Department of Surgery, Dartmouth-Hitchcock Medical Center, New Hampshire, Lebanon.
J Surg Oncol. 2024 Jun;129(8):1475-1480. doi: 10.1002/jso.27648. Epub 2024 Apr 18.
Clinical Practice Guidelines (CPGs) are crucial tools for clinicians seeking to deliver evidence-based patient care. We utilized the Reporting Items for practice Guidelines in HealThcare (RIGHT) checklist to assess the reporting quality of CPGs addressing the management of rectal cancer.
Four multidisciplinary rectal cancer CPGs published 2017-2022 were evaluated: American Society of Colon and Rectal Surgeons (ASCRS), European Society for Medical Oncology (ESMO), National Comprehensive Cancer Network (NCCN), and National Institute for Health and Care Excellence (NICE). We quantitatively assessed each CPG using the RIGHT checklist and qualitative analysis was performed to generate common themes.
RIGHT checklist items fulfilled by each CPG ranged from 12 to 17 (out of 22). Each guideline demonstrated unique categories of weakness: ASCRS in Basic Information (1 of 4 items), ESMO in Evidence (1 of 3), NCCN in Recommendations (1 of 3), and NICE in Review and Quality Assurance (0 of 2). Common themes that emerged included sprase discussion on the financial aspects of rectal cancer management and lack of transparency in formulating recommendations.
Despite their variability, each of the 22 checklist elements are present in contemporary CPGs. Utilizing the RIGHT checklist would allow experts to create guidelines adhering to high-quality reporting standards.
临床实践指南（CPGs）是临床医生提供循证患者护理的重要工具。我们利用医疗保健实践指南报告条目（RIGHT）清单评估了 2017 年至 2022 年期间发布的针对直肠癌管理的 CPG 的报告质量。
评估了 4 项多学科直肠癌 CPG：美国结直肠外科医师学会（ASCRS）、欧洲肿瘤内科学会（ESMO）、美国国家综合癌症网络（NCCN）和英国国家卫生与保健优化研究所（NICE）。我们使用 RIGHT 清单对每个 CPG 进行了定量评估，并进行了定性分析以生成共同主题。
每个 CPG 满足的 RIGHT 清单项目数量为 12 至 17 项（共 22 项）。每个指南都表现出独特的弱点类别：ASCRS 在基本信息方面（4 项中的 1 项）、ESMO 在证据方面（3 项中的 1 项）、NCCN 在建议方面（3 项中的 1 项），以及 NICE 在审查和质量保证方面（2 项中无 1 项）。出现的共同主题包括对直肠癌管理的财务方面的讨论不充分以及在制定建议方面缺乏透明度。
尽管存在差异，但当代 CPG 中都包含了 22 个清单要素中的每一个。利用 RIGHT 清单可以让专家制定符合高质量报告标准的指南。
