解放军医学杂志2024，Vol.49Issue(9)：977-985,9.DOI:10.11855/j.issn.0577-7402.0030.2024.0607
基于AGREEⅡ及RIGHT的儿童孤独症诊疗指南/共识质量评价研究
Quality evaluation of childhood autism guidelines/consensus based on AGREE Ⅱ and RIGHT
摘要
Abstract
Objective To evaluate the methodological and reporting quality of published guidelines/consensus for childhood autism(CA),providing a basis for formulating domestic CA guidelines.Methods We searched databases including CNKI,Wanfang Data,SinoMed,Medlive,PubMed,national institute of health and clinical excellence(NICE),national guideline clearinghouse(NGC),and Scottish intercollegiate guidelines network(SIGN)for Chinese and foreign guideline/consensus on childhood autism published before February 1,2024.Two researchers independently evaluated the methodology and reporting quality of the guideline/consensus using the Appraisal of Guidelines Research and Evaluation Ⅱ(AGREE Ⅱ)and Reporting Items for Practice Guidelines in Healthcare(RIGHT)tools.Results After literature screening,19 CA guidelines/consensus were included,comprising 11 guidelines,7 consensus,and 1 expert recommendation,with 9 domestic and 10 foreign articles.The AGREE Ⅱ evaluation scores for the six domains were as follows:scope and purpose(91.1％±4.5％),stakeholder involvement(86.8％±6.7％),rigour of development(83.0％±10.2％),clarity of presentation(84.3％±6.2％),applicability(82.7％±13.3％),and editorial independence(65.4％±21.8％).The RIGHT checklist reported rates for the seven domains were:basic information(87.6％±11.0％),background(87.6％±13.8％),evidence(81.1％±22.6％),recommendation(71.1％±38.4％),review and quality assurance(83.5％±16.7％),funding and declaration and management of interests(48.7％±29.4％),and other information(64.4％±11.8％).The domain with the lowest score for methodological quality was"editorial independence"and for reporting quality,it was"funding and declaration and management of interests".The reporting rate of domestic articles(26.2％±1.5％)was significantly lower than that of foreign articles(52.6％±2.2％),with a statistically significant difference(P<0.05).Conclusion The overall quality of current childhood autism guidelines/consensus requires improvement.During the formulation and reporting of guidelines/consensus,strictly adhering to AGREE Ⅱ and RIGHT is imperative,and it is essential to clearly report funding sources and conflicts of interest.关键词
儿童孤独症/指南/共识/质量评价Key words
childhood autism/guideline/consensus/quality evaluation分类
医药卫生引用本文复制引用
邓辉,王梦琪,孟祥然,龙政莉,曹雪,刘佳..基于AGREEⅡ及RIGHT的儿童孤独症诊疗指南/共识质量评价研究[J].解放军医学杂志,2024,49(9):977-985,9.基金项目
This work was supported by the Science and Technology Innovation Project of China Academy of Chinese Medical Sciences(CI2021A00702-2) 中国中医科学院科技创新工程项目(CI2021A00702-2) （CI2021A00702-2）
