临床实践指南儿童整形外伤的建议:系统性审查
Lynne Moore1,2, Justin Drager3, Gabrielle Freire4
1Population Health and Optimal Health Practices Research Unit, Trauma-Emergency-Critical Care Medicine, Centre de Recherche du CHU de Québec-Université Laval (Hôpital de l'Enfant-Jésus).
Journal of pediatric orthopedics
|August 22, 2023
概括
这项研究审查了儿科骨科伤害护理指南,发现了7个高质量的临床实践指南 (CPG). 临床医生可以使用这些综合建议,但未来的CPG需要利益相关者的意见和实施策略.
科学领域:
- 整形外科手术 整形外科手术
- 儿科护理 儿科护理
- 基于证据的医学基于证据的医学.
背景情况:
- 儿童骨科伤害护理建议的遵守是不一致的.
- 知识差距,建议异质性和质量问题可能导致遵守不良.
- 临床实践指南 (CPG) 对于标准化护理至关重要.
研究的目的:
- 为了确定儿童骨科伤害护理的CPG.
- 评估已识别的CPG的质量.
- 从高质量的CPG中综合证据质量和建议强度.
主要方法:
- 对多个数据库和临床组织网站进行系统搜索.
- 包括儿童骨科伤害的CPG在过去15年发展.
- 使用指南评估研究和评估 (AGREE) II工具进行质量评估,并使用GRADE证据决策框架进行综合.
主要成果:
- 13个CPG符合条件,其中7个被评为高质量.
- 发现的主要弱点是缺乏利益相关者的参与和适用性.
- 提取了53个建议,其中19个基于中等或高质量的证据.
结论:
- 为临床决策提供了高质量的CPG建议的综合.
- 未来的CPG开发应该优先考虑利益相关者伙伴关系和实施策略.
- 需要在儿科骨科创伤护理方面进行更严格的研究.
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