"Development of the Scientific, Transparent and Applicable Rankings (STAR) tool for clinical practice guidelines"

作者全名："Yang, Nan; Liu, Hui; Zhao, Wei; Pan, Yang; Lyu, Xiangzheng; Hao, Xiuyuan; Liu, Xiaoqing; Qi, Wen'an; Chen, Tong; Wang, Xiaoqin; Zhang, Boheng; Zhang, Weishe; Li, Qiu; Xu, Dong; Gao, Xinghua; Jin, Yinghui; Sun, Feng; Meng, Wenbo; Li, Guobao; Wu, Qijun; Chen, Ze; Wang, Xu; Estill, Janne; Norris, Susan L.; Du, Liang; Chen, Yaolong; Wei, Junmin"

作者地址："[Yang, Nan; Chen, Ze; Estill, Janne; Chen, Yaolong] Lanzhou Univ, Sch Basic Med Sci, Evidence Based Med Ctr, 199 Donggang W Rd, Lanzhou 730000, Gansu, Peoples R China; [Yang, Nan; Liu, Hui; Estill, Janne] Univ Geneva, Inst Global Hlth, CH-1202 Geneva, Switzerland; [Liu, Hui] Lanzhou Univ, Sch Publ Hlth, Lanzhou 730000, Gansu, Peoples R China; [Zhao, Wei] Chinese Med Assoc Publishing House, Editor In Chief Off, Beijing 100052, Peoples R China; [Pan, Yang] Chinese Med Assoc Publishing House, Dept Mkt, Beijing 100052, Peoples R China; [Lyu, Xiangzheng] Chinese Med Assoc Publishing House, Editorial Dept, Natl Med Journal China, Beijing 100052, Peoples R China; [Hao, Xiuyuan] Chinese Med Assoc Publishing House, Editorial Dept, Chinese Med Journal, Beijing 100052, Peoples R China; [Liu, Xiaoqing] Chinese Acad Med Sci & Peking Union Med Coll, Div Infect Dis, State Key Lab Complex Severe & Rare Dis, Dept Internal Med,Peking Union Med Coll Hosp, Beijing 100730, Peoples R China; [Qi, Wen'an] Chinese Med Assoc Publishing House, Editorial Off Digital Med & Hlth, Beijing 100052, Peoples R China; [Chen, Tong] Fudan Univ, Huashan Hosp, Dept Hematol, Shanghai 200040, Peoples R China; [Wang, Xiaoqin] Fudan Univ, Evidence Based Med Ctr, Shanghai 200032, Peoples R China; [Zhang, Boheng] Fudan Univ, Zhongshan Hosp Xiamen, Xiamen Clin Res Ctr Canc Therapy, Dept Hepat Oncol, Xiamen 361015, Fujian, Peoples R China; [Zhang, Weishe] Cent South Univ, Xiangya Hosp, Dept Obstet, Changsha 410008, Hunan, Peoples R China; [Li, Qiu] Chongqing Med Univ, Key Lab Child Dev & Disorders, Chongqing Key Lab Pediat,Natl Clin Res Ctr Child, Dept Nephrol,Childrens Hosp,Minist Educ, Chongqing 400014, Peoples R China; [Xu, Dong] Southern Med Univ SMU, SMU Inst Global Hlth SIGHT, Sch Hlth Management & Dermatol Hosp, Guangzhou 510515, Guangdong, Peoples R China; [Gao, Xinghua] China Med Univ, Dept Dermatol, Hosp 1, Shenyang 110001, Liaoning, Peoples R China; [Jin, Yinghui] Wuhan Univ, Ctr Evidence Based & Translat Med, Zhongnan Hosp, Wuhan 430071, Hubei, Peoples R China; [Sun, Feng] Peking Univ, Sch Publ Hlth, Beijing 100191, Peoples R China; [Meng, Wenbo] Lanzhou Univ, Dept Gen Surg, Hosp 1, Lanzhou 730000, Gansu, Peoples R China; [Li, Guobao] Southern Univ Sci & Technol, Shenzhen Peoples Hosp 3, Affiliated Hosp 2, Dept Lung Dis, Shenzhen 518112, Guangdong, Peoples R China; [Wu, Qijun] China Med Univ, Dept Clin Epidemiol, Shengjing Hosp, Shenyang 110004, Liaoning, Peoples R China; [Wang, Xu] Chongqing Med Univ, Chevidence Lab Child & Adolescent Hlth, Childrens Hosp, Chongqing 400014, Peoples R China; [Norris, Susan L.] Oregon Hlth & Sci Univ, Dept Med Informat & Clin Epidemiol, Portland, OR 97239 USA; [Du, Liang] Sichuan Univ, West China Hosp, Chinese Evidence Based Med Ctr, Chengdu 610041, Sichuan, Peoples R China; [Chen, Yaolong] Lanzhou Univ, Chinese Acad Med Sci, Sch Basic Med Sci, Res Unit Evidence Based Evaluat & Guidelines 2021, Lanzhou 730000, Gansu, Peoples R China; [Chen, Yaolong] Chinese Med Assoc Publishing House, Guidelines & Stand Res Ctr, Beijing 100052, Peoples R China; [Wei, Junmin] Chinese Med Assoc Publishing House, 69 Dongheyan St, Beijing 100052, Peoples R China"

通信作者："Chen, YL (通讯作者)，Lanzhou Univ, Sch Basic Med Sci, Evidence Based Med Ctr, 199 Donggang W Rd, Lanzhou 730000, Gansu, Peoples R China.; Wei, JM (通讯作者)，Chinese Med Assoc Publishing House, 69 Dongheyan St, Beijing 100052, Peoples R China."

来源：CHINESE MEDICAL JOURNAL

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001048832200007

JCR分区：Q1

影响因子：7.5

年份：2023

卷号：136

期号：12

开始页：1430

结束页：1438

文献类型：Article

关键词：Practice guideline; Evidence-based practice; Quality control

摘要："Background: This study aimed to develop a comprehensive instrument for evaluating and ranking clinical practice guidelines, named Scientific, Transparent and Applicable Rankings tool (STAR), and test its reliability, validity, and usability. Methods: This study set up a multidisciplinary working group including guideline methodologists, statisticians, journal editors, clinicians, and other experts. Scoping review, Delphi methods, and hierarchical analysis were used to develop the STAR tool. We evaluated the instrument's intrinsic and interrater reliability, content and criterion validity, and usability. Results: STAR contained 39 items grouped into 11 domains. The mean intrinsic reliability of the domains, indicated by Cronbach's alpha coefficient, was 0.588 (95% confidence interval [CI]: 0.414, 0.762). Interrater reliability as assessed with Cohen's kappa coefficient was 0.774 (95% CI: 0.740, 0.807) for methodological evaluators and 0.618 (95% CI: 0.587, 0.648) for clinical evaluators. The overall content validity index was 0.905. Pearson's r correlation for criterion validity was 0.885 (95% CI: 0.804, 0.932). The mean usability score of the items was 4.6 and the median time spent to evaluate each guideline was 20 min. Conclusion: The instrument performed well in terms of reliability, validity, and efficiency, and can be used for comprehensively evaluating and ranking guidelines."

基金机构：China Scholarship Council [202206180006]

基金资助正文：Nan Yang was funded by China Scholarship Council (Grant No. 202206180007); Hui Liu was funded by China Scholarship Council (Grant No. 202206180006).