血友病临床实践指南的方法质量和建议:范围审查
Carolina J Delgado-Flores1, David García-Gomero2, Liseth Pinedo-Castillo3,4
1Carrera de Farmacia y Bioquímica, Facultad de Ciencias de la Salud Universidad Científica del Sur Lima Perú.
Health science reports
|July 17, 2023
概括
血友病临床实践指南 (CPG) 的质量有所不同,预防建议不一致. 在血友病护理中,需要进一步发展以实现透明,基于证据的决策.
科学领域:
- 血液学 血液学 血液学
- 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:
- 临床实践指南 (CPG) 对医疗保健专业人员管理血友病至关重要.
- CPG质量和建议的变化需要严格的评估.
- 这项研究侧重于2017年至2021年间发表的血友病CPG.
研究的目的:
- 评估血友病CPGs的方法质量.
- 为了比较这些指南中的预防建议.
- 确定血友病CPG开发的改进领域.
主要方法:
- 在多个数据库 (PubMed,TripDatabase等) 中进行全面的文献搜索. ) 的情况.
- 使用AGREE-II仪器进行方法质量评估.
- 对预防建议的比较分析,包括剂量和启动.
主要成果:
- 11名血友病CPG符合纳入标准,5名来自中高收入国家.
- 预防剂量建议不一致 (低剂量,中剂量或高剂量).
- 很少有CPG提供建议的理由;没有进行经济评估.
结论:
- 血友病CPGs表现出低于最佳的质量和不一致的预防建议.
- 缺乏理由和透明度阻碍了基于证据的决策.
- 在CPG发展的改进对于可靠的血友病护理至关重要.
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