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中华关节外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (05) : 640 -644. doi: 10.3877/cma.j.issn.1674-134X.2021.05.020

所属专题: 指南共识

指南与应用

人工髋关节置换手术入路决策的临床实践指南计划书
李川1, 邢丹2, 王斌3, 钱东阳4, 蒙旭晗5, 卜鹏飞5, 唐志方5, 徐永清5,()   
  1. 1. 650032 昆明,解放军联勤保障部队第九二〇医院骨科;650504 昆明医科大学
    2. 100044 北京大学人民医院骨关节科
    3. 030001 太原,山西医科大学第二医院骨科
    4. 510120 广州医科大学附属第一医院
    5. 650032 昆明,解放军联勤保障部队第九二〇医院骨科
  • 收稿日期:2021-09-11 出版日期:2021-10-01
  • 通信作者: 徐永清
  • 基金资助:
    云南省重大科技专项-生物医药重大专项(2018ZF008); 云南省卫健委临床中心建设重大项目(ZX20191001)

Protocol for clinical practice guideline of approach in hip arthroplasty

Chuan Li1, Dan Xing2, Bin Wang3, Dongyang Qian4, Xuhan Meng5, Pengfei Bu5, Zhifang Tang5, Yongqing Xu5,()   

  1. 1. Orthopedic Hospital Affiliated to the 920th Hospital of Joint Service Forces of the Chinese People′s Liberation Army, Kunming 650032, China; Kunming Medical University, Kunming 650504, China
    2. Department of Orthopedics and Joints, Peking University People′s Hospital, Beijing 100044, China
    3. Department of Orthopedics, Second affiliated Hospital of Shanxi Medical University, Taiyuan 030001, China
    4. The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China
    5. Orthopedic Hospital Affiliated to the 920th Hospital of Joint Service Forces of the Chinese People′s Liberation Army, Kunming 650032, China
  • Received:2021-09-11 Published:2021-10-01
  • Corresponding author: Yongqing Xu
引用本文:

李川, 邢丹, 王斌, 钱东阳, 蒙旭晗, 卜鹏飞, 唐志方, 徐永清. 人工髋关节置换手术入路决策的临床实践指南计划书[J]. 中华关节外科杂志(电子版), 2021, 15(05): 640-644.

Chuan Li, Dan Xing, Bin Wang, Dongyang Qian, Xuhan Meng, Pengfei Bu, Zhifang Tang, Yongqing Xu. Protocol for clinical practice guideline of approach in hip arthroplasty[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(05): 640-644.

为指引《人工髋关节置换手术入路决策的临床实践指南》的制订工作,并接受方法学监督,故发布此计划书。基于美国医学科学院(IOM)最新指南定义、世界贸易组织(WHO)指南制订手册、证据推荐分级(GRADE)、证据质量评价工具(AGREE Ⅱ)指南质量评价工具以及国际实践指南报告标准(RIGHT)来制订临床实践指南的计划书。指南工作组于2020年12月成立,确定了指南制订小组、指南指导委员会、指南秘书小组、外部评审小组的人员和任务。指南计划书确定了利益声明与处理、对象、干预、对照、预后(PICO)原则问题、检索策略、证据质量评价、患者意愿调查、推荐意见的产生、指南推荐意见的同行评审、指南的形成、发表以及更新、指南的传播、实施与评价、指南的使用者及目标人群等关键问题的处理和操作步骤。本文就《人工髋关节置换手术入路决策的临床实践指南》将是基于循证医学证据生成的,适用于中国医生的髋关节置换手术入路决策指南进行阐述。

To observe a protocol for developing a clinical practice guideline for the approach in hip arthroplasty, based on the definition of Institution of Medicine(IOM)about clinical practice guideline (CPG), World Health Orgnization(WHO) handbook, the grading of recommendations assessment, development, and evaluation(GRADE), Appraisal of Guidelines Research and Evaluation(AGREE Ⅱ), and the Reporting Items for Practice Guidelines in Healthcare(RIGHT) for publishing the CPG, this protocol was chased before making CPG. The Guideline Working Groups were established in Dec 2020, group members and missions of the Guideline Development Group, the Guideline Steering Group, the Guideline Secretary Group and the External Experts were set up then. The progresses and procedures of Declaration of Interests and Funding Support, Formulating Questions and Choosing Outcomes, Databases Searched, Evidence Assessment, Patients’ Values and Preferences, Developing Recommendations, Peer Review of Guideline, Reporting Publication and Updating of the Guideline, Promotion, Implementation and Evaluation of Guideline, Guideline Target Users and Target Population, such mentioned above could be found in this protocol. The present protocol for developing a clinical practice guideline for the approach in hip arthroplasty was based on the clinical evidences, and it would be the most suitable guideline for Chinese population.

