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Methodological quality evaluation of clinical practice guideline, expert consensus and standard for allergic rhinitis in China

Published on Jun. 29, 2024Total Views: 45 timesTotal Downloads: 22 timesDownloadMobile

Author: LI Yahui YANG Ming WANG Jiamei SHI Yue LIU Fang HE Bolin CHEN Chuanrong ZHANG Haiyan

Affiliation: Department of Traditional Chinese Medicine, Beijing Haidian District Maternal and Child Health Care Hospital, Beijing 100080, China

Keywords: Allergic rhinitis Clinical practice guideline Expert consensus Standard AGREE II Quality evaluation

DOI: 10.12173/j.issn.1004-5511.202311126

Reference: Li YH, Yang M, Wang JM, Shi Y, Liu F, He BL, Chen CR, Zhang HY. Methodological quality evaluation of clinical practice guideline, expert consensus and standard for allergic rhinitis in China[J]. Yixue Xinzhi Zazhi, 2024, 34(6): 682-691. DOI: 10.12173/j.issn.1004-5511.202311126.[Article in Chinese]

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Abstract

Objective  To systematically evaluate the methodological quality of clinical practice guideline, expert consensus and standard for allergic rhinitis in China.

Methods  Databases, including CNKI, Wanfang, VIP, CBM, and websites of Yimaitong, Society of Otorhinolaryngology Head and Neck Surgery of Chinese Medical Association, China Association of Chinese Medicine, and Chinese Association of Integrative Medicine were searched for clinical practice guidelines, expert consensus and standard for allergic rhinitis from inception to October 2023. Two researchers independently screeneds the literature and extracted relevant information according to the inclusion and exclusion criteria. The AGREE II tool was used to assess the methodological quality of the included studies by four researchers and the intraclass correlation coefficient (ICC) was used to assess the consistency of results.

Results  A total of 14 articles were included, including 4 clinical practice guidelines, 9 expert consensus, and 1 standard. The ICC between researchers was 0.967. The average standardized scores for the scope and purpose, stakeholder involvement, rigour of development, clarity of presentation, applicability, editorial independence were 73.29%, 42.43%, 29.40%, 69.19%, 44.76%, and 4.76%, respectively. There were 0, 12, and 2 literatures with recommended level of A, B, and C, respectively.

Conclusion  The methodology qualities of clinical practice guidelines, expert consensus and standards for allergic rhinitis in China need to be improved in terms of applicability, editorial independence, and rigor of development, in order to promote the clinical diagnosis and treatment of allergic rhinitis patients.

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References

1.中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组, 中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 中国变应性鼻炎诊断和治疗指南(2022年, 修订版)[J]. 中华耳鼻咽喉头颈外科杂志, 2022, 57(2): 106-129. [Subspecialty Group of Rhinology, Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery, Subspecialty Group of Rhinology, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association. Chinese guidelines for diagnosis and treatment of allergic rhinitis (2022, revised)[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2022, 57(2): 106-129.] DOI: 10.3760/cma.j.cn115330-20211228-00828.

2.王孟, 郑铭, 王向东, 等. 中国过敏性鼻炎流行病学研究进展[J]. 中国耳鼻咽喉头颈外科, 2019, 26(8): 415-420. [Wang M, Zheng M, Wang XD, et al. Epidemiological research progress on allergic rhinitis in China[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2019, 26(8): 415-420.] DOI: 10.16066/j.1672-7002.2019.08.004.

3.Popov TA, Passalacqua G, González-Díaz SN, et al. Medical devices in allergy practice[J]. World Allergy Organ J, 2020, 13(10): 100466. DOI: 10.1016/j.waojou.2020.100466.

4.尚海花, 肖学凤, 廖茂梁, 等. 中药治疗过敏性鼻炎作用机制的研究进展[J]. 药物评价研究, 2010, 33(6): 467-471. [Shang HH, Xiao XF, Liao ML, et al. Research progress on the mechanism of action of traditional Chinese medicine in the treatment of allergic rhinitis[J]. Drug Evaluation Research, 2010, 33(6): 467-471.] DOI: 10.7501/j.issn.0253-6376.[year].[issue].[sequence].

