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

作     者：Nan Yang Hui Liu Wei Zhao Yang Pan Xiangzheng Lyu Xiuyuan Hao Xiaoqing Liu Wen’an Qi Tong Chen Xiaoqin Wang Boheng Zhang Weishe Zhang Qiu Li Dong Xu Xinghua Gao Yinghui Jin Feng Sun Wenbo Meng Guobao Li Qijun Wu Ze Chen Xu Wang Janne Estill Susan LNorris Liang Du Yaolong Chen Junmin Wei 

作者机构：Evidence-Based Medicine CenterSchool of Basic Medical SciencesLanzhou UniversityLanzhouGansu 730000China Institute of Global HealthUniversity of GenevaGeneva 1202Switzerland School of Public HealthLanzhou UniversityLanzhouGansu 730000China Editor-in-Chief OfficeChinese Medical Association Publishing HouseBeijing 100052China Marketing DepartmentChinese Medical Association Publishing HouseBeijing 100052China Editorial DepartmentNational Medical Journal of ChinaChinese Medical Association Publishing HouseBeijing 100052China Editorial DepartmentChinese Medical JournalChinese Medical Association Publishing HouseBeijing 100052China Division of Infectious DiseasesDepartment of Internal MedicineState Key Laboratory of Complex Severe and Rare DiseasePeking Union Medical College HospitalChinese Academy of Medical Sciences&Peking Union Medical CollegeBeijing 100730China Editorial office of Digital Medicine and HealthChinese Medical Association Publishing HouseBeijing 100052China Department of HematologyHuashan HospitalFudan UniversityShanghai 200040China Evidence-based Medicine CenterFudan UniversityShanghai 200032China Department of Hepatic OncologyXiamen Clinical Research Center for Cancer TherapyZhongshan Hospital(Xiamen)Fudan UniversityXiamenFujian 361015China Department of ObstetricsXiangya HospitalCentral South UniversityChangshaHunan 410008China Department of NephrologyChildren’s Hospital of Chongqing Medical UniversityNational Clinical Research Center for Child Health and DisordersMinistry of Education Key Laboratory of Child Development and DisordersChongqing Key Laboratory of PediatricsChongqing 400014China SMU Institute for Global Health(SIGHT)School of Health Management and Dermatology HospitalSouthern Medical University(SMU)GuangzhouGuangdong 510515China Department of DermatologyThe First Hospital of China Medical UniversityShenyangLiaoning 110001China Center for Evidence-Based and Translational MedicineZhongnan Hospital of Wuhan UniversityWuhanHubei 430071China School of Public HealthPeking UniversityBeijing 100191China Department of General SurgeryThe First Hospital of Lanzhou UniversityLanzhouGansu 730000China Department of Lung DiseaseShenzhen Third People’s HospitalThe Second Affiliated HospitalSouthern University of Science and TechnologyShenzhenGuangdong 518112China Department of Clinical EpidemiologyShengjing Hospital of China Medical UniversityShenyangLiaoning 110004China Chevidence Lab of Child and Adolescent HealthChildren’s Hospital of Chongqing Medical UniversityChongqing 400014China Department of Medical Informatics and Clinical EpidemiologyOregon Health&Science UniversityPortlandOregon 97239USA Chinese Evidence-Based Medicine CenterWest China HospitalSichuan UniversityChengduSichuan 610041China Research Unit of Evidence-Based Evaluation and Guidelines(2021RU017)Chinese Academy of Medical SciencesSchool of Basic Medical SciencesLanzhou UniversityLanzhouGansu 730000China Guidelines and Standards Research CenterChinese Medical Association Publishing HouseBeijing 100052China Chinese Medical Association Publishing HouseBeijing 100052China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2023年第136卷第12期

页      面：1430-1438页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

基　　金：funded by China Scholarship Council(Grant No.202206180007) funded by China Scholarship Council(Grant No.202206180006) 

主　　题：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 ***:This study set up a multidisciplinary working group including guideline methodologists,statisticians,journal editors,clinicians,and other *** review,Delphi methods,and hierarchical analysis were used to develop the STAR *** evaluated the instrument’s intrinsic and interrater reliability,content and criterion validity,and ***:STAR contained 39 items grouped into 11 *** mean intrinsic reliability of the domains,indicated by Cronbach’sαcoefficient,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 *** overall content validity index was ***’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 ***:The instrument performed well in terms of reliability,validity,and efficiency,and can be used for comprehensively evaluating and ranking guidelines.