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Evaluation of the quality of guidelines for assisted reproductive technology using the RIGHT checklist: A cross-sectional study

  • Author Footnotes
    1 These authors have contributed equally to this paper.
    Yujie Xiao
    Footnotes
    1 These authors have contributed equally to this paper.
    Affiliations
    The Second Medical School of Lanzhou University, Lanzhou, Gansu 730000, China

    Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou Gansu 730000, China
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  • Author Footnotes
    1 These authors have contributed equally to this paper.
    Li Jiang
    Footnotes
    1 These authors have contributed equally to this paper.
    Affiliations
    Reproductive Medicine Center, Peking University People’s Hospital, Peking 100000, China
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  • Yajing Tong
    Affiliations
    School of Public Health of Lanzhou University, Lanzhou, Gansu 730000, China
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  • Xufei Luo
    Affiliations
    School of Public Health of Lanzhou University, Lanzhou, Gansu 730000, China

    Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou Gansu 730000, China

    Chinese GRADE Center, Lanzhou University, Lanzhou, Gansu 730000, China
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  • Jianghua He
    Affiliations
    The Second Medical School of Lanzhou University, Lanzhou, Gansu 730000, China
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  • Lian Liu
    Affiliations
    The Second Medical School of Lanzhou University, Lanzhou, Gansu 730000, China
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  • Chao Gong
    Affiliations
    The Second Medical School of Lanzhou University, Lanzhou, Gansu 730000, China
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  • Lixin Ke
    Affiliations
    The first Medical School of Lanzhou University, Lanzhou, Gansu 730000, China
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  • Liu Yang
    Affiliations
    The Reproductive Medicine Special Hospital of the first hospital of Lanzhou University, Key Laboratory for Reproductive Medicine and Embryo, Lanzhou, Gansu 730000, China
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  • Qi Zhou
    Affiliations
    Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou Gansu 730000, China

    Chinese GRADE Center, Lanzhou University, Lanzhou, Gansu 730000, China

    The first Medical School of Lanzhou University, Lanzhou, Gansu 730000, China
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  • Janne Estill
    Affiliations
    Institute of Global Health, University of Geneva, Switzerland

    Institute of Mathematical Statistics and Actuarial Science, University of Bern, Switzerland
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  • Author Footnotes
    2 These authors have contributed equally to this paper.
    Huan Shen
    Correspondence
    Corresponding author at: Peking University People’s Hospital, 11 Xizhimen South Street Xicheng District, Beijing, 100044.
    Footnotes
    2 These authors have contributed equally to this paper.
    Affiliations
    Reproductive Medicine Center, Peking University People’s Hospital, Peking 100000, China
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  • Author Footnotes
    2 These authors have contributed equally to this paper.
    Yaolong Chen
    Correspondence
    Corresponding author at: 199 Donggang W Rd, Chengguan Disttict, Lanzhou, Gansu 730000, China.
    Footnotes
    2 These authors have contributed equally to this paper.
    Affiliations
    Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou Gansu 730000, China

    Chinese GRADE Center, Lanzhou University, Lanzhou, Gansu 730000, China
    Search for articles by this author
  • Author Footnotes
    1 These authors have contributed equally to this paper.
    2 These authors have contributed equally to this paper.

      Abstract

      Introduction

      In recent years, assisted reproductive technology (ART) has developed rapidly, leading to an increasing number of clinical practice guidelines in this field. However, the reporting quality of current clinical practice guidelines in ART is still unknown.
      Objective To evaluate the reporting quality of clinical practice guidelines in the field of ART using the RIGHT checklist.

      Method

      Relevant guidelines were identified by electronic search of PubMed, Chinese Biomedical Literature Database (CBM), Wan Fang Database and Chinese National Knowledge Infrastructure (CNKI) from the beginning of the database to October, 2017. We also searched the websites of the guideline development organizations, including Guidelines International Network (GIN), National Guideline Clearinghouse (NGC) and the National Institute for Health and Care Excellence (NICE), as well as from two medical associations, including the European Society of Human Reproduction and Embryology (ESHRE) and the American Society for Reproductive Medicine (ASRM). We used Google Scholar to find additional clinical practice guidelines (CPGs) as well. Two investigators searched the database, selected guidelines independently based on the inclusion criteria, and extracted the relevant information.

      Result

      Fifteen guidelines (i.e. six developed by individual institutions and 9 by associations) were included. On average, 12.7 out of 35 items in the RIGHT standard (36.3%) were reported in each guideline. Five items were not reported by any of these guidelines. The reporting proportion of the seven domains (i.e. Basic information; Background; Evidence; Recommendations; Review and quality assurance; Funding and declaration and management of interests; Other information) were 46.7%, 40.8%, 45.3%, 29.5%, 53.3%, 10.0%, 26.7%, respectively.

      Conclusion

      At present, the reporting quality of guidelines for ART is poor, especially regarding the funding. In the future guideline development, more consideration should be given to reporting, dissemination and implementation.

      Keywords

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