臨床医のための医学文献の第2次ピアレビュー
R Brian Haynes1, Chris Cotoi, Jennifer Holland
1Health Information Research Unit, Department of Clinical Epidemiology and Biostatistics, Michael G. DeGroote School of Medicine, McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada. bhaynes@mcmaster.ca
JAMA
|April 20, 2006
まとめ
この研究は,臨床論文の出版後のピアレビューシステムの実現可能性を示し,医師が関連する研究をより効率的に見つけることを助けます. マクマスター・オンライン・レーティング・オブ・エビデンス (MORE) システムとプレミアム・リテラチュア・サービス (PLUS) は,エビデンスに基づく実践を支援しています.
科学分野:
- 医療情報工学 医療情報工学
- 臨床流行病学 臨床流行病学とは
- 根拠に基づいた医学は,証拠に基づいた医療です.
背景:
- ほとんどの臨床ジャーナル記事には,個々の医師に対して直接的に適用できる内容が欠けている.
- 臨床的関連性に関する研究をフィルタリングし,優先順位を付けることが必要である.
研究 の 目的:
- ジャーナルの論文のための二次臨床ピアレビュープロセスを開発する.
- 特定の臨床分野に最も関連する論文を特定する.
主な方法:
- 110以上の臨床ジャーナルのレビューを含む見通しの観察研究です.
- 記事の評価のためのマクマスター・オンライン・レーティング・オブ・エビデンス (MORE) システムに,世界の実務医の採用.
- 論文を学科特別の評価者に割り当てるための自動化されたシステムと,配布のためのオンラインアラートサービス (McMaster Premium Literature Service - PLUS) を利用した.
主要な成果:
- 2100人以上の評価者および約6000件の記事は,関連性および報道価値について評価されました.
- システマティック・レビューは,オリジナルの研究と比較して,関連性において高く評価されたが,新しい情報に関して低い評価を受けた.
- プライマリケア医は,専門医よりも記事を低い評価をした.
結論:
- 出版後のピアレビューシステムは実現可能であり,利用されています.
- このシステムは,臨床学科の関心事に基づいて,雑誌の記事を効果的に区別します.
- これは,臨床医と関連する研究を結びつけることで,根拠に基づいた実践を容易にする.
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