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临床实践指南的质量评估,使用AGREE II仪器处理按摩干预措施
Mingyue Fan1, Aolin Liu1, Taoying Lu2,3
1The Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, People's Republic of China.
Systematic reviews
|March 8, 2024
概括
大多数按摩临床实践指南 (CPG) 由于方法质量低,不推使用. 未来的CPG应该改善证据使用,专家多样性和患者考虑,以获得更好的临床指导.
科学领域:
- 整合和补充医学是整合和补充医学.
- 基于证据的实践.
- 健康科学 卫生科学 卫生科学
背景情况:
- 临床实践指南 (CPG) 和共识声明对于指导医疗保健专业人员至关重要.
- 按摩疗法是一种广泛使用的辅助疗法,需要高质量的指导方针来应用.
- 对现有的按摩CPG进行系统评估对于确定需要改进的领域至关重要.
研究的目的:
- 系统地评估与按摩相关的CPG和共识陈述的方法质量,使用指导方针评估研究和评估 (AGREE II) 工具.
- 总结这些按摩CPG和共识声明中的当前建议.
- 发现按摩CPG的开发和报告方面的缺陷.
主要方法:
- 在多个数据库 (CNKI,WanFang,VIP,CBM,PubMed,Embase) 和指南网站进行了全面的文献搜索,截至2022年10月31日.
- 按摩CPG/共识被确定使用主题和自由术语的组合,包括"传统中医"",按摩"和"指南".
- 三名独立研究人员使用了AGREE II工具来评估49个符合条件的CPG/共识的方法质量,经过严格的校准和试点测试.
主要成果:
- 在49个符合条件的CPG/共识中,只有4个 (8.2%) 被推,15个 (30.6%) 被推进行修改,30个 (61.2%) 不被推.
- 对36个CPG的整体质量评估显示,11%为"质量好"",42%为"质量足够"",47%为"质量较差".
- 在CPG中,利益相关者参与和应用的领域得分最低,而范围和目的得分最高. 在119个提取的建议中,85.7%是"赞成"按摩.
结论:
- 与按摩相关的CPG和共识陈述的整体方法质量很低,大多数不符合推标准.
- 未来的指南制定应该优先考虑使用现有证据,增强专家组的多样性,并充分纳入患者的价值观和偏好.
- 加强准则制定的严格性和标准化是必要的,以便为临床实践提供明确,可操作的建议.
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