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Acupuncture for low back pain:a clinical practice guideline from the Hong Kong taskforce of standardized acupuncture practice

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Journal of Traditional Chinese Medicine 2022年第1期42卷 140-147页

作者： CHEN Haiyong YEUNG Wing-Fai YANG Mingxiao MU Jinglan ZIEA Tat-Chi NG Bacon Fung-Leung LAO Lixing School of Chinese Medicine University of Hong KongHong Kong SARChina School of Nursing Hong Kong Polytechnic UniversityHong Kong SARChina Bendheim Integrative Medicine Center Memorial Sloan Kettering Cancer Center1429 First AvenueNew York 10021USA Department of Anesthesiology Nanjing Drum Tower HospitalNanjing University Medical SchoolNanjing210008China Chinese Medicine Department Hong Kong Hospital AuthorityHong Kong SARChina Virginia University of Integrative Medicine FairfaxVA 22031USA

OBJECTIVE:To develop a clinical practice guideline to guide the treatment of low back pain by ***:An integrative approach of systematic review of literature,clinical evidence classification,expert opinion surveying,and consensus establishing via a Delphi program was utilized during the developing *** evidence-based practice standards and the personalized features of acupuncture were taken into ***:Based on clinical evidence and expert opinions,we developed a clinical practice guideline for the treatment of low back pain with *** recommendations have a wide coverage spanning from Western Medicine diagnosis and Traditional Chinese Medicine syndrome differentiation,to acupuncture treatment procedures,as well as post treatment care for rehabilitation and *** recommendations for acupuncture practice included treatment principles,therapeutic regimens,and operational *** levels of evidence and strength of recommendation were rated for each procedure of ***:A clinical practice guideline for acupuncture treating low back pain was developed based on contemporary clinical evidence and experts'consensus to provide best currently agreeable practice guideline for domestic and international stakeholders.

关键词： acupuncture low back pain diagnosis syndrome differentiation rehabilitation practice guideline

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Characteristics and quality of clinical practice guidelines for diabetic kidney disease:a systematic review

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Journal of Traditional Chinese Medicine 2024年第3期44卷 609-619页

作者： WANG Yuhuang ZHANG Le ZHANG Zhengshan YAO Zhi LI Xiyao SUN Luying LIAO Xing Department of Nephropathy and Endocrine Dongzhimen HospitalBeijing University of Chinese MedicineBeijing 100010China Centre for Evidence-Based Chinese Medicine Institute of Basic Research in Clinical MedicineChina Academy of Chinese Medical SciencesBeijing 100010China Department of Endocrine One Zone Fangshan HospitalBeijing University of Chinese MedicineBeijing 102400China

OBJECTIVE:To assess the quality of Clinical practice guidelines(CPGs)in the context of diabetic kidney disease(DKD)and determine whether any factors affect the ***:We searched eight databases along with five international and national organizations to develop or archive guidelines from their inception to July 2023,with an additional search of *** the authoritative organizations related to *** and consensus statements created using direct differential diagnosis or therapy for DKD were included without language *** quality was evaluated by four reviewers using the Appraisal of guidelines for Research and EvaluationⅡ(AGREEⅡ)*** with the item and domain scores,the guideline was also allocated an overall quality score,which ranged from 1(lowest possible quality)to 7(highest possible quality).Moreover,an overall recommendation for use was also assigned(“recommended”,“recommended with modifications”or“not recommended”).RESULTS:A total of 16 CPGs were included,of which 14 were from Asia and the remaining two from *** two CPGs were updated in the third *** CPGs were recommended for use because their primary domains scored in the medium or high ***,five CPGs were recommended with modifications as the stakeholder involvement,applicability,and editorial independence domains were evaluated as low *** all domains,the lowest average score was for rigour of development(33%),followed by application(36%),and stakeholder involvement(51%).The highest average score was for scope and purpose(79%),followed by clarity of presentation(75%).None of the CPGs considered the patient's viewpoint,and six of 16 CPGs did not use any grading system to translate the evidence into ***,only three of 16 CPGs shared search strategy,and eight of 16 CPGs did not declare a funding ***:According to the AGREE II evaluation,more than one in four CPGs for DKD had poo

关键词： diabetic nephropathies practice guideline appraisal of guidelines for research and evaluation II quality assessment systematic review

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American, European, and Chinese practice guidelines or consensuses of polycystic ovary syndrome: a comparative analysis

