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Your search keyword '"Zhang, Xianzhuo"' showing total 2 results
Start Over Author "Zhang, Xianzhuo" Topic clinical practice guideline
2 results on '"Zhang, Xianzhuo"'

1. Protocols for clinical practice guidelines.

Author

Xun, Yangqin, Luo, Xufei, Lv, Meng, Yang, Bo, Lei, Ruobing, Liu, Xiao, Zhang, Jingyi, Zhang, Xianzhuo, Liu, Hui, Shi, Qianling, Liu, Kefeng, Yang, Yongjie, Chen, Yuyue, Chen, Lan, Wang, Runwu, Norris, Susan L, Amer, Yasser Sami, Qaseem, Amir, Chen, Yaolong, and Estill, Janne

Subjects
CINAHL database, FEMUR head, MEDICAL protocols
Abstract

Keywords: clinical practice guideline; cross-sectional analysis; guideline protocol EN clinical practice guideline cross-sectional analysis guideline protocol 3 9 7 04/05/23 20230301 NES 230301 A clinical practice guideline (CPG; hereafter referred to as "guideline") protocol is a document that outlines and maps out the plan or steps for developing a guideline, as well as the methods to be used.[1] The preparation and publication of a guideline protocol helps clarify the purpose and scope of the guideline, facilitates the guideline development process, helps to ensure the integrity and quality of the final version of the guideline, and supports efforts to avoid duplication among guideline development groups.[1] Reporting standards for protocols have been shown to improve the quality of the corresponding study protocol. Methods used to research consensus on recommendations Forty-four guideline protocols (91.7%) described the consensus process for formulating recommendations based on evidence. Updating the guideline development methodology of the Healthcare Infection Control Practices Advisory Committee (HICPAC). The most common method planned for reaching consensus was the Delphi survey, which was featured in 28 guideline protocols (63.6%), of which six guidelines (21.4%) reported that the modified Delphi survey would be used. [Extracted from the article]

Published
2023
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2. Consistency of recommendations and methodological quality of guidelines for the diagnosis and treatment of COVID-19

Author

Luo, Xufei, Liu, Yunlan, Ren, Mengjuan, Zhang, Xianzhuo, Estill, Janne Anton Markus, Lv, Meng, Wang, Qi, Song, Yang, Mathew, Joseph L, Ahn, Hyeong Sik, Lee, Myeong Soo, and Chen, Yaolong

Subjects
Clinical practice guideline, Treatment, COVID-19 Testing / standards, SARS-CoV-2, Diagnosis, COVID-19, Humans, COVID-19 / therapy, Practice Guidelines as Topic / standards, ddc:613, COVID-19 / diagnosis
Abstract

Objective: Since the beginning of the COVID-19 epidemic, a large number of guidelines on diagnosis and treatment of COVID-19 have been developed, but the quality of those guidelines and the consistency of recommendations are unclear. The objective of this study is to evaluate the quality of the diagnosis and treatment guidelines on COVID-19 and analyze the consistency of the recommendations of these guidelines. Methods: We searched for guidelines on diagnosis and/or treatment of COVID-19 through PubMed, CBM, CNKI, and WanFang Data, from January 1, 2020 to August 31, 2020. In addition, we also searched official websites of the US CDC, European CDC and WHO, and some guideline collection databases. We included diagnosis and/or treatment guidelines for COVID-19, including rapid advice guidelines and interim guidelines. Two trained researchers independently extracted data and four trained researchers evaluated the quality of the guidelines using the AGREE II instruments. We extracted information on the basic characteristics of the guidelines, guideline development process, and the recommendations. We described the consistency of the direction of recommendations for treatment and diagnosis of COVID-19 across the included guidelines. Results: A total of 37 guidelines were included. Most included guidelines were assessed as low quality, with only one of the six domains of AGREE II (clarity of presentation) having a mean score above 50%. The mean scores of three domains (stakeholder involvement, the rigor of development and applicability) were all below 30%. The recommendations on diagnosis and treatment were to some extent consistent between the included guidelines. Computed tomography (CT), X-rays, lung ultrasound, RT-PCR, and routine blood tests were the most commonly recommended methods for COVID-19 diagnosis. Thirty guidelines were on the treatment of COVID-19. The recommended forms of treatment included supportive care, antiviral therapy, glucocorticoid therapy, antibiotics, immunoglobulin, extracorporeal membrane oxygenation (ECMO), convalescent plasma, and psychotherapy. Conclusions: The methodological quality of currently available diagnosis and treatment guidelines for COVID-19 is low. The diagnosis and treatment recommendations between the included guidelines are highly consistent. The main diagnostic methods for COVID-19 are RT-PCR and CT, with ultrasound as a potential diagnostic tool. As there is no effective treatment against COVID-19 yet, supportive therapy is at the moment the most important treatment option.

Published
2021

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