手术结果报告. 手术结果报告. 从漫画转变为悲剧的歌剧?
Fariba Abbassi1,2, Matthias Pfister1, Anja Domenghino1,2
1Department of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland.
Annals of surgery
|February 7, 2024
概括
医学文献中的手术结果报告质量仍然很差,大多数研究未能满足基本标准. 迫切需要标准化报告以改善患者护理和指导方针.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 出版的质量 出版的质量
背景情况:
- "柳叶刀"杂志强调了1996年不良的外科结果报告,影响了外科手术质量和患者护理.
- 报告中的持续缺陷阻碍了外科手术实践的进步.
研究的目的:
- 评估目前在医学期刊上报告手术结果的标准.
- 提出建议,以提高外科结果报告的质量.
主要方法:
- 分析了来自领先的外科和医学期刊的627篇关于外科结果的文章.
- 使用12项检查清单评估报告质量,包括随机对照试验.
主要成果:
- 只有0.2%的文章符合所有报告标准,57%的文章符合不到一半的标准.
- 累计发病率负担 (94%) 和患者报告的结果 (83%) 报告得不好.
- 具有更高影响力的期刊和医学期刊在特定标准上表现出更好的报告质量.
结论:
- 在过去的20年里,手术结果报告的质量并没有显著改善.
- 标准化报告对于准确的数据解释和改善患者结果至关重要.
- 加强报告将有助于制定基于证据的临床指南.
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