贝斯患者护理途径:网球手肘
Harvinder Pal Singh1, Adam C Watts2
1University Hospitals of Leicester NHS Trust, Leicester, UK.
Shoulder & elbow
|August 4, 2023
概括
本指南摘要为管理侧侧肘肌病 (LET) 提供了基于证据的建议. 它使用GRADE系统来评估各种治疗方法的文献质量和证据的强度.
科学领域:
- 整形医生 整形医生 整形医生
- 基于证据的医学基于证据的医学.
背景情况:
- 侧侧肘肌病 (LET),通常被称为网球手肘,影响着众多个体,需要明确的管理准则.
- 目前对LET的治疗选择各不相同,需要综合证据来指导临床实践.
研究的目的:
- 为治疗侧肘肌病 (LET) 提供指导总结.
- 通过推评估,开发和评估 (GRADE) 系统对文献质量进行评分,并对现有证据的强度进行分级.
主要方法:
- 组建了一个多学科的指导方针开发小组,包括整形外科医生,理疗师和患者.
- 制定了PICO问题,以评估与安慰剂或没有治疗相比,LET治疗的临床有效性.
- 一个系统的文献搜索 (2011年1月~2022年4月) 确定了相关的系统审查和随机对照试验.
- 使用GRADE标准评估证据质量,包括研究设计,偏差风险和影响大小.
主要成果:
- 根据证据质量和利益与危害的平衡,对LET管理的建议被归类为强或弱.
- 摘要提供了一个清晰的概述证据的质量支持不同的管理策略为LET.
结论:
- 本摘要提供了对横侧肘肌病管理的证据基础的全面评估.
- 临床医生可以利用这些信息来做出有关患者治疗的明智决策,并以分级建议为依据.
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