协和医学杂志

2019, v.10(04) 403-408

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如何区分临床实践指南与专家共识
How to Distinguish between Clinical Practice Guidelines and Expert Consensus

陈耀龙;罗旭飞;王吉耀;刘晓清;商洪才;杨克虎;
CHEN Yao-long;LUO Xu-fei;WANG Ji-yao;LIU Xiao-qing;SHANG Hong-cai;YANG Ke-hu;Evidence-Based Medicine Center,School of Basic Medical Sciences,Lanzhou University;WHO Collaborating Center for Guideline Implementation and Knowledge Translation;Chinese GRADE Center;School of Public Health,Lanzhou University;Department of Gastroenterology,Zhongshan Hospital,Fudan University;Evidence-based Medicine Center,Fudan University;Department of Clinical Epidemiology,Peking Union Medical College Hospital,Chinese

摘要(Abstract):

临床实践指南与专家共识作为医学实践中最重要的指导性文件,近年来受到越来越多的关注和研究。目前,国内部分专家对指南和共识的认识和理解存在一定偏差。本文分析和比较了临床实践指南与专家共识的定义、现状和发展,以及二者之间的区别与联系,并结合实例介绍了良好实践主张及其形成条件;最后,就如何提高临床实践指南和专家共识质量提出5条建议,供国内指南和共识的制订者参考。
As the most important guiding documents in the medical practice,clinical practice guidelines and expert consensuses have received more and more attention in recent years. However,partial domestic experts also have understanding biases on guidelines and consensus. Thus,we analyzed and compared guidelines and consensuses on their definition,status,development,connection,and difference. Combined with the example,we introduced good practice statement along with its formation conditions. Finally,we proposed five recommendations on how to improve the quality of clinical practice guidelines and expert consensus in China.

关键词(KeyWords): 临床实践指南;专家共识;循证医学
clinical practice guideline;expert consensus;evidence-based medicine

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基金项目(Foundation): 国家重点研发计划(2018YFC1705500)

作者(Author): 陈耀龙;罗旭飞;王吉耀;刘晓清;商洪才;杨克虎;
CHEN Yao-long;LUO Xu-fei;WANG Ji-yao;LIU Xiao-qing;SHANG Hong-cai;YANG Ke-hu;Evidence-Based Medicine Center,School of Basic Medical Sciences,Lanzhou University;WHO Collaborating Center for Guideline Implementation and Knowledge Translation;Chinese GRADE Center;School of Public Health,Lanzhou University;Department of Gastroenterology,Zhongshan Hospital,Fudan University;Evidence-based Medicine Center,Fudan University;Department of Clinical Epidemiology,Peking Union Medical College Hospital,Chinese

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