Scientific,transparent and applicable rankings of Chinese guidelines and consensus of rehabilitation medicine published in medical journals in 2022

LIU Xiaoxie; CHU Hongling; LIU Mei; GUO Aixin; WANG Siyuan; ZENG Fanshuo; JIANG Shan; XIE Yuxiao; ZHOU Mouwang

doi:10.3969/j.issn.1006-9771.2023.12.001

Abstract：Objective To evaluate the Chinese guidelines and consensus of rehabilitation medicine published in the medical journals in 2022 using Scientific,Transparent and Applicable Rankings(STAR). Methods Guidelines and consensus which were developed by Chinese institutions or led by Chinese scholars were re-trieved in databases of CNKI,Wanfang Data,CBM,Chinese Medical Journal Network,PubMed and Web of Sci-ence,in 2022,followed by screening for rehabilitation medicine field.The literature were rated with STAR. Results Seven guidelines and eleven consensuses were included.The STAR scores ranged from 11.7 to 69.6,with a me-dian score of 25.9 and mean score of 28.3.There was a significant difference in the total score between guide-lines and consensus(U = 12.000,P = 0.014).The score ratio was high in the domains of recommendations(73.6%),evidence(39.5%)and others(33.3%),while it was low in the domains of protocol(1.4%),clinical ques-tions(12.5%)and conflicts of interest(13.9%).The score ratio was high in the items of listing the institutional af-filiations of all individuals involved in developing the guideline(94.4%),identifying the references for evidence supporting the main recommendations(94.4%),indicating the considerations(e.g.,adverse effects)in clinical practice when implementing the recommendations(88.9%),and making the recommendations clearly identifi-able,e.g.,in a table,or using enlarged or bold fonts(75%);and it was low in the items of describing the role of funder(s)in the guideline development(0),indicating information about the evaluation and management of con-flicts of interest(0),providing tailored editions of the guidelines for different groups of target users(0),present-ing the guideline or recommendations visually,such as with figures or videos(0),providing details of the guide-line protocol(2.8%),assessing the risk of bias or methodological quality of the included studies(2.8%),describ-ing the responsibilities of all individuals or sub-groups involved in developing the guideline(5.6%),indicating how the clinical questions were selected and sorted(5.6%),formating clinical questions in PICO or other formats(5.6%),making the guideline accessible through multiple platforms(5.6%),and declaring that the funder(s)did not influence the guideline's recommendations(8.3%). Conclusion The quality of current clinical practice guidelines and consensus of rehabilitation medicine is poor,which should be developed in accordance with the relevant standards.