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在门诊综合内科医学的更新:2022年发布的实践改变证据
Jill M Huber1, Mark L Wieland1, Shari L Bornstein2
1Division of Community Internal Medicine, Geriatrics, and Palliative Care, Department of Medicine, Mayo Clinic, Rochester, Minn.
The American journal of medicine
|May 28, 2023
概括
对临床医生来说,保持最新的实践变化的内部医学文章至关重要. 本研究综合了关键研究和指导方针更新,以帮助明智的临床决策.
科学领域:
- 一般的内科医学一般内科医学.
- 临床实践指南 临床实践指南
- 基于证据的医学基于证据的医学.
背景情况:
- 临床医生面临的挑战是保持与改变实践的医学文献的最新状态.
- 综合相关文章和指南更新对于知情的临床实践至关重要.
- 本次审查重点关注具有影响力的一般内科期刊和证据数据库.
研究的目的:
- 识别和综合改变实践的文章和门诊内科的关键指南更新.
- 为临床医生提供对影响患者护理的重大进展的精心策划的摘要.
- 促进基于证据的决策在一般内科.
主要方法:
- 系统性审查7个具有高影响力的一般内科医学期刊 (不包括COVID-19研究).
- 包括文章摘要集和数据库 (例如,非洲和中东国家日报俱乐部,NEJM日报观察).
- 修改后的Delphi方法由8名医生使用,以达成关于临床相关性,实践影响和证据强度的共识.
主要成果:
- 确定并综合了五篇改变实践的文章.
- 突出了与门诊内科相关的关键指导方针更新.
- 文章按主题分类,以提供全面的概述.
结论:
- 这一综合提供了一个宝贵的资源,临床医生寻求跟上关键更新在内部医学.
- 鉴定到的文章和指导方针为影响和改善临床实践提供了重大潜力.
- 基于共识的选择确保了所提供的信息的相关性和重要性.
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