5.代欣玥, 张菀桐, 杨巧宁, 等. 中国糖尿病足诊疗指南的方法学质量评价[J]. 中国循证医学杂志, 2021, 21(2): 191-196. [Dai XY, Zhang WT, Yang QN, et al. Methodological quality evaluation of Chinese guidelines for diagnosis and treatment of diabetes foot[J]. Chinese Journal of Evidence-Based Medicine , 2021, 21(2): 191-196.] DOI: 10.7507/1672-2531.202005100.

6.中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组, 中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 变应性鼻炎诊断和治疗指南(2015年, 天津)[J]. 中华耳鼻咽喉头颈外科杂志, 2016, 51(1): 6-24. [Subspecialty Group of Rhinology, Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery, Subspecialty Group of Rhinology, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association. Chinese guidelines for diagnosis and treatment of allergic rhinitis (2015, Tianjin)[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2016, 51(1): 6-24.] DOI: 10.3760/cma.j.issn.1673-0860.2016.01.004.

7.Brouwers MC, Kho ME, Browman GP, et al. AGREE II: advancing guideline development, reporting and evaluation in health care[J]. J Clin Epidemiol, 2010, 63(12): 1308-1311. DOI: 10.1503/cmaj.090449.

8.汪受传, 赵霞, 虞舜, 等. 循证性中医临床诊疗指南的质量评价—AGREE Ⅱ工具及其应用[J]. 中华中医药杂志, 2016, 31(8): 2963-2967. [Wang SC, Zhao X, Yu S, et al. Quality evaluation of evidence-based Chinese medicine clinical diagnosis and treatment guideline: the AGREE II instrument and its application[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2016, 31(8): 2963-2967.] DOI: CNKI:SUN:BXYY.0.2016-08-023.

9.Robin G, Michelle M, Dianne MW, et al. Clinical practice guidelines we can trust[M]. Washington DC: National Academies Press, 2011.

10.王可可, 李思淼, 罗婕, 等. 骨质疏松症临床实践指南评价及药物综合价值研究[J]. 中国医院药学杂志, 2020, 40(1): 91-98. [Wang KK, Li SM, Luo J, et al. Evaluation of clinical practice guidelines for osteoporosis and research on the comprehensive value of drugs[J]. Chinese Journal of Hospital Pharmacy, 2020, 40(1): 91-98.] DOI: 10.13286/j.1001-5213.2020.01.14.

11.Kirby JS, Scharnitz T, Seiverling EV, et al. Actinic keratosis clinical practice guidelines: an appraisal of quality[J]. Dermatol Res Pract, 2015, 2015: 456071. DOI: 10.1155/2015/456071.

12.邢鹏, 张娜, 梁辉, 等. 基于AGREE Ⅱ工具对男性不育症指南的质量评价[J].生殖医学杂志, 2020, 29(3): 363-368. [Xing P, Zhang N, Liang H, et al. Quality evaluation of male infertility guidelines based on the AGREE II tool[J]. Journal of Reproductive Medicine, 2020, 29(3): 363-368.] DOI: 10.3969/j.issn.1004-3845.2020.03.015.

13.李春波, 何燕玲, 张明园. 一致性检验方法的合理应用 [J]. 上海精神医学, 2000, 12(4): 228-230, 232. [Li CB, He YL, Zhang MY. Reasonable application of consistency testing methods[J]. Shanghai Archives of Psychiatry, 2000, 12(4): 228-230, 232.] DOI: 10.3969/j.issn.1002-0829. 2000.04.016.

14.中华耳鼻咽喉头颈外科杂志编委会鼻科组, 中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 变应性鼻炎特异性免疫治疗专家共识[J]. 中华耳鼻咽喉头颈外科杂志, 2011, 46(12): 976-980. [Subspecialty Group of Rhinology, Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery, Subspecialty Group of Rhinology, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association. Expert consensus on specific immunotherapy for allergic rhinitis[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2011, 46 (12): 976-980.] DOI: 10.3760/cma.j.issn.1673- 0860.2011.12.003.

