兰州大学学报（医学版）2024，Vol.50Issue(1)：67-75,9.DOI:10.13885/j.issn.1000-2812.2024.01.010
急性肾损伤临床指南和共识的方法学质量评价
Methodological quality evaluation of clinical guidelines and consensus for acute kidney injury
摘要
Abstract
Objective To summarize and analyze the methodological quality appraisal and recommendations of guidelines and consensuses related to acute renal injury,so as to provide a theoretical basis for the formu-lation of localized guidelines.Methods The domestic and foreign guidelines related database were systemati-cally searched,and the search time was from the establishment of the database to September 4,2023.AGREEⅡ was used to evaluate the methodological quality of the included guidelines,and the recommendations relat-ed to the treatment of acute renal injury were summarized and analyzed.Results A total of 9 guidelines and consensuses were included in this study.The average score of AGREE Ⅱ in six fields was 50.93%for scope and purpose,43.83%for participants,40.39%for preciseness,73.46%for clarity,41.90%for applicability,and 49.07%for editorial independence.The appraisal result of the guideline recommendation was one"strong recommendation"and eight"revised recommendations".Relevant recommendations mainly included medical drug treatment,auxiliary support treatment and renal replacement treatment.Conclusion The methodological quality appraisal and recommendation summary analysis conducted in this study can help clinicians quickly and comprehensively grasp the diagnosis and treatment situation in the field,and provide necessary references for clinical practice.Relevant personnel should pay attention to clear evidence screening criteria and evidence rating in the evidence retrieval stage in formulating guidelines in the future.The link between evidence and recommendations should be improved when forming recommendations,and more consideration be given to practical feasibility and possible promoting or hindering factors in the implementation process of recommen-dations,so as to formulate comprehensive and scientific clinical guidelines.关键词
急性肾损伤/临床指南/指南研究与评价Ⅱ工具/质量评价Key words
acute kidney injury/clinical guidelines/AGREE Ⅱ/quality appraisal分类
医药卫生引用本文复制引用
曾嵘,姚可盈,黄佳,谭雨晴,李晓彤..急性肾损伤临床指南和共识的方法学质量评价[J].兰州大学学报（医学版）,2024,50(1):67-75,9.基金项目
兰州大学校级创新创业资助项目(20220050108) （20220050108）
