Skip to main content

Table 3 Clinical guideline (CG) adaptation (n = 19)

From: The development of clinical guidelines in China: insights from a national survey

Methods (yes responses) n (%)
The institution has a formal CG adaptation working group 6 (31.6)
Evidence is retrieved using systematic searching 16 (84.2)
Eligibility criteria are used to select source CGs 13 (68.4)
Source CG quality is assessed 12 (63.2)
Source CG currency is assessed 19 (100.0)
Source CG recommendations are assessed 14 (73.7)
Source CG recommendation inconsistency is assessed 12 (63.2)
Population differences with source CGs are addressed 16 (84.2)
Health system differences with source CGs are addressed 14 (73.7)
Clinical practice differences with source CGs are addressed 12 (63.2)
Patient values and preferences are considered 18 (94.7)
Cost and resources needed are considered 18 (94.7)
Constraints/barriers are considered 16 (84.2)
Other factors are considered 17 (89.5)
An external review is conducted 18 (94.7)
Specific methods (open-ended responses) n (%)
Stakeholder involvementa
Stakeholder Working group
(n = 6)
External review (n = 18)
 Clinicians 5 (83.3) 18 (100.0)
 Methodologists 5 (83.3) 13 (72.2)
 Policy-makers 3 (50.0) 10 (55.6)
 Patient representatives 1 (16.7) 4 (22.2)
 Other 0 (0.0) 3 (27.8)
Systematic searcha
(n = 16)
 Search is conducted in at least two databases 14 (87.5)
 Formal/rigorous search strategy is used 12 (75.0)
Source CG qualitya
(n = 12)
 Expert opinion 8 (66.7)
 Methodological tools (e.g., AGREE II) 2 (16.7)
Source CG content (n = 14)a
 Summary tables 11 (78.6)
 Other 3 (21.4)
 Recommendations matrix 0 (0.0)
Cost/resourcesa
(n = 18)
 Based on studies (e.g., cost-effectiveness, cost–utility, budgetary impact) 14 (77.8)
 Based on expert opinion 13 (72.2)
 Based on evidence synthesis 10 (55.6)
Other factorsa (n = 17)
 Based on expert opinion 13 (76.5)
 Based on evidence synthesis (e.g., local data) 11 (64.7)
 Based on studies (e.g., interviews) 7 (41.2)
Patient values/preferencesa
(n = 18)
 Based on expert opinion 15 (83.3)
 Based on studies (e.g., reviews, surveys) 11 (61.1)
 Based on evidence synthesis 10 (55.6)
 Based on consultation with patient representatives 6 (33.3)
  1. AGREE II Appraisal of Guidelines for Research and Evaluation II
  2. aMore than one response possible