommendations and gaps that limit evidence-based practice. METHOD: CPGs from January 2013 to November 2023 will be identified through a systematic search on 13 scientific databases (PubMed, Cochrane Library, Embase, etc) and 7 online guideline repositories. Six reviewers will independently evaluate the quality of CPGs for neck pain by using the Appraisal of Guidelines for Research and Evaluation, the Appraisal of Guidelines Research and Evaluation-Recommendations Excellence and the Reporting Items for Practice Guidelines in Healthcare tools. Intraclass correlation coefficient will be used to test the consistency of the assessment. We will identify the distribution of evidence and recommendations in each evidence-based CPGs for neck pain and regrade the level of evidence and strength of recommendations by adopting the commonly used Grading of Recommendations, Assessment, Development and Evaluations system. The key recommendations based on high-quality evidence will be summarised. In addition, we will categorise CPGs by different characteristics and conduct a subgroup analysis of the results of assessment. ETHICS AND DISSEMINATION: No subjects will be involved in this systematic review, so there is no need for ethical approval. The finding of this review will be summarised as a paper for publication in a peer-reviewed journal. PROSPERO REGISTRATION NUMBER: CRD42023417717.

摘要

简介:颈痛是一个全球性的健康问题,可导致严重残疾和巨大的医疗负担。临床实践指南(CPG)是临床诊断和治疗的重要依据。高质量的 CPG 在临床实践中发挥着重要作用。然而,颈痛 CPG 的质量缺乏全面评估。本方案旨在评估全球颈痛 CPG 的方法学、推荐、报告质量,并确定限制循证实践的关键推荐和差距。 方法:通过对 13 个科学数据库(PubMed、Cochrane Library、Embase 等)和 7 个在线指南库进行系统检索,从 2013 年 1 月至 2023 年 11 月,将确定颈痛 CPG。6 名评审员将使用评估研究和评估指南、评估指南研究和评估-推荐卓越和医疗保健实践指南报告项目工具,独立评估颈痛 CPG 的质量。将使用组内相关系数来测试评估的一致性。我们将确定每个基于证据的颈痛 CPG 中证据和建议的分布情况,并通过采用常用的推荐评估、发展和评估系统,重新分级证据水平和建议强度。将总结基于高质量证据的关键建议。此外,我们将根据不同的特征对 CPG 进行分类,并对评估结果进行亚组分析。 伦理与传播:本系统评价不涉及研究对象,因此无需伦理批准。该综述的结果将总结为一篇论文,发表在同行评议的期刊上。 PROSPERO 注册号:CRD42023417717。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb89/10953299/0c72bf63d8d8/bmjopen-2023-075748f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb89/10953299/0c72bf63d8d8/bmjopen-2023-075748f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb89/10953299/0c72bf63d8d8/bmjopen-2023-075748f01.jpg

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本文引用的文献

[1]
A comprehensive systematic review of colorectal cancer screening clinical practices guidelines and consensus statements.

Br J Cancer. 2023-4

[2]
Neck pain clinical practice guidelines: a systematic review of the quality and quantity of complementary and alternative medicine recommendations.

Eur Spine J. 2022-10

[3]
EQUAL Trichosporon Score 2022: an ECMM score to measure QUALity of the clinical management of invasive Trichosporon infections.

J Antimicrob Chemother. 2022-5-29

[4]
GRADE Methods in traditional medicine.

Integr Med Res. 2022-6

[5]
Critical appraisal of international adult bronchiectasis guidelines using the AGREE II tool.

Eur J Intern Med. 2022-4

[6]
Evaluation of Clinical Practice Guidelines on Fall Prevention and Management for Older Adults: A Systematic Review.

JAMA Netw Open. 2021-12-1

[7]
International alliance and AGREE-ment of 71 clinical practice guidelines on the management of critical care patients with COVID-19: a living systematic review.

J Clin Epidemiol. 2022-2

[8]
AGREE II appraisals of clinical practice guidelines in rehabilitation showed poor reporting and moderate variability in quality ratings when users apply different cuff-offs: a methodological study.

J Clin Epidemiol. 2021-11

[9]
Clinical Epidemiology in China series. Paper 4: The reporting and methodological quality of Chinese clinical practice guidelines published between 2014 and 2018: A systematic review.

J Clin Epidemiol. 2021-12

[10]
Evidence-based treatment recommendations for neck and low back pain across Europe: A systematic review of guidelines.

Eur J Pain. 2021-2

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