在流行研究和报告质量中对眼诊断进行系统审查
Zayn Al-Timimi1, Jessie Huang-Lung2, Lisa Keay2
1Rural Clinical School, University of New South Wales, Port Macquarie.
Journal of glaucoma
|July 5, 2023
概括
玻璃眼患病率研究缺乏一致的诊断标准,阻碍了准确的全球估计. 制定标准化报告准则对于可靠的流行病学数据至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 准确的青光眼患病率估计对于资源分配至关重要.
- 青光眼的诊断涉及主观检查,在横截面研究中缺乏进展监测.
- 绿内障的可变定义使得解释患病率数据变得复杂.
研究的目的:
- 系统地审查青光眼患病率研究中的诊断标准和检查.
- 评估国际地理和流行病眼科学会 (ISGEO) 标准的采用和有效性.
- 评估格洛科马患病率研究报告的质量.
主要方法:
- 对PubMed,Embase,Web of Science和Scopus数据库进行系统审查.
- 诊断协议的分析和ISGEO标准的采用 (2002年引入).
- 检测偏差的评估和遵守加强流行病学观察研究报告 (STROBE) 准则.
主要成果:
- 分析了123项研究中的136篇文章;全球存在数据差距.
- 92%的研究报告了诊断标准; 62%使用ISGEO标准.
- 在ISGEO标准中发现了弱点,考试中的异质性和变量STROBE合规性 (平均82%).
结论:
- 青光眼诊断定义中的持续异质性需要标准化.
- 开发新的标准和改进报告对于可靠的青光眼流行病学至关重要.
- 建议报告格劳科马流行病学研究质量 (ROGUES) 清单,并强调需要在数据不足的地区进行研究.
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