scholarly journals The development of clinical guidelines in China: insights from a national survey

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Yang Song ◽  
Jing Li ◽  
Yaolong Chen ◽  
Ruixia Guo ◽  
Pablo Alonso-Coello ◽  
...  
Keyword(s):  
National Survey ◽  
Clinical Guidelines ◽  
Working Group ◽  
De Novo ◽  
Scientific Evidence ◽  
Management Policy ◽  
Middle Income ◽  
Development Methodology ◽  
Agree Ii Instrument

Abstract Background Previous research suggests that the quality of clinical guidelines (CGs) in China is suboptimal. However, little is known about the methodology that CGs follow. We conducted a national survey of methods used by Chinese CG developers for CG development, adaptation, and updating. Methods We used a previously piloted questionnaire based on methodologies of CG development, adaptation, and updating, which was distributed during September–November 2020 to 114 organizations identified from published Chinese CGs (searched 2017–2020), recommended by Chinese CG developers, and recommended by clinical discipline experts. Results We collected 48 completed questionnaires (42.1% response). Most organizations developed CGs based on scientific evidence (89.6%), existing CGs (75%), or expert experience and opinion (64.6%). Only a few organizations had a specific CG development division (6.3%), a CG monitoring plan (on clinicians 33.3%; on patients 18.8%), funding (33.3%), or a conflict-of-interest (COI) management policy (23.4%). Thirty (62.5%) organizations reported using a CG development methodology handbook, from international organizations (14/30, 46.7%), methodology or evaluation resources (3/30, 10.0%), expert experience and opinion (3/30, 10.0%), or in-house handbooks (3/30, 10.0%). One organization followed a published adaptation methodology. Thirty-eight organizations (88.4%) reported de novo CG development: 21 (55.3%) formed a CG working group, and 29 (76.3%) evaluated the quality of evidence (21 [72.4%] using a methodological tool). Nineteen organizations (52.8%) reported CG adaptation: three (31.6%) had an adaptation working group, and 12 (63.2%) evaluated the quality of source CGs (2 (16.7%) using the AGREE II instrument). Thirty-three organizations (68.8%) updated their CGs, seven (17.5%) using a formal updating process. Conclusions Our study describes how CGs are developed in a middle-income country like China. To ensure better healthcare, there is still an important need for improvement in the development, adaptation, and updating of CG in China.

scholarly journals PREFERRED REPORTING ITEMS FOR STUDIES MAPPING ONTO PREFERENCE-BASED OUTCOME MEASURES: THE MAPS STATEMENT

2015 ◽  
Vol 31 (4) ◽  
pp. 230-235 ◽  
Author(s):  
Stavros Petrou ◽  
Oliver Rivero-Arias ◽  
Helen Dakin ◽  
Louise Longworth ◽  
Mark Oppe ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Working Group ◽  
De Novo ◽  
Economic Evaluations ◽  
Biomedical Journal ◽  
Modified Delphi ◽  
Journal Editorial ◽  
Guidance Documents ◽  
Completeness Of Reporting

Background:“Mapping” onto generic preference-based outcome measures is increasingly being used as a means of generating health utilities for use within health economic evaluations. Despite publication of technical guides for the conduct of mapping research, guidance for thereportingof mapping studies is currently lacking. The MAPS (MApping onto Preference-based measures reporting Standards) statement is a new checklist, which aims to promote complete and transparent reporting of mapping studies.Methods:In the absence of previously published reporting checklists or reporting guidance documents, ade novolist of reporting items was created by a working group comprised of six health economists and one Delphi methodologist. A two-round, modified Delphi survey with representatives from academia, consultancy, health technology assessment agencies, and the biomedical journal editorial community was used to identify a list of essential reporting items from this larger list.Results:From the initialde novolist of twenty-nine candidate items, a set of twenty-three essential reporting items was developed. The items are presented numerically and categorized within six sections, namely: (i) title and abstract, (ii) introduction, (iii) methods, (iv) results, (v) discussion, and (vi) other. The MAPS statement is best applied in conjunction with the accompanying MAPS explanation and elaboration document.Conclusions:It is anticipated that the MAPS statement will improve the clarity, transparency. and completeness of reporting of mapping studies. To facilitate dissemination and uptake, the MAPS statement is being co-published by seven health economics and quality of life journals, and broader endorsement is encouraged. The MAPS working group plans to assess the need for an update of the reporting checklist in five years’ time.

scholarly journals CLINICAL PRACTICE GUIDELINES: A STRATEGY FOR EVALUATING PERCEPTION AND QUALITY

