支持超声波甲状腺结节风险分层的实施策略:系统审查
Matthew Edwards1, Juan P Brito2,3, Ramzi G Salloum4
1Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Clinical endocrinology
|July 1, 2023
概括
实施甲状腺结节的超声波风险分层可以通过标准化报告工具,用户教育和护理点提醒来加强. 需要进一步的研究来评估这些策略在不同的设置.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 医疗保健实施科学 医疗保健实施科学
背景情况:
- 甲状腺结节超声波风险分层通过标准化评估来改善患者的护理.
- 实施高质量的甲状腺结节风险分层的最佳策略尚未确定.
- 本研究涉及了解有效实施策略及其对结果的影响的必要性.
研究的目的:
- 系统地审查和总结用于在临床实践中实施甲状腺结节超声波风险分层的策略.
- 评估这些实施策略对实施过程和服务成果的影响.
主要方法:
- 对2000年1月至2022年6月期间发表的研究进行了系统审查.
- 在主要数据库 (MEDLINE,EMBASE,Cochrane,Scopus,Web of Science) 中进行了搜索.
- 研究选,数据提取和偏差风险评估都是独立地,重复地进行的.
主要成果:
- 在最初识别的2666项研究中,包括了8项研究.
- 共同的实施策略针对放射科医生,包括标准化的报告工具,教育和护理点提醒.
- 基于系统的策略,如本地共识或审计,较少出现;支持实施的策略具有可变的服务结果效应.
结论:
- 标准化报告模板,用户教育和护理点提醒对于支持甲状腺结节风险分层实施是有效的.
- 进一步的研究对于评估这些实施策略在各种临床环境中的价值至关重要.
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