当没有进一步的诊断测试可用时做出决定
Benjamin Djulbegovic1, Iztok Hozo2
1Hematology Stewardship Program, Division of Hematology/Oncology, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA. djulbegov@musc.edu.
Cancer treatment and research
|October 3, 2023
概括
本章解释了如何结合关于治疗益处和危害的证据,以合理的决策,即使有显著的临床不确定性.
科学领域:
- 医疗决策 - - 医疗决策
- 证据综合 证据综合
- 临床不确定性 临床不确定性
背景情况:
- 医疗保健中的理性决策依赖于整合治疗有效性和安全性的证据.
- 显著的临床不确定性往往使现有证据的解释和应用变得复杂.
研究的目的:
- 为了说明整合治疗益处和危害的证据的框架.
- 在临床不确定性面前支持合理的决策.
主要方法:
- 综合来自不同来源的关于治疗结果的证据.
- 将基于证据的医学原则应用于临床场景.
- 制定一个结构化的方法来权衡好处与危害.
主要成果:
- 介绍了一种整合关于治疗益处和危害的不同证据的方法.
- 该框架有助于做出明智的选择,即使数据不完整或冲突.
结论:
- 整合有关益处和危害的证据使得合理的临床决策成为可能.
- 这种方法对于在不确定性下进行复杂的治疗选择是有价值的.
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