非酒精性脂肪性肝病中医/中西医结合诊疗指南/共识的质量评价
Quality assessment of guidelines/consensuses on traditional Chinese medicine/integrated traditional Chinese and Western medicine diagnosis and treatment of nonalcoholic fatty liver disease
摘要
Abstract
Objective To evaluate the methodological quality and reporting quality of published guidelines/consensuses on traditional Chinese medicine(TCM)/integrated traditional Chinese and Western medicine diagnosis and treatment of nonalcoholic fatty liver disease(NAFLD),and to provide a basis for formulating guidelines/consensuses on TCM/integrated traditional Chinese and Western medicine diagnosis and treatment of NAFLD in the future.Methods Databases including PubMed,Embase,Web of Science,CNKI,Wanfang Data,and CBM and the websites of China Association of Chinese Medicine and China Association of Integrative Medicine were searched for related articles published up to September 1,2024.Two clinical researchers independently assessed the methodological quality and reporting quality of the guidelines/consensuses on TCM/integrated traditional Chinese and Western medicine diagnosis and treatment of NAFLD by using Appraisal of Guidelines for Research and Evaluation Ⅱ(AGREE Ⅱ)and Reporting Items for Practice Guidelines in Healthcare(RIGHT).Results A total of nine guidelines/consensuses were included after literature screening,with four guidelines and five expert consensuses.The scores of different domains assessed by AGREE Ⅱ for the nine guidelines/consensuses were as follows:scope and purpose(47.1%),stakeholder involvement(41.0%),rigor of development(21.6%),clarity of presentation(40.2%),applicability(19.0%),and editorial independence(19.6%).The recommendation level of the articles was B level(recommended after revision)for four articles and C level(not recommended)for five articles.The RIGHT assessment showed high reporting rates for"Basic Information"and"Background",while other areas needed to be improved.Currently,there was no international standard for the guidelines/consensuses on TCM/integrated traditional Chinese and Western medicine diagnosis and treatment of NAFLD,and the quality of these guidelines/consensuses needed to be enhanced to ensure comprehensiveness and credibility.Conclusion There is still potential for improving the quality of guidelines/consensuses on TCM/integrated traditional Chinese and Western medicine diagnosis and treatment of NAFLD,and AGREE Ⅱ and RIGHT checklists should be strictly followed to ensure the fairness,scientific rigor,and transparency of these guidelines/consensuses.关键词
非酒精性脂肪性肝病/医学,中国传统/中西医结合/诊疗准则(主题)/共识Key words
Non-alcoholic Fatty Liver Disease/Medicine,Chinese Traditional/Integrated Traditional Chinese Medicine&Western Medicine/Practice Guidelines as Topic/Consensus引用本文复制引用
焦睿珉,赵静洁,李娟娟,陈伟,韩超汝,李丽,徐春军,尤红..非酒精性脂肪性肝病中医/中西医结合诊疗指南/共识的质量评价[J].临床肝胆病杂志,2025,41(3):446-452,7.基金项目
国家自然科学基金(82405192) （82405192）
北京市重大疑难疾病中西医协同攻关项目(2023BJSZDYNJBXTGG017) （2023BJSZDYNJBXTGG017）
高层次公共卫生技术人才建设项目(学科骨干-03-40) （学科骨干-03-40）
首都卫生发展科研专项(首发2022-2-20213,2022-1-2021) （首发2022-2-20213,2022-1-2021）
首都医科大学附属北京友谊医院"种子计划"项目(YYZZ202333) National Natural Science Foundation of China(82405192) （YYZZ202333）
Beijing Key Project of Major Disease by Chinese Medicine and Western Medicine Fatty Liver(2023BJSZDYNJBXTGG-017) （2023BJSZDYNJBXTGG-017）
Beijing High-level Public Health Technical Personnel Construction Project(Discipline backbone-03-40) （Discipline backbone-03-40）
Capital's Funds for Health Improvement and Research(CFH)(2022-2-20213,2022-1-2021) （CFH）
The Project of'Friendship Seed Plan'Talent Project of Beijing Friendship Hospital,Capital Medical University(YYZZ202333) （YYZZ202333）
