Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for Cancer, National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute & Hospital, Tianjin, China.
Department of Global Health, School of Public Health, Peking University, Beijing, China.
Support Care Cancer. 2024 Jun 25;32(7):456. doi: 10.1007/s00520-024-08641-w.
To evaluate the quality of guidelines on the pancreatic perioperative enhanced recovery after surgery both domestically and internationally, providing reference and reference for clinical practice.
Systemically retrieved in the guideline websites, professional association websites and databases, such as up to date, BMJ Best Practice, PubMed, Embase, The Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Wan Fang Data, China Science and Technology Journal Database(VIP), China Biology Medicine disc (CBMdisc), Medlive, Guidelines International Network(GIN), National Guideline Clearinghouse(NGC), National Institute for Health and Care Excellence(NICE), Registered Nurses Association of Ontario(RNAO), Scottish Intercollegiate Guidelines Network(SIGN), Joanna Briggs Institute Library(JBI), including guidelines and expert consensus on enhanced postsurgical recovery in pancreatic surgery published as of December 20, 2023. The Appraisal of Guidelines for Research and Evaluation II(AGREE II) tool was applied to evaluate the quality of the guidelines by four assessors.
This study included seven guidelines, all of which were rated as Grade B in terms of quality, with ICC coefficients ranging from 0.752 to 0.884, indicating a high level of consistency.
When formulating guidelines in the future, it is recommended to use AGREE II as a reference, emphasizing the standardization of the guideline development process and methods, fully considering patients' values and preferences, focusing on the applicability of the guidelines, and striving to create high-quality evidence-based recommendations.
评价国内外胰腺围手术期加速康复外科指南的质量，为临床实践提供参考和借鉴。
系统检索 up to date、BMJ Best Practice、PubMed、Embase、The Cochrane Library、Web of Science、中国知网（CNKI）、万方数据、维普中文科技期刊数据库（VIP）、中国生物医学文献数据库（CBMdisc）、Medlive、国际指南协作网（GIN）、美国国立指南库（NGC）、英国国家卫生与临床优化研究所（NICE）、安大略注册护士协会（RNAO）、苏格兰校际指南网络（SIGN）、澳大利亚乔安娜布里格斯研究所图书馆（JBI）等指南网站、专业协会网站，以及PubMed、Embase 等数据库，时限均为建库至 2023 年 12 月 20 日，收集国内外发布的关于胰腺外科术后加速康复的指南和专家共识。由 4 位评价员采用 AGREE II 工具对指南进行质量评价。
共纳入 7 篇指南，质量均为 B 级，ICC 系数为 0.752～0.884，提示一致性较好。
未来制定指南时，建议以 AGREE II 为参考，强调指南开发过程和方法的规范化，充分考虑患者的价值观和偏好，注重指南的适用性，努力制定高质量的基于证据的推荐意见。
