Chen Huiling, Ge Shiliang, Yao Penghao, Yang Ting, Cao Xia, Sun Dali
The Key Laboratory of the 2nd Affiliated Hospital of Kunming Medical University, Kunming, China.
Department of Burn Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Psychol Rep. 2024 Aug 5:332941241269510. doi: 10.1177/00332941241269510.
To systematically assess the quality of management guidelines for children and adolescents with autism spectrum disorder, analyze key management recommendation differences and causes among guidelines, and provide better guideline assessments for clinical workers.
Clinical guidelines for managing children and adolescents with autism were systematically retrieved from a database. Four reviewers independently evaluated the guidelines using the assessment guideline tool, Appraisal of Guidelines for Research and Evaluation II (AGREE II), and the intra-group correlation coefficient (ICC) was used to measure the consistency of the assessment guidelines among the four reviewers and the differences and reasons for the recommendations and supporting evidence were compared and analyzed.
A total of ten management guidelines for children and adolescents with autism spectrum disorder published from 2014 to 2022 were included in this study, with high overall agreement between raters (range of intra-group correlation coefficients: 53.3% ∼ 85.0%), and areas with better median scores and ranges in Protocol II were as follows: domain 1 (scope and purpose, median = 86.1%, 59.7%-98.6%), Domain 4 (clarity of statements, median = 88.2%, 38.9%-100.0%) and domain 6 (independence of editors, median = 71.9%, 0.0%-100.0%). Among the ten guidelines the guidelines published by the Scott Intercollegiate Guidelines Network in 2016 and by the National Institute for health and care excellence in 2021 scored high and were recommended for adoption, 88.7%, 84.9%, respectively.
There is considerable variation between the quality of guidelines for the management of children and adolescents with autism spectrum disorders.
系统评价孤独症谱系障碍儿童和青少年管理指南的质量，分析指南间关键管理建议的差异及原因，为临床工作者提供更好的指南评价。
从数据库中系统检索孤独症儿童和青少年管理的临床指南。四位评审员使用评估指南工具《研究与评价指南评估II》（AGREE II）独立评估指南，组内相关系数（ICC）用于衡量四位评审员评估指南的一致性，并比较和分析建议及支持证据的差异和原因。
本研究纳入了2014年至2022年发表的共十篇孤独症谱系障碍儿童和青少年管理指南，评分者间总体一致性较高（组内相关系数范围：53.3%～85.0%），协议II中中位数得分及范围较好的领域如下：领域1（范围和目的，中位数 = 86.1%，59.7% - 98.6%）、领域4（陈述清晰度，中位数 = 88.2%，38.9% - 100.0%）和领域6（编辑独立性，中位数 = 71.9%，0.0% - 100.0%）。在这十篇指南中，2016年斯科特跨学院指南网络和2021年英国国家卫生与临床优化研究所发布的指南得分较高，分别为88.7%、84.9%，推荐采用。
孤独症谱系障碍儿童和青少年管理指南的质量存在较大差异。
