医学新知2026，Vol.36Issue(6)：605-610,6.DOI:10.12173/j.issn.1004-5511.202601091
糖尿病动态临床实践指南系列研究之三:中国2型糖尿病临床实践指南证据等级和推荐意见分级方法学特征分析
Research on living clinical practice guidelines in diabetes mellitus Ⅲ:methodological characteristics analysis of recommendations classification and evidence grading in the Chinese clinical practice guidelines for type 2 diabetes mellitus
摘要
Abstract
Objective To investigate the current status of evidence grading and/or recommendation classification in clinical practice guidelines for type 2 diabetes mellitus(T2DM)in China,and to provide references for improving the methodological quality of domestic diabetes guidelines.Methods The publicly released clinical practice guidelines/consensus(hereofter referred to as the guidelines)for adult T2DM in China published in domestic and international journals from January 1,2010 to July 1,2025 were systematically searched to screen the literature and extract data.Descriptive analysis was performed using Excel 2024,and visualized charts were generated with Origin 2024.Results A total of 118 Chinese T2DM guidelines were included,of which only 49(41.5%)reported evidence grading and/or classes of recommendation,and 7 classification methods were summarized.The Grading of Recommendations Assessment,Development and Evaluation(GRADE)system was the most widely applied tool.Evidence grading was mostly presented by letters and four-level classification,while recommendation classification was mainly described in text with two-level classification.Ten guidelines(8.5%)adopted the GRADE system for both evidence and recommendation grading,covering 382 recommendations,of which 337(88.2%)reported both evidence grading and recommendation grading.Conclusion The number of Chinese T2DM guidelines shows an increasing trend,and the application frequency of the GRADE system has gradually increased.Nevertheless,it is necessary to consolidate the evidence base and standardize classification criteria of guidelines,and to facilitate clinical decision-making and promote the standardized and scientific development of domestic guidelines.关键词
2型糖尿病/临床实践指南/证据等级/推荐意见分级Key words
Type 2 diabetes mellitus/Clinical practice guidelines/Evidence grading/Grade of recommendation分类
医药卫生引用本文复制引用
伍阿姣,唐俊,蔡丰翼,解驰,王诗淳,王永博,阎思宇,黄桥,任相颖,靳英辉..糖尿病动态临床实践指南系列研究之三:中国2型糖尿病临床实践指南证据等级和推荐意见分级方法学特征分析[J].医学新知,2026,36(6):605-610,6.基金项目
国家自然科学基金青年科学基金项目(82505373) （82505373）
武汉大学中南医院院级青年交叉学科专项基金(ZNQNTC2023006) （ZNQNTC2023006）
