重新审视整形外科的证据评级水平:呼吁采取行动
Aesthetic surgery journal
|February 20, 2024
概括
这项研究评估了整形外科期刊的证据水平 (LOE),发现虽然一些期刊有所改善,但低LOE研究仍然很常见. 这些发现呼吁提高整形外科的研究标准.
科学领域:
- 整形外科 整形外科 整形外科
- 基于证据的医学 基于证据的医学
- 医学研究方法学 医学研究方法学
背景情况:
- 基于证据的医学 (EBM) 对临床实践至关重要,证据水平 (LOE) 指导研究结论和建议的解释.
- 评估已发表的研究的LOE对于了解医学和外科领域的证据质量至关重要.
研究的目的:
- 重新评估在主要的整形外科杂志上发表的文章中的证据水平 (LOE).
- 通过时间来识别整形外科研究的方法质量的趋势和变化.
主要方法:
- 2021年出版的原始文章和系统评论的综合审查来自五个主要的整形外科杂志:美容外科杂志 (ASJ),整形外科杂志 (Annals),整形重建和美容外科杂志 (JRPAS),整形和重建外科 (PRS) 和整形和重建外科全球开放 (PRS GO).
- 分析了1649篇文章,以确定每个期刊的平均LOE和集体平均LOE.
主要成果:
- 在分析的整形外科杂志中,集体平均LOE为3.28±0.78.
- 塑料和重建手术 (PRS) 观察到LOE的显著改善,而塑料手术年鉴 (Annals) 显示出显著下降.
- 只有很少一部分研究达到最高水平的证据 (4.4% LOE 1, 7.3% LOE 2).
结论:
- 审美外科杂志 (ASJ) 和整形和重建外科 (PRS) 在评估的期刊中表现出最高的LOE.
- 尽管在某些领域有所改善,但在整形外科文献中,证据水平较低的研究仍然普遍存在.
- 该研究强调,研究人员和期刊需要实施战略,以提高整体LOE在整形外科研究.
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