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2018年第5期19卷 354-363页

作者： Fang-fang WANG Jie-xue PAN Yan WU Yu-hang ZHU Paul J.HARDIMAN Fan QU Women's Hospital School of MedicineZhejiang UniversityHangzhou 310006China Reproductive Medicine Center the First Affiliated Hospital of Wenzhou Medical UniversityWenzhou 325000China Institute for Women's Health University College London Medical SchoolLondonNW3 2PFUK

Polycystic ovary syndrome （PCOS） is the most common metabolic and endocrine disorder in women. However, there is no agreement concerning how to diagnose and treat PCOS worldwide. Three practice guidelines or consensuses, including consensus from the European Society of Human Reproduction and Embryology （ESHRE）/the American Society for Reproductive Medicine （ASRM） in Rotterdam, diagnosis criteria and consensus in China, and clinical practice guideline from the Endocrine Society （ES） in the United States are widely recognized. The present paper may provide some guidance for clinical practice based on a comparative analysis of the above three practice guidelines or consensuses.

关键词： practice guideline Consensus Polycystic ovary syndrome

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

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Chinese Medical Journal 2023年第12期136卷 1430-1438页

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 Evidence-Based Medicine Center School of Basic Medical SciencesLanzhou UniversityLanzhouGansu 730000China Institute of Global Health University of GenevaGeneva 1202Switzerland School of Public Health Lanzhou UniversityLanzhouGansu 730000China Editor-in-Chief Office Chinese Medical Association Publishing HouseBeijing 100052China Marketing Department Chinese Medical Association Publishing HouseBeijing 100052China Editorial Department National Medical Journal of ChinaChinese Medical Association Publishing HouseBeijing 100052China Editorial Department Chinese Medical JournalChinese Medical Association Publishing HouseBeijing 100052China Division of Infectious Diseases Department 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 Health Chinese Medical Association Publishing HouseBeijing 100052China Department of Hematology Huashan HospitalFudan UniversityShanghai 200040China Evidence-based Medicine Center Fudan UniversityShanghai 200032China Department of Hepatic Oncology Xiamen Clinical Research Center for Cancer TherapyZhongshan Hospital(Xiamen)Fudan UniversityXiamenFujian 361015China Department of Obstetrics Xiangya HospitalCentral South UniversityChangshaHunan 410008China Department of Nephrology Children’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 Dermatology The First Hospital of China Medical UniversityShenyangLiaoning 110001China Center for Evidence-Based and Translational Medicine Zhongnan Hospital of Wuhan UniversityWu

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.

关键词： practice guideline Evidence-based practice Quality control

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International standard of Traditional Chinese Medicine Techniques: Traditional Chinese Medicine guidelines for acute primary headache(2022)

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Journal of Traditional Chinese Medicine 2024年第4期44卷 839-850页

作者： YAO Yuning CAO Kegang ZHANG Genming LIU Jianping CHEN Wei CAO Junling YANG Wenming YAN Yongmei GENG Chang JU Yi ZHAO Dexi QU Miao LI Xiaoli SUN Li HAN Zhenyun HE Liyun CUI Fangyuan FU Caihong ZHOU Bo LIAO Shuqin Department of Neurology Dongzhimen Hospital of Beijing University of Chinese MedicineBeijing 100007China Centre for Evidence-Based Chinese Medicine Beijing University of Chinese MedicineBeijing 100029Chin Encephalopathy center First Affiliated Hospital of Anhui University of Chinese MedicineHefei 230031China Department of Neurology Affiliated Hospital of Shaanxi University of Chinese MedicineXi'an 710077China Department of Neurology Beijing Changping District Hospital of Traditional Chinese MedicineBeijing 102299China Neurology center Beijing Tiantan HospitalCapital Medical UniversityBeijing 100050China Department of Neurology Affiliated Hospital of Changchun University of Chinese MedicineChangchun 130021China Department of Neurology Xuanwu HospitalCapital Medical UniversityBeijing 100053Chin Department of Neurology Beijing University of Chinese Medicine Third Affiliated HospitalBeijing 100029China Department of Geriatrics Jilin Academy of Traditional Chinese MedicineChangchun 130012China Department of Neurology Shenzhen Hospital of Beijing University of Chinese MedicineShenzhen 518172China Institute of Basic Research in Clinical Medicine China Academy Of Chinese Medical SciencesBeijing 100700Chin Department of Rehabilitation Shunyi HospitalBeijing Traditional Chinese Medicine HospitalBeijng 101300China Department of Neurology Xiyuan Hospital of China Academy of Chinese Medical SciencesBeijing 100091China

