肿瘤并发症中医诊疗指南、共识方法学质量与报告质量评价

A review of the quality of traditional Chinese medicine guidelines and consensus methodology and report for the diagnosis and treatment of cancer complications

关键词:  肿瘤并发症  中医药  临床指南  专家共识  方法学质量  报告质量

Key words:  tumor complication  traditional Chinese medicine  clinical guide line  expert consensus  methodological quality  report quality

摘要:

[目的] 评价中国肿瘤并发症中医诊疗指南、专家共识方法学质量与报告质量，比较肿瘤并发症指南、共识药物推荐异同，促进指南的理解与应用。[方法] 以“肿瘤”“癌”“指南”“专家共识”“共识”“中医”等为主题词，检索中国知网、万方、维普网、医脉通刊载的国内发表的诊疗指南及专家共识，检索时限为建库—2021年4月30日；应用指南质量评价工具AGREEⅡ对诊疗指南及专家共识进行方法学质量评价，应用RIGHT工具进行报告质量评价。[结果] 共纳入9篇文献、1部指南、8部专家共识。指南6个领域的平均得分依次为：范围和目的60.34%、制定指南参与人员31.64%、制定严谨性24.60%、明晰陈述与表达40.28%、编辑独立性7.41%、应用性5.56%。[结论] 中国肿瘤并发症中医诊疗指南数量较少，方法学质量和报告质量不高，相关指南、共识制定规范性、严谨性有待加强。今后中医药临床实践指南制定结构上应遵循国际指南编写规范，内容上要突出中医药理论特色，提高指南质量和可应用性。

Abstract:

[Objective] To evaluate the quality of traditional Chinese medicine(TCM) diagnosis and treatment guidelines/expert consensus methodology and report quality of tumor complications in China,compare the similarities and differences between TCM diagnosis and treatment guidelines and consensus drug recommendations for tumor complications,and promote the application of guidelines.[Methods] With tumor,cancer,guidelines,expert consensus, consensus and TCM as the main inscription,China National Knowledge Network (CNKI),Wanfang Data,Chongqing VIP,and Medlive.cn were searched for domestic publication guidelines/consensus,and the retrieval time was from establishment to April 30,2021;The application of the guideline quality assessment tool AGREEⅡ for the guideline/consensus for methodological quality assessment,the application of the Right tool for quality assessment of the report.[Results] A total of 9 literatures,1 guide and 8 expert consensuses were included. The average scores of the six fields of the guideline were as follows:scope and purpose 60.34%,participants in the formulation of the guideline 31.64%,rigor 24.60%,clear statement and expression 40.28%,editorial independence 7.41%,and application 5.56%.[Conclusion] The number of TCM guidelines for the diagnosis and treatment of tumor complications in China is small,and the quality of methodology and report is not high. The standardization and rigor of relevant guidelines and consensus formulation need to be strengthened. In the future,the formulation of TCM clinical practice guidelines should follow the international guidelines compilation standards in terms of structure,highlight the theoretical characteristics of TCM in terms of content,and improve the quality and applicability of the guidelines.