AGREEⅡ中文版Chinese-Mandarin

临床指南研究与评估系统Ⅱ中文版INSTRUMENTTheAGREENextStepsConsortiumMay2009中国中医科学院广安门医院2013年9月i版权和复制本文件由AGREEII国际协作组织制订，可以复制并用于教学、临床实践指南的质量保证和严格评估，但不能用于商业目的。在非英语地区，应当使用获得该组织认可的AGREEII翻译版本。欢迎各国进行有关的翻译工作，如果愿意遵循由AGREEResearchTrust开发的翻译程序，他们随时可以得到相关的帮助。该中文版本由中国中医科学院广安门医院循证实践小组翻译，中国中医科学院广安门医院谢利民教授审校。声明AGREEII评估系统只是用来帮助指南开发者和使用者评估临床实践指南方法学质量的一个普通工具，作者声明对该系统任何不适当的使用不承担责任。©TheAGREEResearch领域4.清晰性Trust,May2009.建议引用：[待定]资助：AGREEII评估系统由加拿大卫生研究院(FRN77822)项目资助如有查询，请联系：英文版[e-mail]ite中文版谢利民电子邮箱：[e-mail]中国中医科学院广安门医院北京iiAGREENEXTSTEPSCONSORTIUMMEMBERSHIP（国际指南研究与评价协会委员名单）Dr.MelissaC.BrouwersPrincipalInvestigator,AGREENextStepsConsortiumMcMasterUniversity,Hamilton,Ontario,CanadaConsortiumMembers:Dr.GP.Browman,BritishColumbiaCancerAgency,VancouverIsland,CanadaDr.JS.Burgers,DutchInstituteforHealthcareImprovementCBO,TheNetherlandsDr.F.Cluzeau,ChairofAGREEResearchTrust;St.George’sHospitalMedicalSchool,London,UKDr.D.Davis,AssociationofAmericanMedicalColleges,Washington,DC,USADr.G.Feder,UniversityofBristol,UKDr.B.Fervers,CanceretEnvironement,CentreLéonBérard,FranceDr.I.Graham,CanadianInstitutesofHealthResearch,Ottawa,Ontario,CanadaDr.J.Grimshaw,OttawaHealthResearchInstitute,Ontario,CanadaDr.SE.Hanna,McMasterUniversity,Hamilton,Ontario,CanadaMs.ME.Kho,McMasterUniversity,Hamilton,OntarioCanadaDr.P.Littlejohns,NationalInstituteforHealthandClinicalExcellence,London,UKMs.J.Makarski,McMasterUniversity,Hamilton,Ontario,CanadaDr.L.Zitzelsberger,CanadianPartnershipAgainstCancer,Ottawa,Ontario,Canadaiii目录Ⅰ.简介........................................................................................................................................1Ⅰ.概述....................................................................................................................................2Ⅱ.AGREEⅡ的应用..................................................................................................................5Ⅲ.重要资源和参考文献........................................................................................................5Ⅱ.AGREEII用户手册..................................................................................................................8Ⅰ.AGREEⅡ使用准备..............................................................................................................9Ⅱ.AGREEⅡ的结构和内容......................................................................................................9Ⅲ.评价表和用户手册部分..................................................................................................10Ⅳ.AGREEⅡ评分....................................................................................................................11Ⅴ.全面评价..........................................................................................................................12Ⅵ.每个条目的评价指导......................................................................................................13a．领域1.范围和目的............................................................................................14b．领域2.参与人员................................................................................................18c．领域3.严谨性......................................................................................................22d．领域4.清晰性......................................................................................................31e．领域5.应用性......................................................................................................35f．领域6.独立性......................................................................................................40g．指南全面评价.........................................................................................................43Ⅲ.AGREEⅡ工具...........................................................................................................................1领域1.范围和目的.................................................................................................................2领域2.参与人员.....................................................................................................................3领域3.严谨性.........................................................................................................................4领域4.清晰性.........................................................................................................................7领域5.应用性.........................................................................................................................8领域6.独立性.......................................................................................................................10指南全面评价.........................................................................................................................111简介2Ⅰ.简介Ⅰ.概述i)AGREEII工具的目的临床实践指南(以下简称‘指南’)是“系统开发的声明,以帮助医师和患者在特定临床情况下,对合理的卫生保健做出决策（1）；另外，临床实践指南在开发卫生政策方面也发挥了十分重要的作用，并涵盖了卫生保健的多个方面（比如健康促进、疾病筛查及诊断等）(2,3)”。指南的潜在益处取决于指南本身的质量。在指南开发过程中采用适当的方法和严密的策略，对于保证最终形成合适的推荐建议十分重要(4-6)，指南的质量良莠不齐，一些指南甚至没有达到最基本的标准(7-9)。开发指南研究和评估工具（TheApp