15.杨钦泰, 陈建军, 谭国林, 等. 鼻用糖皮质激素治疗变应性鼻炎专家共识(2021, 上海)[J]. 中国耳鼻咽喉颅底外科杂志, 2021, 27(4): 365-371. [Yang QT, Chen  JJ, Tan GL, et al. Expert consensus on the treatment of allergic rhinitis with nasal glucocorticoids (2021, Shanghai)[J]. Chinese Journal of Otorhinolaryngology-skull Base Surgery, 2021, 27(4): 365-371.] DOI: 10.11798/j.issn.1007-1520.202140001.

16.北京中医药学会耳鼻咽喉专业委员会. 变应性鼻炎经典名方临床应用专家共识[J]. 北京中医药, 2022, 41(2): 141-144. [Beijing Association of Traditional Chinese Medicine Otolaryngology Professional Committee Expert consensus on the clinical application of classic prescriptions for allergic rhinitis[J]. Beijing Journal of Traditional Chinese Medicine, 2022, 41(2): 141-144.] DOI: 10.16025/j.1674-1307.2022.02.007.

17.李华斌, 王向东, 王洪田, 等.中国鼻病研究协作组. 口服H1抗组胺药治疗变应性鼻炎2018广州共识[J]. 中国眼耳鼻喉科杂志, 2018, 18(3): 149-156. [Li HB, Wang XD, Wang HT, et al. Oral H1 antihistamine therapy for allergic rhinitis. 2018 Guangzhou consensus[J]. Chinese Journal of Ophthalmology and Otorhinolaryngology, 2018, 18(3): 149-156.] DOI: 10.14166/j.issn. 1671-2420.2018.03.001.

18.余少卿, 王向东, 徐睿, 等. 变应性鼻炎的外科手术治疗专家共识(2022, 上海)[J]. 中国耳鼻咽喉颅底外科杂志, 2022, 28(1): 7-17. [Yu SQ, Wang XD, Xu R, et al.  Expert consensus on surgical treatment of allergic rhinitis (2022, Shanghai)[J]. Chinese Journal of Otorhinolaryngology-skull Base Surgery, 2022, 28(1): 7-17.] DOI: 10.11798/j.issn.1007-1520.202201001.

19.中国过敏性鼻炎研究协作组.过敏性鼻炎皮下免疫治疗专家共识2015[J]. 中国耳鼻咽喉头颈外科, 2015, 22(8): 379-404. [Chinese Collaborative Group on Allergic Rhinitis Research. Expert consensus on subcutaneous immunotherapy for allergic rhinitis 2015[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2015, 22(8): 379-404.] DOI: 10.16066/j.1672-7002.2015.08.001.

20.中国医师协会儿科医师分会儿童耳鼻咽喉专业委员会. 抗组胺药治疗婴幼儿过敏性鼻炎的临床应用专家共识[J]. 中国实用儿科杂志, 2019, 34(9): 721-728. [Special Committee of Pediatric Otorhinolaryngology of Pediatric Branch of Chinese Medical Association. Expert consensus on the clinical application of antihistamines in the treatment of infants with allergic rhinitis[J]. Chinese Journal of Practical Pediatrics, 2019, 34(9): 721-728.] DOI: 10.19538/j.ek2019090601.

21.李华斌, 史丽, 荣光生,等. 儿童变应性鼻炎患者新型冠状病毒疫苗接种专家共识[J]. 中国耳鼻咽喉颅底外科杂志, 2022, 28(1): 1-6. [Li HB, Shi L, Rong GS, et al. Expert consensus on the COVID-19 vaccination in children with allergic rhinitis[J]. Chinese Journal of Otorhinolaryngology-skull Base Surgery, 2022, 28(1): 1-6.] DOI: 10.11798/j.issn.1007-1520.202160001.

