The development of clinical guidelines in China : insights from a national survey
Song, Yang (Institut d'Investigació Biomèdica Sant Pau)
Li, Jing (Hospital Universitari Vall d'Hebron)
Chen, Yaolong (WHO Collaborating Centre for Guideline Implementation and Knowledge Translation)
Guo, Ruixia (First Affiliated Hospital of Zhengzhou University. Department of Gynaecology)
Alonso-Coello, Pablo (Institut d'Investigació Biomèdica Sant Pau)
Zhang, Yuan (McMaster University. Department of Health Research Methods, Evidence, and Impact (HEI))
Universitat Autònoma de Barcelona

Data:	2021
Resum:	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. 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. 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. 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. The online version contains supplementary material available at 10. 1186/s12961-021-00799-7.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Practice guideline ; Surveys and questionnaires ; Evidence-based practice ; China
Publicat a:	Health Research Policy and Systems, Vol. 19 (december 2021) , ISSN 1478-4505

DOI: 10.1186/s12961-021-00799-7
PMID: 34949195

13 p, 2.6 MB

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