{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:58:41Z","timestamp":1786985921249,"version":"build-2736575974"},"reference-count":6,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T00:00:00Z","timestamp":1567641600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006765","name":"Chinese Medical Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006765","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004572","name":"Entrusted Project of the Medical Management Center of the National Health and Family Planning Commission","doi-asserted-by":"publisher","award":["2109901"],"award-info":[{"award-number":["2109901"]}],"id":[{"id":"10.13039\/501100004572","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Evidence-based public health and health economics of the fourth-round public health three-year action plan of Shanghai","award":["15GWZK0901"],"award-info":[{"award-number":["15GWZK0901"]}]},{"DOI":"10.13039\/501100006765","name":"Chinese Medical Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006765","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Chronic Diseases and Translational Medicine"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Clinical practice guidelines can improve healthcare processes and patient outcomes; however, the quality of these guidelines varies greatly in China. The aim of this study was to construct a comprehensive instrument for the appraisal of clinical practice guidelines in China (AGREE\u2010CHINA), and to validate its reliability as a tool for helping potential guideline users in assessing guideline quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>First, an interdisciplinary working group was established for developing the methods. They also created a checklist as a tool according to the Appraisal of Guidelines, Research and Evaluation II (AGREE II) standards, considering the particularity of Chinese clinical practice. Next, the first draft of AGREE\u2010China was developed by vote, modification, preliminary trial, and cross\u2010verification. To ensure the objectivity, credibility, and reproducibility of the draft assessment, all of the checklists and standards were cross\u2010reviewed fairly widely. Finally, AGREE\u2010CHINA and AGREE II were used to assess the Chinese guidelines published in the past five years, and the results were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The presented AGREE\u2010CHINA covered five main checkpoints (science and rigor, effectiveness and safety, economy, usability and feasibility, and conflicts of interest) with each point divided into several more specific checkpoints. Definitions and rationales for each main checkpoint appear in the Appendix. The quality ratings based on the total scores of AGREE\u2010China and AGREE II were consistent (\n                      <jats:italic>r<\/jats:italic>\n                      = 0.508,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.020). Compared with AGREE II, the study showed a higher level of interrater\u2010reliability for AGREE\u2010CHINA overall (ICC = 0.957,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). The mean time required for AGREE\u2010CHINA was less than that for AGREE II; this was approximately 30 minutes for every assessment. User satisfaction was generally high.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This paper has presented the first edition of the AGREE\u2010CHINA appraisal tool for clinical guidelines. It is quick and easy to use; it assesses and performs well in comparison to AGREE II. This first version of AGREE\u2010CHINA will require further development and validation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.cdtm.2019.08.007","type":"journal-article","created":{"date-parts":[[2019,10,17]],"date-time":"2019-10-17T17:39:59Z","timestamp":1571333999000},"page":"134-139","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Development and preliminary verification of the evaluation system for clinical practice guidelines in China\n                    <sup>\u2606<\/sup>"],"prefix":"10.1002","volume":"6","author":[{"given":"Ji\u2010Yao","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Zhongshan Hospital Fudan University Shanghai 200032 China"},{"name":"Evidence\u2010based Medicine Center Fudan University Shanghai 200032 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Wang","sequence":"additional","affiliation":[{"name":"Medical Management Center of the National Health and Family Planning Commission Beijing 100191 China"},{"name":"Institute of Cardiovascular Diseases Zhongshan Hospital Fudan University Shanghai 200032 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010Qin","family":"Wang","sequence":"additional","affiliation":[{"name":"Evidence\u2010based Medicine Center Fudan University Shanghai 200032 China"},{"name":"Department of Hematology Huashan Hospital Fudan University Shanghai 200040 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue\u2010Juan","family":"Jin","sequence":"additional","affiliation":[{"name":"Evidence\u2010based Medicine Center Fudan University Shanghai 200032 China"},{"name":"Institute of Cardiovascular Diseases Zhongshan Hospital Fudan University Shanghai 200032 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo\u2010Heng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Evidence\u2010based Medicine Center Fudan University Shanghai 200032 China"},{"name":"Liver Cancer Institute Zhongshan Hospital Fudan University Shanghai 200032 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shi\u2010Yao","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Zhongshan Hospital Fudan University Shanghai 200032 China"},{"name":"Evidence\u2010based Medicine Center Fudan University Shanghai 200032 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue\u2010Cheng","family":"Gao","sequence":"additional","affiliation":[{"name":"Medical Management Center of the National Health and Family Planning Commission Beijing 100191 China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j5158"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.07.001"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2011.10.008"},{"key":"e_1_2_4_5_1","first-page":"85","volume-title":"Development and Implementation of Evidence\u2010Based Clinical Practice Guidelines","author":"Wang X.Q.","year":"2016"},{"key":"e_1_2_4_6_1","first-page":"250","article-title":"The basic methods and procedures for developing\/revising the Clinical Practice Guideline","volume":"96","author":"Jiang Z.M.","year":"2016","journal-title":"Natl Med J China"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39489.470347.AD"}],"container-title":["Chronic Diseases and Translational 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Production and hosting by Elsevier B.V. on behalf of KeAi Communications Co., Ltd.","name":"copyright","label":"Copyright"}]}}