Analysis on Status of Clinical Guidelines and Evaluation on Evidence-Based Guidelines of Children in China

作者：Han Lu · 发表于：Zhongguo xunzheng yixue zazhi · 年份：2011 · 被引用次数：3 · 研究领域：Clinical practice guidelines implementation、Health Sciences Research and Education、Pediatric health and respiratory diseases

Objective To investigate and analyze the status of clinical guidelines of children in China,so as to regulate the development of children’s evidence-based clinical guidelines and provide recommendations for children’s clinical guidelines.Methods Names of guidelines,year and institution of publication,methodology of development and reference number were descriptively analyzed.Years of publication and diseases of guidelines were analyzed with statistifical graphs.AGREE instrument was used to evaluate the evidence-based guidelines of children.Results a) Of 91 clinical guidelines of children,62 were translations.Of 29 guidelines ourselves,nine were traditional Chinese medicine guidelines and five(17%) were evidence-based guidelines;b) Guideline on Rational Use of Antibiotics in Acute Respiratory Infec-tions(Probation),the rst guideline of children,was published in 1999.Guidelines of children was not published until 2005.Then,the number of guidelines was increasing each year and reached a peak in 2008.Of 13 guidelines in 2008,seven were traditional Chinese medicine guidelines.Guidelines on respiratory diseases were 14 ranked as the top;c) Guidelines on congenital deformity and chromosomal abnormalities,tumor,circulatory system disease,blood disease and western guideline on communicable disease were not formulated in China;and d) Average scores on six domain of five evidence-based guidelines were 84.4%,37.5%,74.3%,90.0%,22.2%,46.6%,respectively.Guide on Diagnosis and Treatment of C...