OBJECTIVE:To summarize the evidence from Traditional Chinese Medicine(TCM)practice in the treatment of acute primary headache and provide clinical practice ***:The guidelines were developed in accordance with the World Health Organization guideline development *** the establishment of steering committee,panel and the registration and protocol formulation,the evidence on TCM for acute primary headache from published guidelines,clinical evidence,and expert experience and consensus were *** grading of recommendations assessment,development and evaluation method was used to grade the evidence and make the ***:Based on the available evidence,the guidelines recommended three TCM herbal decoctions,six Chinese patent medicines,and two kinds of external application of Chinese herbal *** recommendations based on the expert experience and consensus were also included in the ***:TCM diagnosis and treatment of decoction,Chinese patent medicine and external application for treating acute primary headache were *** hope these guidelines will be helpful in standardize the TCM acute treatment of primary headache.

关键词： medicine,Chinese traditional acute primary headache practice guideline

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Traditional Chinese Medicine guidelines for coronavirus disease 2019

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Journal of Traditional Chinese Medicine 2020年第6期40卷 891-896页

作者： Liang Ning Ma Yanfang Wang Jingya Li Huizhen Wang Xiaohui Jiao Liwen Liu Bin Ma Yan Zhao Chen Luo Xufei Zhao Siya Lu Meng Cao Jin Hu Wenpin Zhang Hairong Liu Guoxiu Lu Cheng Liu Mengyu Li Li Han Xuejie Liu Yuqi Wang Liying Zhao Xueyao Wei Dongfeng Bai Jing Sun Mingyu Yang Yong Wu Xiaodan Chen Yaolong Shi Nannan Wang Yanping Wang Yongyan Institute of Basic Research in Clinical Medicine China Academy of Chinese Medical SciencesBeijing 100700China Evidence-Based Medicine Center School of Basic Medical SciencesLanzhou UniversityLanzhou 730000China School of Public Health Lanzhou UniversityLanzhou 730000China Beijing University of Chinese Medicine Beijing 100029China Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine Shanghai 201203China Chinese GRADE Center Lanzhou 730000China Lanzhou University an Affiliate of the Cochrane China NetworkLanzhou 730000China Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province Lanzhou UniversityLanzhou 730000China

OBJECTIVE:To summarize the evidence from Traditional Chinese Medicine(TCM)practice in the treatment of coronavirus disease 2019(COVID-19)and provide timely clinical practice ***:The guidelines were developed in accordance with the World Health Organization rapid guideline *** evidence on TCM for COVID-19 from published guidelines,direct and indirect published clinical evidence,first hand clinical data,and expert experience and consensus were *** grading of recommendations assessment,development and evaluation(GRADE)method was used to grade the evidence and make the ***:Based on the available evidence,the guidelines recommended 17 Chinese medicines for COVID-19:2 Chinese herbal granules,7 Chinese patent medicines,and 8 Chinese herbal ***:As the literature search was conducted on March,any subsequent versions of these guidelines require an up-to-date literature *** hope that the evidence summary in these guidelines will be helpful in global efforts to address COVID-19.

关键词： COVID-19 Medicine Chinese traditional practice guideline

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When evidence is lacking:a mixed-methods approach for the development of practice guidance in liver transplantation

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Gastroenterology Report 2021年第1期9卷 22-30,I0001页

作者： Lisa B.VanWagner Blessing Aghaulor Tasmeen Hussain Megan Kosirog Patrick Campbell Stewart Pine Amna Daud Daniel J.Finn Josh Levitsky Donald M.Lloyd-Jones Jane L.Holl Division of Gastroenterology and Hepatology Department of MedicineNorthwestern University Feinberg School of MedicineChicagoILUSA Department of Preventive Medicine Northwestern University Feinberg School of MedicineChicagoILUSA Comprehensive Transplant Center Northwestern University Feinberg School of MedicineChicagoILUSA Division of Cardiology Department of MedicineNorthwestern University Feinberg School of MedicineChicagoILUSA Department of Pediatrics Northwestern University Feinberg School of MedicineChicagoILUSA Center for Healthcare Delivery Science and Innovation and Department of Neurology Biological Sciences DivisionUniversity of ChicagoChicagoILUSA

