对系统审查的最佳工具和实践的指导
Kat Kolaski1, Lynne Romeiser Logan2, John P A Ioannidis3
1Departments of Orthopaedic Surgery, Pediatrics, and Neurology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Acta anaesthesiologica Scandinavica
|June 8, 2023
概括
许多系统审查都存在缺陷,导致不可靠的发现. 本指南阐明了开发和评估证据综合的最佳实践,以提高其质量和可信度.
科学领域:
- 医学研究方法论医学研究方法论.
- 基于证据的实践实践.
- 科学出版标准的科学出版标准.
背景情况:
- 系统审查经常表现出方法上的缺陷,偏见和冗余性,从而降低了其信息性.
- 尽管经验方法和评估工具的进步,作者的一贯应用和编辑的坚持仍然不够理想.
- 临床医生往往缺乏对这些问题的认识,导致不批判地接受证据综合和指导方针.
研究的目的:
- 将关于证据综合方法和工具的复杂信息提炼成作者,同行评审者和编辑的可访问格式.
- 促进对证据综合背后严谨科学的更深入的理解和欣赏.
- 解决证据综合的关键组成部分的充分记录的缺陷,并阐明当前标准的理由.
主要方法:
- 区分评估报告,偏见风险和方法质量的工具与确定整体证据确定性的工具.
- 在合成开发过程中使用的工具与用于最终评估的工具的区别.
- 描述示例方法,研究实践和务实策略,包括首选的术语和证据类型的表征.
主要成果:
- 一个简短的指南组织了最佳实践资源,用于作者和期刊的常规实施.
- 该指南阐明了证据综合的各种方法和工具的预期用途和局限性.
- 重点是明智的应用和深入的方法培训的必要性,并警告不要肤浅地使用.
结论:
- 开发的指南旨在提高系统审查和其他证据综合的质量和可靠性.
- 通过强调最佳实践及其理由,该倡议旨在促进证据综合领域的进一步发展.
- 促进标准化和严格的证据综合方法最终将提高临床实践准则的可信度,并为临床决策提供信息.
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