图1 文献筛选流程
[1]
Miller LE, Gondusky JS, Bhattacharyya S, et al. Does surgical approach affect outcomes in total hip arthroplasty through 90 days of follow-up? A systematic review with meta-analysis[J]. J Arthroplasty, 2018, 33(4): 1296-1302.
[2]
Wang Z, Jz H, Wu CH, et al. A systematic review and meta-analysis of direct anterior approach versus posterior approach in total hip arthroplasty[J]. J Orthop Surg Res, 2018, 13(1): 229-240.
[3]
Putananon C, Tuchinda H, Arirachakaran A, et al. Comparison of direct anterior, lateral, posterior and posterior-2 approaches in total hip arthroplasty: network meta-analysis[J]. Eur J Orthop Surg Traumatol, 2018, 28(2): 255-267.
[4]
Higgins BT, Barlow DR, Heagerty NE, et al. Anterior vs. posterior approach for total hip arthroplasty,a systematic review and meta-analysis[J].J Arthroplasty, 2015, 30(3): 419-434.
[5]
Berstock JR, Blom AW, Beswick AD. A systematic review and meta-analysis of the standard versus mini-incision posterior approach to total hip arthroplasty[J]. J Arthroplasty, 2014, 29(10): 1970-1982.
[6]
National Guideline Centre (UK). Evidence review for hip replacement approach: Joint replacement (primary): hip, knee and shoulder[M/OL]. London:National Institute for Health and Care Excellence (UK),2020:PMID: 32881466.

URL    
[7]
Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations[J]. BMJ, 2008, 336(7650): 924-926.
[8]
Institute of Medicine (US) Committee on Standards for Developing Trustworthy Clinical Practice Guidelines. Clinical practice guidelines we can trust[M/OL]. Washington (DC):National Academies Press (US), 2011. doi 10.17226/13058.
[9]
Brouwers MC, Kerkvliet K, Spithoff K. The AGREE Reporting Checklist: a tool to improve reporting of clinical practice guidelines[J/OL]. BMJ, 2016, 9(6):i1152. doi:10.1136/bmj.i1152.
[10]
Sinclair D, Isba R, Kredo T, et al. World Health Organization guideline development: an evaluation[J/OL]. PLoS One, 2013, 8(5): e63715.doi: 10.1371/journal.pone.0063715.
[11]
Xing D, Wang B, Hou Y, et al. A protocol for developing a clinical practice guideline for intra-articular injection for treating knee osteoarthritis[J]. Int J Surg Protoc, 2018, 7(9): 1-4.
[12]
Xing D, Wang Q, Yang Z, et al. Evidence-based guidelines for intra-articular injection in knee osteoarthritis: formulating and evaluating research questions[J]. Int J Rheum Dis, 2018, 21(8): 1533-1542.
[13]
Khodyakov D, Grant S, Denger B, et al. Practical considerations in using online Modified-Delphi approaches to engage patients and other stakeholders in clinical practice guideline development[J]. Patient, 2020, 13(1): 11-21.
[14]
Conrad S, Kaiser L, Kallenbach M, et al. GRADE evidence to decision (EtD) frameworks: a systematic and transparent approach to making well informed healthcare choices[Article in German][J/OL]. Z Evid Fortbild Qual Gesundhwes2019140:63-73. doi: 10.1016/j.zefq.2019.02.006.
[15]
Chen Y, Yang K, Marušic A, et al. A reporting Tool for practice guidelines in health care: the RIGHT statement[J]. Ann Intern Med, 2017, 166(2): 128-132.
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