Background Most interventions for conditions with a small cohort size,such as transplantation,are unlikely to be part of a clinical *** condition-specific evidence is lacking,expert consensus can offer more precise guidance to improve *** of cardiovascular risk in liver-transplant recipients is one example for which clinicians have,to date,adapted evidence-based guidelines from studies in the general ***,even when consensus is achieved,implementation of practice guidance is often inadequate and *** report on a novel mixed-methods approach,the Northwestern MethodVC,for the development of clinical-practice guidance when condition-specific evidence is *** illustrate the method through the development of practice guidance for managing cardiovascular risk in liver-transplant *** The Northwestern MethodVC consists of(i)adaptation of relevant,existing,evidence-based clinical-practice guidelines for the target population;(ii)consensus by experts of the proposed practice guidance;(iii)identification of barriers to guidance adherence in current practice;and(iv)recommendation for implementation and dissemination of the practice *** method is based on an iterative,user-centered approach in which the needs,wants,and limitations of all end users,including patients,are attended to at each stage of the design and development *** The Northwestern MethodVC for clinical-practice-guidance development uses a mixed-methods approach to bring together broad representation from multiple disciplines and practice settings to develop consensus considering the unique needs and preferences of patients,caregivers,and practitioners who are directly impacted by clinical-practice-guidance *** hypothesize that a priori involvement of end users in the guidance-development process will lead to sustainable implementation of guidance statements into clinical practice.

关键词： liver transplantation practice guideline consensus methodology

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International standard of Traditional Chinese Medicine techniques:clinical guidelines for dysmenorrhea(2022)

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Journal of Traditional Chinese Medicine 2024年第6期44卷 1277-1287页

作者： LIANG Xiao ZHANG Li CHEN Junlu DU Yuhan JIANG Min FAN Lijie MA Huirong DUAN Yancang SONG Xuping WANG Xiaohui DU Huilan Institute of Integrated Traditional Chinese and Western Medicine Hebei University of Chinese MedicineShijiazhuang 050091China College of Integrated Traditional Chinese and Western Medicine Hebei University of Chinese MedicineShijiazhuang 050091China Shanxi University of Chinese Medicine Xianyang 712046China Collaborative Innovation Center of Integrated Chinese and Western Medicine on Reproductive Disease Shijiazhuang 050091China Hebei Key Laboratory of Integrative Medicine on Liver-kidney Patterns Shijiazhuang 050091China School of Public Health Lanzhou UniversityLanzhou 730000China

Dysmenorrhea is a common gynecological condition that is further divided into two categories, namely primary and secondary dysmenorrhea. Traditional Chinese Medicine(TCM) gives good clinical results for the treatment of dysmenorrhea based on the basic principles of holistic view and syndrome differentiation. However, presently, the clinical practice guidelines in TCM for dysmenorrhea treatment are required. The guideline is formulated in strict accordance with the principles of evidence-based medicine with reference to the General Principles for the Compilation of International guidelines for Diagnosis and Treatment of Traditional Chinese Medicine Syndromes and General Principles for the Compilation of International Clinical practice guidelines for Traditional Chinese Medicine Diseases and accordance with the principles and methods of The Appraisal of guidelines for Research and Evaluation in China(AGREE-China) and World Health Organization guidelines. This guideline includes clinical issues by literature search and questionnaire survey, and eight background questions and 23 prospect questions were finally created. Based on the evidence retrieval, synthesis, consideration of patient preferences and values, intervention costs, advantages, and disadvantages, recommendations are created using the Delphi method and expert consensus method. This guideline clarified the definition, diagnosis, and TCM syndrome classification for dysmenorrhea, and recommends different TCM treatments based on the level of evidence, including Chinese herbal medicine, Chinese patent medicine, acupuncture, and other auxiliary therapies. The present guideline is an international clinical practice guideline for the treatment of dysmenorrhea using TCM. This guideline will provide substantive evidence and standardized guidance for the treatment of dysmenorrhea using TCM, improve the quality and safety of medical services, and standardize diagnosis and treatment plans for dysmenorrhea.

关键词： medicine Chinese traditional endometriosis adenomyosis dysmenorrhea practice guideline

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Consensus on Treatment of Acne Scars in China(2021)

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International Journal of Dermatology and Venereology 2022年第3期5卷 121-131页