2018 ◽  
Author(s):  
Zendy-Estefany Carmargo-Cardona ◽  
Andres Bernal-Ballen ◽  
Jose-Leonardo Cely-Andrade
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Health Professionals ◽  
Scientific Evidence ◽  
Agree Ii ◽  
Agree Ii Instrument

Clinical practice guidelines (CPG) are recommendations based on a systematic review of scientific evidence and generally these documents are under constant assess. For this matter, a group of health-professionals which belong to Fundación Centro Colombiano de Hipoterapia evaluated the use and quality of the used CPG using AGREE II instrument. The obtained results evidence correlation between both parameters since health-professionals trust in their acquired experience without detracting from the benefits that can be obtained with the use of guidelines. Among the mentioned benefits, improving the quality of care, effectiveness in clinical decisions, and the optimization of costs related to health care can be mentioned. Nonetheless, health-professionals reflect uncertainty in the recommendations generated by the guidelines because of the barriers presented such as strictness in its elaboration, it lacks in updates, audits and evaluations. Key words: Clinical practice guidelines, assessment, quality.

scholarly journals The Factors Influencing the Implementation of Clinical Guidelines in the World; a Systematic Review Protocol

2021 ◽  
Author(s):  
Javad Babaei ◽  
Sakineh Hajebrahimi ◽  
Ali Jannati ◽  
Mina Azizzadeh
Keyword(s):  
Systematic Review ◽  
Clinical Guidelines ◽  
Scientific Evidence ◽  
Factors Affecting ◽  
Medical Centers ◽  
Factors Influencing ◽  
Third Person ◽  
Review Protocol ◽  
The Way

Abstract Background: Clinical guidelines are a systematic collection of the latest and most authoritative scientific evidence that describes thediagnostic steps and methods of clinical treatment of a patient in a categorized manner, taking into account priorities, effectiveness, and cost-effectiveness. It is necessary to explore and categorize influencing factors in the implementation of clinical guidelines worldwide to pave the way for their implementation in medical centers.Methods: In this systematic review we will search Scopus, PubMed, Web of sciences, clinical key, Google Scholar (Search Engine as well as Iranian data bases including: Magiran, SID, Irandoc, Iranmedex. We will include all related original studies that generally cover all relevant outcomes to determine the factors influencing the success of the implementation of clinical guidelines and to identify barriers and facilitators as well.The quality of the included studies will be assessed by appropriate Joanna Briggs Institute (JBI) Checklists according to the type of studies. The selection and appraisal process will be performed by two members of the research team; and in case of disagreement between the two researchers, the third person will review the articles.Discussion: Identifying the facilitators and factors affecting the implementation of clinical guidelines as well as the related obstacles is expected to pave the way for helping managers, policymakers and health planners in implementing them correctly.Systematic review registration: CRD42020201350

scholarly journals Quality assessment of clinical guidelines for the treatment of obesity in adults: application of the AGREE II instrument

2018 ◽  
Vol 34 (6) ◽  
Author(s):  
Erika Cardoso dos Reis ◽  
Sonia Regina Lambert Passos ◽  
Maria Angelica Borges dos Santos
Keyword(s):  
Clinical Guidelines ◽  
Guideline Development ◽  
Stakeholder Involvement ◽  
Agree Ii ◽  
Canadian Guideline ◽  
Government Sector ◽  
The Government ◽  
Treatment Of Obesity ◽  
Agree Ii Instrument

There are various guidelines for the treatment of obesity, and thus the quality of these clinical guidelines has become a matter of concern. The objective was to describe and assess the quality of clinical guidelines for treatment of obesity in adults. We collected several studies, dated from 1998 to 2016, produced by different countries. The literature search included the National Guideline Clearinghouse (NGC), Guidelines International Network (GIN), PubMed (MEDLINE), Scopus, Web of Science, webpages of health institutions from different countries, and search sites, with the criterion: “clinical guidelines for treatment of obesity in adults and published until the 2016”. The guidelines were assessed with the Appraisal of Guidelines for Research & Evaluation (AGREE II), according to the domains of the instrument. The search identified 21 guidelines: nine from Europe, six from North America, three from Latin America, and one each from Asia and Oceania and a transnational association. The Australian guideline had the best assessment. Of the six guidelines with the highest scores, five had been elaborated by the government sector responsible for the country’s health. The domains “scope and purpose” and “clarity of presentation” had the highest score. Except for the Canadian guideline, the three guidelines drafted before the elaboration of AGREE II had the worst quality. In the domain “stakeholder involvement”, only four guidelines (Australia, Scotland, France, and England) mentioned patient participation. Guideline development and quality enhancement are ongoing processes requiring systematic appraisal of the guideline production process and existing guidelines.

