目的:评价国内外胰腺围手术期加速康复指南的质量,为临床实践提供参考和借鉴。
方法:在指南网站中系统检索,专业协会网站和数据库,比如最新的,BMJ最佳实践,PubMed,Embase,科克伦图书馆,WebofScience,中国国家知识基础设施(CNKI),万方数据,中国科技期刊数据库(VIP),中国生物医学光盘(CBMdisc),Medlive,准则国际网络(GIN),国家准则信息交换所(NGC),国家健康与护理卓越研究所(NICE),安大略省注册护士协会(RNAO),苏格兰校际指南网络(SIGN),乔安娜·布里格斯研究所图书馆(JBI),包括截至2023年12月20日发布的关于增强胰腺手术后恢复的指南和专家共识。四个评估员应用了“研究与评估指南II”(AGREEII)工具来评估指南的质量。
结果:这项研究包括七个指南,所有这些在质量方面都被评为B级,ICC系数范围从0.752到0.884,表明一致性很高。
结论:将来制定指南时,建议使用AGREEII作为参考,强调指南开发过程和方法的标准化,充分考虑患者的价值观和偏好,注重准则的适用性,并努力创造高质量的循证建议。
OBJECTIVE: To evaluate the quality of guidelines on the pancreatic perioperative enhanced recovery after surgery both domestically and internationally, providing reference and reference for clinical practice.
METHODS: Systemically retrieved in the guideline websites, professional association websites and databases, such as up to date, BMJ Best Practice, PubMed, Embase, The Cochrane Library, Web of Science,
China National Knowledge Infrastructure (CNKI), Wan Fang Data,
China Science and Technology Journal Database(VIP),
China Biology Medicine disc (CBMdisc), Medlive, Guidelines International Network(GIN), National Guideline Clearinghouse(NGC), National Institute for Health and Care Excellence(NICE), Registered Nurses Association of Ontario(RNAO), Scottish Intercollegiate Guidelines Network(SIGN), Joanna Briggs Institute Library(JBI), including guidelines and expert consensus on enhanced postsurgical recovery in pancreatic surgery published as of December 20, 2023. The Appraisal of Guidelines for Research and Evaluation II(AGREE II) tool was applied to evaluate the quality of the guidelines by four assessors.
RESULTS: This study included seven guidelines, all of which were rated as Grade B in terms of quality, with ICC coefficients ranging from 0.752 to 0.884, indicating a high level of consistency.
CONCLUSIONS: When formulating guidelines in the future, it is recommended to use AGREE II as a reference, emphasizing the standardization of the guideline development process and methods, fully considering patients\' values and preferences, focusing on the applicability of the guidelines, and striving to create high-quality evidence-based recommendations.