作者：无 Sen Yang Zhong Lu Tong Lin Guo-Yu Zhou Min Yao Yi Liu Rong-Ya Yang Zhi-Fei Liu Yuan-Hong Li Dong-Ni Li Xiao-Dong Chen Shu-Xian Yan Lin Gao Qiu-Ning Sun Hong Cai Yan-Hua Liang Rong Xiao Xiao-Ming Jia Jin Chen Jing-Long Cai Cai-Xia Tu Laser Cosmetology Group Medical Aesthetics and Cosmetology Branch of Chinese Medical Association Cosmetic Laser Group Chinese Society of Dermatology Laser Group Cosmetic and Plastic Surgeon Branch of Chinese Medical Doctor Association Department of Dermatology The First Affiliated Hospital of Anhui Medical UniversityHefeiAnhui 230022China Department of Dermatology Huashan HospitalFudan UniversityShanghai 200040China Department of Cosmetic Laser Surgery Hospital of DermatologyChinese Academy of Medical SciencesNanjingJiangsu 210042China Department of Oral and Maxillofacial-Head Neck Oncology Department of Laser and Aesthetic MedicineShanghai Ninth People's HospitalCollege of StomatologyShanghai Jiao Tong University School of MedicineShanghai 200011China Department of Plastic Surgery Shanghai Ninth People's HospitalShanghai Jiao Tong University School of MedicineShanghai 200011China Institute of Dermatology Chinese Academy of Medical SciencesNanjingJiangsu 210042China Department of Dermatology The Seventh Medical Center of PLA General Hospital(PLA Army General Hospital)Beijing 100700China Department of Plastic Surgery Peking Union Medical College HospitalChinese Academy of Medical Science and Peking Union Medical CollegeBeijing 100730China Department of Dermatology The First Affiliated Hospital of China Medical UniversityShenyangLiaoning 110002China Department of Plastic and Reconstructive Surgery Guangdong Second Provincial General HospitalGuangzhouGuangdong 510317China Department of Dermatology Affiliated Hospital of Nantong UniversityNantongJiangsu 226006China Department of Dermatology Xijing HospitalThe Fourth Military Medical UniversityXi’anShaanxi 710032China Department of Dermatology Peking Union Medical College HospitalChinese Academy of Medical Science and Peking Union Medical CollegeBeijing 100730China Department of Dermatology The Air Force General Hospital of PLABeijing 100142China Department of Dermatology Cosmetology and VenereologyShenzhen HospitalSouther

Acne scars are caused by inflammatory reactions,infections,and improper handling of acne *** scars have a high incidence and are difficult to *** are many methods currently used to treat acne scars,including medications,photoelectric technology,surgery,filling,chemical peeling,traditional Chinese medicine,biotherapy,and microneedle therapy,and many new methods are constantly ***,there are still many issues,such as the lack of high-quality clinical studies,non-uniform treatment methods,and unsatisfactory therapeutic *** selection of appropriate methods for the comprehensive treatment of different types of acne scars at different stages in clinical practice remains challenging and is a research topic of great *** the perspective of evidence-based medicine,this consensus aims to provide a reference for the treatment of acne scars in clinical practice.

关键词： acne vulgaris cicatrix practice guideline therapy

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A Summary of Chinese Expert Consensus on Fetal Growth Restriction (An Update on the 2019 Version)

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Maternal-Fetal Medicine 2022年第3期4卷 162-168页

作者： Fetal Medicine Subgroup,Chinese Society of Perinatal Medicine,Chinese Medical Association Maternal-Fetal Medicine Committee,Chinese Society of Obstetrics and Gynecology,Chinese Medical Association Luming Sun Yali Hu Hongbo Qi 不详 Shanghai Key Laboratory of Maternal Fetal Medicine Department of Fetal Medicine&Prenatal Diagnosis CenterShanghai First Maternity and Infant HospitalSchool of MedicineTongji UniversityShanghai 201204China Department of Obstetrics and Gynecology Nanjing Drum Tower HospitalThe Affiliated Hospital of Nanjing University Medical SchoolNanjing 210008China Department of Obstetrics Women and Children’s Hospital of Chongqing Medical UniversityChongqing 400021China

Fetal growth restriction(FGR)is a common complication of pregnancy associated with higher rates of perinatal mortality and morbidity,as well as a variety of long-term adverse *** standardize the clinical practice for the management of FGR in China,Fetal Medicine Subgroup,Chinese Society of Perinatal Medicine,Chinese Medical Association and Maternal-Fetal Medicine Committee,Chinese Society of Obstetrics and Gynecology,Chinese Medical Association organized an expert committee to provide official consensus-based recommendations on *** evaluated the evidence provided by relevant high-quality literature,performed a three-round Delphi study and organized face-to-face meetings with experts from multidisciplinary *** consensus includes the definition,prenatal screening,prevention,diagnosis,monitoring and management of FGR.

关键词： Delphi technique Fetal growth restriction practice guideline

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