Clinical Epidemiology in China series. Paper 2: Promoting GRADE at the national level: The experience from China

Yangqin Xun; Qi Zhou; Nan Yang; Liang Du; Suodi Zhai; Hui Li; Yingren Zhao; Kehu Yang; Yaolong Chen

doi:10.1016/j.jclinepi.2021.08.011

Clinical Epidemiology in China series. Paper 2: Promoting GRADE at the national level: The experience from China

J Clin Epidemiol. 2021 Dec:140:172-177. doi: 10.1016/j.jclinepi.2021.08.011. Epub 2021 Aug 16.

Authors

Yangqin Xun¹, Qi Zhou¹, Nan Yang¹, Liang Du², Suodi Zhai³, Hui Li⁴, Yingren Zhao⁵, Kehu Yang⁶, Yaolong Chen⁷

Affiliations

¹ Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China; Lanzhou University Institute of Health Data Science, Lanzhou, China; Lanzhou University GRADE Centre, Lanzhou, China.
² Chinese Evidence-Bassed Medicine Center, West China Hospital, Sichuan University, Chengdu, China.
³ Department of Pharmacy, Peking University Third Hospital, Beijing, China.
⁴ Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, China.
⁵ Department of Infectious Diseases, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
⁶ Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China; Evidence Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou, China; Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou, China. Electronic address: yangkh-ebm@lzu.edu.cn.
⁷ Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China; Lanzhou University Institute of Health Data Science, Lanzhou, China; Lanzhou University GRADE Centre, Lanzhou, China; WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou, China. Electronic address: chevidence@lzu.edu.cn.

PMID: 34411696
DOI: 10.1016/j.jclinepi.2021.08.011

Abstract

Objective: To share the experience of promoting GRADE in China.

Study design and setting: We designed the study and collected data on the following three aspects of the GRADE in China: the key activities related to GRADE, the main achievements of the GRADE, and potential challenges and future opportunities.

Results: Three GRADE centres have been established in China since 2011. Seventeen articles of the GRADE working group have been translated and published in Chinese, and 31 articles have been written by Chinese scientists in Chinese to introduce and interpret the GRADE approach so far. More than 50 GRADE workshops and meetings have been held by GRADE centres in China, covering two-thirds of all provinces and autonomous regions of China. The percentages of societies from the Chinese Medical Association (CMA) and the Chinese Medical Doctor Association (CMDA) that used the GRADE system to develop guidelines were 30% and 18%, respectively.

Conclusion: Over the past decade, China has made progress in promoting the GRADE system and Chinese GRADE centres have made a significant contribution.

Keywords: China; Clinical practice guideline; Evidence-Based Medicine; Experience; GRADE; Systematic review.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

China
Evidence-Based Medicine / methods*
Evidence-Based Medicine / trends
Forecasting
Health Policy
Humans
Practice Guidelines as Topic