Systematic approaches in water management: Aquatic outlook and decision support systems combining monitoring, research, policy analysis and information technology

1996 ◽  
Vol 34 (12) ◽  
pp. 9-16 ◽  
Author(s):  
J. de Jong ◽  
J. T. van Buuren ◽  
J. P. A. Luiten
Keyword(s):  
Water Management ◽  
Policy Analysis ◽  
Research Policy ◽  
Human Life ◽  
Management Policy ◽  
Ecological Aspects ◽  
Management Plans ◽  
Water Management Plans ◽  
Life On Earth

Sustained developments is the target of almost every modern water management policy. Sustainability is focused on human life and on the ecological quality of our environment. Both aspects are essential for life on earth. Within a river catchment area this means that well balanced relations have to be laid between human activities and ecological aspects in the involved areas. Policy analysis is especially looking for the most efficient way to analyse and to overcome bottlenecks. In The Netherlands project “The Aquatic Outlook” all these elements are worked out in a nationwide scale, providing the scientific base and policy analysis from which future water management plans can be derived.

scholarly journals Effectiveness of Shock Wave Therapy as a Treatment for Spasticity: A Systematic Review

2020 ◽  
Vol 11 (1) ◽  
pp. 15
Author(s):  
Isabel María Martínez ◽  
Nuria Sempere-Rubio ◽  
Olga Navarro ◽  
Raquel Faubel
Keyword(s):  
Shock Wave ◽  
Botulinum Toxin ◽  
Methodological Quality ◽  
Scientific Evidence ◽  
Motor Impairment ◽  
Functional Independence ◽  
Shock Wave Therapy ◽  
Jadad Scale ◽  
Type Of Injury

Background: The purpose of this study was to collect and analyse the available scientific evidence on the effectiveness of shock wave therapy as a treatment for spasticity. Methods: the search was performed in the following databases: PubMed, PEDro, Cochrane, Embase, and the Virtual Health Library. All publications from November 2009 to November 2019 were selected that included a sample of patients with spasticity and prior suspension of botulinum toxin, to whom shock wave therapy was applied. The methodological quality of the articles was evaluated using the Jadad scale and the pyramid of quality of scientific evidence. Results: 25 studies involving 866 participants with spasticity were selected. The results obtained suggest that shock wave therapy appears to be effective in reducing spasticity levels irrespective of the age of the participants, the type of injury, and the tool used to measure the effect. Conclusions: shock wave therapy reports evidence of improvement in motor function, motor impairment, pain, and functional independence, applied independently of botulinum toxin. However, due to the heterogeneity of the protocols, there is no optimum protocol for its application, and it would be appropriate to gain more high-quality scientific evidence through primary studies.

scholarly journals Percutaneous versus Transcutaneous Electrical Stimulation of the Posterior Tibial Nerve in Idiopathic Overactive Bladder Syndrome with Urinary Incontinence in Adults: A Systematic Review

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 879
Author(s):  
Aida Agost-González ◽  
Isabel Escobio-Prieto ◽  
Azahara M. Pareja-Leal ◽  
María Jesús Casuso-Holgado ◽  
María Blanco-Diaz ◽  
...  
Keyword(s):  
Systematic Review ◽  
Urinary Incontinence ◽  
Electrical Stimulation ◽  
Overactive Bladder ◽  
Tibial Nerve ◽  
Scientific Evidence ◽  
Transcutaneous Electrical Stimulation ◽  
Posterior Tibial Nerve ◽  
Posterior Tibial

Background: Percutaneous electrical stimulation and transcutaneous electrical stimulation (PTNS and TTNS) of the posterior tibial nerve are internationally recognized treatment methods that offer advantages in terms of treating patients with overactive bladder (OAB) who present with urinary incontinence (UI). This article aims to analyze the scientific evidence for the treatment of OAB with UI in adults using PTNS versus TTNS procedures in the posterior tibial nerve. Methods: A systematic review was conducted, between February and May 2021 in the Web of Science and Scopus databases, in accordance with the PRISMA recommendations. Results: The research identified 259 studies, 130 of which were selected and analyzed, with only 19 used according to the inclusion requirements established. The greatest effectiveness, in reducing UI and in other parameters of daily voiding and quality of life, was obtained by combining both techniques with other treatments, pharmacological treatments, or exercise. Conclusions: TTNS has advantages over PTNS as it is more comfortable for the patient even though there is equality of both therapies in the outcome variables. More research studies are necessary in order to obtain clear scientific evidence.

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