从文献中提取标准结果的候选结果的标准化方法:一个案例和模拟研究
K M Veen1, A Joseph2, F Sossi2
1Department of cardiothoracic surgery, Erasmus MC, Rotterdam, The Netherlands. k.veen@erasmusmc.nl.
BMC medical research methodology
|November 10, 2023
概括
一种新的代和方法有助于确定标准结果集的候选结果. 这种方法平衡了综合文献审查与医疗保健结果评估的可行性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
- 基于证据的实践.
背景情况:
- 标准化的结果集对于基于价值的医疗保健评估至关重要.
- 现有的获取专家意见的方法 (例如,修改后的Delphi) 缺乏标准化的文献提取指南.
- 需要一种系统的方法来确定将被纳入标准结果集的候选结果.
研究的目的:
- 描述一种用于获得标准结果集候选结果的综合列表的新方法.
- 提供一个可行的和结构化的方法,用于文献审查的成果集开发.
- 为了说明使用国际健康结果测量联盟心脏门疾病集的方法.
主要方法:
- 一种代和方法,使用从系统文献搜索中随机选择的批量.
- 登记册和临床实践指南的可选先前基准审查.
- 使用1000个模拟案例验证批量切断选择.
主要成果:
- 一个初始的100条的批次和25条的后续批次达到平均98%的和.
- 在没有基准审查的情况下,平均需要4.7次重复回合 (每次25篇文章) 才能达到和.
- 模拟数据验证了代和方法的批量切断选择.
结论:
- 提出了一种标准化的方法,用于识别标准结果集的相关候选结果.
- 这种方法平衡了文献审查的全面性和可行性,以确定结果.
- 代和方法为开发强大的医疗保健结果措施提供了一个结构化的途径.
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