多中心试验中的质量保证方法,用于胃食道逆流病的腹腔镜基复合

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Bright Huo¹, Alexandros Andreou², Lavinia Onos³

¹Division of General Surgery, Department of Surgery, McMaster University, Hamilton, Canada. brighthuo@dal.ca.

Surgical endoscopy

|August 10, 2023

概括

腹腔镜反手术试验中的外科质量保证不足,阻碍了研究质量和临床适用性的评估. 改善报告对于明智的外科决定和在GERD管理中加强患者护理至关重要.

科学领域:

手术研究方法论手术研究方法论
胃肠道手术胃肠道手术
基于证据的医学基于证据的医学.

背景情况:

操作性能显著影响随机试验的有效性.
在腹腔镜反流体手术试验中评估外科质量保证对于评估研究完整性和临床相关性至关重要.

研究的目的:

审查已发表的腹腔镜抗逆流手术随机试验中的外科质量保证机制.
评估这些试验的内部 (研究质量) 和外部有效性 (临床适用性).

主要方法:

在多个数据库 (Medline,Embase等) 中进行系统搜索. 是针对相关的随机对照试验进行的.
通过评估外科医生认证,程序标准化和绩效监测的框架来评估质量保证.

主要成果:

只有58.1%的研究报告了中心/外科医生的数量,而不到一半的研究详细介绍了一致的程序元素 (例如,布吉使用,动脉分裂).
只有50%的研究报告了手术经验,大多数 (62%) 的研究报告没有表现监测.
虽然技术标准化报告在70%左右,但操作文档 (笔记/视频) 不常见 (25%).

结论:

目前在腹腔镜反手术试验中的外科质量保证不足,限制了对内部和外部有效性的评估.
加强报告标准是必要的,以提高试验的可靠性,并支持对GERD治疗的知情临床决策.

关键词:

抗逆流体手术是一种抗逆流体手术.格尔德 (GERD) 是一个很好的朋友.laparoscopic fundoplication 拉巴洛斯科比基底复制拉巴洛斯科比基底复制拉巴洛斯科比基底复制拉巴洛斯科比基底复制质量保证质量保证质量保证手术技术手术技术的使用.

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