IDEALと外科における臨床研究の進展
Peter McCulloch1, Joshua Feinberg2, Yiannis Philippou1
1Nuffiled Department of Surgical Science, University of Oxford, Oxford, UK.
Lancet (London, England)
|January 24, 2018
まとめ
外科研究の質を向上させることが重要です IDEALフレームワークは評価を助長し,報告基準の進展を示していますが,複雑な介入研究には依然として課題があります.
科学分野:
- 外科研究の方法論
- 臨床試験の評価
- 手術におけるエビデンスベースの医学
背景:
- 外科研究の質は,多くの治療法に関する証拠が不足しているため,批判に直面しています.
- 証拠の欠如は 資金調達やイノベーションの採用や 患者の安全に影響します
- IDEAL (Idea, Development, Exploration, Assessment, Long-term Follow-up) フレームワークは,外科研究の評価に構造的なアプローチを提供しています.
研究 の 目的:
- IDEALの勧告を用いて外科研究の方法論的進歩を評価する.
- IDEALフレームワークの普及と影響を評価する.
- 手術研究の方法論的進歩を妨げている課題を特定する.
主な方法:
- 2000年から2004年,そして2010年から2014年の手術研究の比較分析
- 結果測定,報告基準 (CONSORT),外科品質評価を含む方法論的要素の評価
- IDEALフレームワークの採用と外科研究の実践への影響の評価
主要な成果:
- 2つの期間間の標準的な結果測定,CONSORTの遵守,外科質の評価と学習曲線で明らかに改善された.
- 定性研究の使用や手順開発中の変更の報告において,重要な進展は認められていない.
- IDEALフレームワークの普及は加速しており,複雑な介入に対する統合評価アプローチの受け入れも増加しています.
結論:
- 手術研究の方法論的改善は明らかですが,特に定性的な側面と適応的な試験報告では課題が残っています.
- IDEALフレームワークは,手術手順と複雑な介入の厳格な評価を導くという見込みを示しています.
- さらに進歩するには,研究教育の強化,日常の実践への統合,認識システムとの連携が必要です.
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