在泌尿科文献 (2009-2021) 中发表的系统评价中的GRADE报告
Brett Norling1, Jae Hung Jung2,3, Eu Chang Hwang4
1University of Minnesota School of Medicine, Minneapolis, Minnesota.
The Journal of urology
|May 30, 2023
概括
在泌尿病学系统性审查中报告GRADE方法是不一致的. 许多审查未能遵守既定标准,强调需要改进培训和报告准则,以确保证据的确定性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 基于证据的医学是基于证据的医学.
- 系统审查是系统的审查.
背景情况:
- 推评估,开发和评价 (GRADE) 方法的分级对于评估系统审查中证据的确定性至关重要.
- 有效地应用GRADE提高了审查结果的可靠性和解释性.
研究的目的:
- 在泌尿系统性审查中评估GRADE方法的报告质量.
- 评估在已出版的泌尿病学文献中遵守已确定的GRADE标准.
主要方法:
- 从1998年至2021年在主要泌尿病学期刊上发表的系统评论被确定.
- 根据预先定义的标准,两位作者独立评估了GRADE方法的报告.
主要成果:
- 只有13%的识别系统审查 (68/522) 报告使用GRADE,首次出现在2009年.
- 不到一半的人在摘要中提供了证据确定性评级,只有60.3%的人包括了汇总表.
- 报告质量并没有随着时间的推移而得到改善,并且经常偏离已建立的GRADE标准.
结论:
- 泌尿学系统审查经常不遵循应用或使用GRADE方法的既定标准.
- 对作者和编辑在GRADE方法上进行加强培训的需要非常大.
- 建议为系统审查作者制定GRADE报告检查清单.
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