将证据用于决策框架导致了更高质量的指导方针和更可信和透明的建议
Jose F Meneses-Echavez1, Julia Bidonde2, Camila Montesinos-Guevara3
1Norwegian Institute of Public Health, Oslo, Norway; Facultad de Cultura Física, Deporte y Recreación, Universidad Santo Tomás, Bogotá, Colombia.
Journal of clinical epidemiology
|July 30, 2023
概括
在指导方针制定中使用决策依据 (EtD) 框架与更高质量的指导方针和建议有关. 采用这些框架可以提高临床指导的可信度和透明度.
科学领域:
- 开发临床指南的指导方针.
- 卫生技术评估 卫生技术评估
- 基于证据的实践实践.
背景情况:
- 准则的质量和建议的可信度对于有效的医疗保健至关重要.
- 决策 (EtD) 框架的证据旨在加强指导方针开发过程.
- 使用EtD框架与指南质量之间的关联需要经验研究.
研究的目的:
- 评估决策证据 (EtD) 框架是否与指导方针质量改善相关.
- 评估EtD框架对建议的可信性和可执行性的影响.
主要方法:
- 在过去5年内发表的66项国际指南的系统审查和评估.
- 准则的使用评估,研究和评估II工具 (AGREE-II) 用于准则的质量评估.
- 员工对研究和评估指南的评估 推卓越性 (AGREE-REX) 推评估.
主要成果:
- 使用EtD框架的指导方针在所有AGREE-II和AGREE-REX领域显示得分明显更高 (P <0.05).
- 使用不同类型的EtD框架之间没有观察到质量得分的显著差异.
- 66条审查的指导方针中有45%包含了EtD框架.
结论:
- 决策框架的证据与指导方针的优越质量,可信度和透明度有关.
- 建议指南制定者广泛采用EtD框架,以提高指南的整体质量.
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