Current status of grassroots clinical guidelines of chronic diseases at home and abroad

JIANG Pin; TANG Hai-qin; HE Wei; ZHANG Yong

doi:10.3969/j.1674-4055.2015.04.03

Abstract：Objective To review the current status of grassroots clinical guidelines of chronic diseases at home and abroad by applying AGREE Ⅱ instrument, and provide reference for developing and formulating grassroots clinical guidelines of chronic diseases in China. Methods The databases of CBM, CNKI, VIP Database, WanFang Database and PubMed, and related websits to issuing and data of guidelines were retrieved from 2008 to 2014. The publushed grassroots clinical guidelines of chronic diseases were included and language was limited in Chinese and English. The names, publishing years and organizations, development methods and quantity of references of included guidelines were descriptively analyzed. Results ①There were totally 11 guidelines included from USA, Australia, Europe and China, and publish years were from 2008 to 2014. ②These guidelines covered hypertension, cardiovascular diseases, diabetes, chronic obstructive pulmonary disease (COPD) and bronchia asthma. ③The quantity of reference was from 0 to 146. ④The average score was, respectively, 88.1%, 50.2%, 31.4%, 90.1%, 49.7%and 38.3%in 6 domains of included guidelines including range and purpose, participants, preciseness, pellucidity, applicability and editor’s independence, and among them, there were 3 domains lower than 50%. All 11 included guidelines did not describe methods and evidence of retrieving and update program. Conclusion ①At present, the grassroots clinical guidelines of chronic diseases are less with slow development and lower quality in the world. ②The grassroots clinical guidelines of chronic diseases and the guidelines for grassroots common diseases including coronary heart disease and COPD are relatively few. It is suggested to develop simple and practical grassroots clinical guidelines of chronic diseases based on learning from foreign experience, aiming at Chinese situations and characteristics of grassroots general clinicians, and regarding prevention and treatment of chronic diseases.