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Quality assessment of guidelines for the management of Mycobacterium tuberculosis infection in children.

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机构： [1]Beijing Key Laboratory of Paediatric Respiratory Diseases, Beijing Paediatric Research Institute, Beijing, [2]National Clinical Research Centre for Respiratory Diseases, National Key Discipline of Paediatrics, Capital Medical University, Key Laboratory of Major Diseases in Children, Ministry of Education, Beijing Children’s Hospital, Capital Medical University, National Centre for Children’s Health, Beijing, [3]Department of Interventional Pulmonology, Beijing Children’s Hospital, Beijing, [4]Department of Infectious Diseases, Beijing Children’s Hospital, Beijing, [5]Department of Respiratory Diseases, Beijing Children’s Hospital, Beijing, China

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OBJECTIVE: The quality of paediatric clinical practice guidelines (CPGs) for the management of Mycobacterium tuberculosis infection is unclear. We aimed to comprehensively assess the quality of these CPGs and identify areas requiring improvement.DESIGN: CPGs were systematically searched and identified before being appraised by independent reviewers using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) and Reporting Items for Practice Guidelines in HealThcare (RIGHT) tools. Inter-rater reliability was assessed using intra-class correlation coefficient (ICC).RESULTS: Twenty-five CPGs were evaluated. All CPG agreements among four reviewers were good (ICC 0.753-0.939). The mean CPG score was 50.5% (23.5-78.4%), and seven CPGs were recommended for use. The mean scores of three domains were low: 38% for stakeholder involvement (5.6-93.1%), 38.4% for rigour of development (1-97.4%) and 36.3% for applicability (12.5-64.6%). The mean reporting rate of Reporting Items for Practice Guidelines in HealThcare fields was 41.8%, and the evidence field had the highest reporting rate (63.1%), while the review and quality assurance field had the lowest rate (15.4%) for CPGs that include methods.CONCLUSION: The methodological and reporting quality of the CPGs was variable and poor, respectively. More effort is needed in stakeholder involvement, rigour of development, applicability domains and reporting to produce higher-quality CPGs.

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出版当年[2019]版：

大类 | 4 区医学

小类 | 4 区传染病学 4 区呼吸系统

最新[2025]版：

大类 | 3 区医学

小类 | 4 区传染病学 4 区呼吸系统

第一作者：

第一作者机构： [1]Beijing Key Laboratory of Paediatric Respiratory Diseases, Beijing Paediatric Research Institute, Beijing, [2]National Clinical Research Centre for Respiratory Diseases, National Key Discipline of Paediatrics, Capital Medical University, Key Laboratory of Major Diseases in Children, Ministry of Education, Beijing Children’s Hospital, Capital Medical University, National Centre for Children’s Health, Beijing,

通讯作者：

通讯机构： [1]Beijing Key Laboratory of Paediatric Respiratory Diseases, Beijing Paediatric Research Institute, Beijing, [2]National Clinical Research Centre for Respiratory Diseases, National Key Discipline of Paediatrics, Capital Medical University, Key Laboratory of Major Diseases in Children, Ministry of Education, Beijing Children’s Hospital, Capital Medical University, National Centre for Children’s Health, Beijing, [*1]Ministry of Education Key Laboratory of Major Diseases in Children, National Key Discipline of Paediatrics (Capital Medical University), National Clinical Research Centre for Respiratory Diseases, Beijing Key Laboratory of Paediatric Respiratory Diseases, Beijing Paediatric Research Institute, Beijing Children’s Hospital, Capital Medical University, No 56 Nanlishi Road, Xicheng District, Beijing, China 100045

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