22.叶菁, 徐睿, 邱前辉, 等. 抗IgE单抗治疗变应性鼻炎专家共识(南昌, 2022)[J]. 中华临床免疫和变态反应杂志, 2022, 16(5): 458-468. [Ye J, Xu R, Qiu QH, et al. Expert consensus on the treatment of allergic rhinitis with anti-IgE monoclonal antibodies (Nanchang, 2022)[J]. Chinese Journal of Allergy & Clinical Immunology, 2022, 16(5): 458-468.] DOI: 10.3969/j.issn.1673-8705.2022.05.002.

23.中国过敏性鼻炎研究协作组. 过敏性鼻炎皮下免疫治疗的临床操作规范[J]. 中国耳鼻咽喉头颈外科, 2018, 25(1): 1-12. [Chinese Collaborative Group on Allergic Rhinitis Research. Clinical operating procedures for subcutaneous immunotherapy of allergic rhinitis[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2018, 25(1): 1-12.] DOI: 10.16066/j.1672-7002.2018.01.001.

24.中国医师协会儿科医师分会儿童耳鼻咽喉专业委员会. 儿童过敏性鼻炎诊疗——临床实践指南[J]. 中国实用儿科杂志, 2019, 34(3): 169-175. [Otolaryngology Professional Committee, Pediatrician Branch, Chinese Medical Doctor Association. Clinical practice guideline: diagnosis and treatment in children with allergic rhinitis[J]. Chinese Journal of Practical Pediatrics, 2019, 34(3): 169-175.] DOI: 10.19538/j.ek2019030601.

25.赵霞, 张杰, 秦艳虹, 等. 儿童变应性鼻炎中西医结合诊疗指南[J]. 南京中医药大学学报, 2023, 39(3): 274-284. [Zhao X, Zhang J, Qin YH, et al. Guidelines for the diagnosis and treatment of pediatric allergic rhinitis with integrated traditional Chinese and Western medicine[J]. Journal of Nanjing University of Traditional Chinese Medicine, 2023, 39(3): 274-284.] DOI: 10.14148/j.issn.1672-0482.2023.0274.

26.中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组, 中华医学会耳鼻咽喉头颈外科学分会鼻科学组, 小儿学组. 儿童变应性鼻炎诊断和治疗指南(2022年, 修订版)[J]. 中华耳鼻咽喉头颈外科杂志, 2022, 57(4): 392-404. [Subspecialty Group of Rhinology, Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery, Subspecialty Groups of Rhinology and Pediatrics, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association. Guideline for diagnosis and treatment of pediatric allergic rhinitis (2022, revision) [J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2022, 57(4): 392-404.] DOI: 10.3760/cma.j.cn115330-20220303-00092.

27.李晶娅, 张娟娟, 安莹,等. 中风病中医指南与共识的质量评价研究[J]. 中国中医药信息杂志, 2022, 29(8): 30-36. [Li JY, Zhang JJ, An Y, et al. Research on quality evaluation of traditional Chinese medicine guidelines and consensus for stroke[J]. Chinese Journal of Information on Traditional Chinese Medicine, 2022, 29(8): 30-36.] DOI: 10.19879/j.cnki.1005-5304.202112417.

28.王吉耀, 王强, 王小钦, 等. 中国临床实践指南评价体系的制定与初步验证[J]. 中华医学杂志, 2018, 98(20): 1544-1548. [Wang JY, Wang Q, Wang XQ, et al. Development and preliminary validation of the evaluation system for Chinese clinical practice guidelines[J]. National Medical Journal of China, 2018, 98 (20): 1544-1548.] DOI: 10.3760/cma.j.issn.0376-2491.2018.20.004.

29.徐浩, 董红军, 陈旭青,等. 《中医治未病实践指南·鼻鼽》临床一致性评价研究[J]. 中国中医药信息杂志, 2018, 25(3): 16-18. [Xu H, Dong HJ, Chen XQ, et al. Study on clinical consistency evaluation in TCM practice guidelines for prevention and treatment of Biqiu (allergic rhinitis)[J]. Chinese Journal of Information on Traditional Chinese Medicine, 2018, 25(3): 16-18.] DOI: 10.3969/j.issn.1005-5304.2018.03.004.