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Journal of Chinese Integrative Medicine ›› 2012, Vol. 10 ›› Issue (2): 160-165.doi: 10.3736/jcim20120206

• Methodology • Previous Articles     Next Articles

A brief introduction to Appraisal of Guidelines for Research and Evaluation Ⅱ

Xie Li-min(),Wang Wen-yue   

  1. Department of Orthopedics, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China
  • Received:2011-10-25 Accepted:2011-12-10 Online:2012-02-20 Published:2018-10-09

Clinical practice guidelines play an important role in practitioner and patient decisions regarding appropriate clinical health care and in health policy formation. In the guideline development process, inappropriate methodologies and development strategies significantly influence the quality of guidelines; therefore, research and evaluation of guidelines have great significance. The original Appraisal of Guidelines for Research and Evaluation (AGREE) instrument was published in 2003 by a group of international guideline developers and researchers. AGREE has important significance for the quality guarantee and successful implementation of guidelines, and has extensively achieved endorsement since 2003. In 2009, The AGREE Collaboration has developed the AGREE Ⅱ by refining the original AGREE instrument. At present, the AGREE Ⅱ has already replaced the original AGREE instrument; however, related introduction regarding AGREE Ⅱ has not been found in China. The authors of this article briefly introduce the AGREE Ⅱ, and believe that it will add value to research and evaluation of the guidelines.

Key words: guidebooks, research, evaluation, Appraisal of Guidelines Research and Evaluation


领域1. 范围和目的
1. 明确描述指南的总目的 没有改变
2. 明确描述指南涵盖的临床问题 明确描述指南涵盖的卫生问题
3. 明确描述指南应用的患者 明确描述指南应用的人群(患者和公众等)
领域2. 参与人员
4. 指南制定小组包括来自于所有相关专业小组的个人 没有改变
5. 收集患者的观点和优先选择 收集目标人群(患者和公众等)的观点和优先选择
6. 明确界定指南的目标使用者 没有改变
7. 指南是终端用户的导向 删除这一条目,将其合并入用户使用描述的条目19
领域3. 制定的严谨性
8. 应用系统方法学检索证据 条目没有改变,重新编号为条目7
9. 清楚描述检索证据的标准 条目没有改变,重新编号为条目8
新条目9. 清楚描述证据主体的优点和局限性
10. 清楚描述形成推荐建议的方法 没有改变
11. 形成推荐建议时考虑对健康的益处、不良反应和危险 没有改变
12. 推荐建议和支持证据之间有明确联系 没有改变
13. 指南发表前已经过外部专家评审 没有改变
14. 提供指南更新的步骤 没有改变
领域4. 清晰性
15. 推荐建议明确,且不含糊 没有改变
16. 明确列出不同的选择 明确列出不同的选择或临床问题
17. 重要的推荐建议容易识别 没有改变
领域5. 应用性
18. 发表的指南需要工具支持 在指南中提供如何应用于实践的推荐建议和(或)工具。并且,在领域方面有调整(从清晰性方面),重新编号为19
19. 讨论推荐建议应用中可能遇到的障碍 在指南中描述应用过程中的捉进和阻碍因素。改变了排列序号,重新编号为18
20. 考虑推荐建议应用中可能需要的相关费用 考虑推荐建议应用中可能需要的相关资源
21. 指南提供重要的监测和(或)稽查标准 指南提供监测和(或)稽查标准
领域6. 编辑的独立性
22. 指南独立于赞助单位而编辑 赞助单位的观点不影响指南的内容
23. 记录指南制定成员的利益冲突 记录并公开指南制定小组成员的利益冲突


2 3 4 5 6 7


评价员 条目1 条目2 条目3 总分
评价员1 5 6 6 17
评价员2 6 6 7 19
评价员3 2 4 3 9
评价员4 3 3 2 8
总分 16 19 18 53


2 3 4 5 6 7
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