胰腺囊的质量 临床实践指南
Jason J John1, Wojciech Blonski2,3, Tea Reljic4
1University of South Florida Health Internal Medicine.
Journal of clinical gastroenterology
|November 20, 2023
概括
胰腺囊管理的临床实践指南 (CPG) 显示质量中等,在开发严格性和利益相关者参与方面有很大的改进空间. 在制定指南时,患者的意见明显缺席.
科学领域:
- 胃肠病学 胃肠病学
- 临床实践指南 临床实践指南
- 医疗保健服务研究 医疗服务研究
背景情况:
- 为了管理胰腺囊性病变,存在多个临床实践指南 (CPG).
- 缺乏对这些指导方针质量的系统评估.
- 本研究评估了成人胰腺囊管理的最新CPG的质量.
研究的目的:
- 系统地评估胰腺囊管理临床实践指南 (CPG) 的质量.
- 确定在指南开发和内容方面需要改进的领域.
主要方法:
- 在PubMed上对2016年1月至2021年11月期间发表的CPG进行了系统的文献搜索.
- 研究与评价指南评估II (AGREE II) 工具被用来评估指南的质量.
- 域名分数被分类为足够的质量 (> 60%) 或良好的质量 (> 80%).
主要成果:
- 从426个引文中确定了四个符合条件的CPG.
- 平均得分表明质量中等,在利益相关方参与 (26%) 和适用性 (14%) 中存在明显的弱点.
- 范围和目的 (79%) 和编辑独立 (75%) 的得分相对较高.
结论:
- 目前用于成人胰腺囊管理的CPG最好是中等质量的.
- 观察到,患者代表在制定指南时显著缺乏参与.
- 对于未来的CPG,建议对方法严谨性和陈述清晰度进行改进.
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