Article type
Abstract
Objectives: The objective of this study was to systematically aggregate pediatric clinical practice guidelines from around the world into a single database, “Evidence-based guideline decision Assistance database for CHildren (EACH)” to assist clinical decision-making in China.
Methods: We searched Chinese (CNKI, Wanfang Data, and SinoMed) and international (PubMed, Embase, and Web of Science) literature databases as well as websites of guideline developer organizations (NICE, GIN, SIGN, WHO, American Academy of Pediatrics, Canadian Paediatric Society, and Italian Society of Pediatrics) to retrieve all pediatric guidelines published between 2019 and 2023. Basic information of the guidelines and their recommendations were extracted. We constructed two Chinese-language user interfaces for the EACH platform, a website (EACHweb), and a WeChat Mini Program (EACHwmp), with special versions for specialists, general practitioners, and patients and publics. Recommendations are categorized into nine sections (prevention, screening, diagnosis, treatment, follow-up, nursing, management, technology, and health education) and further by disease. The recommendations are also visualized using mind maps. A multidisciplinary expert group was established to review the extracted and organized recommendations from the perspectives of scientific validity, translation accuracy, and applicability in Chinese clinical practice. The AGREE II tool and RIGHT checklist were used to evaluate the methodological and reporting standards of the clinical practice guidelines. A trial was conducted in Chinese medical institutions using the developed EACH platform to validate its functionality, with revisions made based on feedback as needed.
Results: The EACHweb and EACHwmp have been officially launched and are operational. We have so far extracted and evaluated more than 900 Chinese and international pediatric guidelines, covering more than 400 diseases in 36 clinical specialties, with more than 15,000 recommendations. The platform has invited some physicians and patients from 19 medical institutions in 13 provinces of China to try it out and provide feedback and suggestions. The platform enables users to quickly obtain disease-related recommendations. Users can also rapidly assess the quality of the relevant guidelines and recommendations.
Conclusions: EACH constitutes a platform for rapid retrieval of and access to clinical guideline information for clinicians, guideline developers and reviewers, and patients and publics. The platform supports the standardization and accessibility of pediatric clinical practice guidelines.
Methods: We searched Chinese (CNKI, Wanfang Data, and SinoMed) and international (PubMed, Embase, and Web of Science) literature databases as well as websites of guideline developer organizations (NICE, GIN, SIGN, WHO, American Academy of Pediatrics, Canadian Paediatric Society, and Italian Society of Pediatrics) to retrieve all pediatric guidelines published between 2019 and 2023. Basic information of the guidelines and their recommendations were extracted. We constructed two Chinese-language user interfaces for the EACH platform, a website (EACHweb), and a WeChat Mini Program (EACHwmp), with special versions for specialists, general practitioners, and patients and publics. Recommendations are categorized into nine sections (prevention, screening, diagnosis, treatment, follow-up, nursing, management, technology, and health education) and further by disease. The recommendations are also visualized using mind maps. A multidisciplinary expert group was established to review the extracted and organized recommendations from the perspectives of scientific validity, translation accuracy, and applicability in Chinese clinical practice. The AGREE II tool and RIGHT checklist were used to evaluate the methodological and reporting standards of the clinical practice guidelines. A trial was conducted in Chinese medical institutions using the developed EACH platform to validate its functionality, with revisions made based on feedback as needed.
Results: The EACHweb and EACHwmp have been officially launched and are operational. We have so far extracted and evaluated more than 900 Chinese and international pediatric guidelines, covering more than 400 diseases in 36 clinical specialties, with more than 15,000 recommendations. The platform has invited some physicians and patients from 19 medical institutions in 13 provinces of China to try it out and provide feedback and suggestions. The platform enables users to quickly obtain disease-related recommendations. Users can also rapidly assess the quality of the relevant guidelines and recommendations.
Conclusions: EACH constitutes a platform for rapid retrieval of and access to clinical guideline information for clinicians, guideline developers and reviewers, and patients and publics. The platform supports the standardization and accessibility of pediatric clinical practice guidelines.