对成人阻塞性睡眠呼吸暂停的临床实践指南的质量评估:系统性审查
Xiaopan Xu1, Qianqian Peng2, Ling Meng3
1Department of Respiratory and Critical Care Medicine, Lu'an Hospital of Anhui Medical University, Lu'an, China.
Sleep medicine
|April 6, 2024
概括
这项研究评估了成人阻塞性睡眠呼吸暂停 (OSA) 临床实践指南 (CPG) 的质量. 结果显示质量不同,突出需要严格的开发和报告,使用AGREE II和RIGHT检查清单等工具.
科学领域:
- 睡眠医学 睡眠医学
- 临床实践指南 临床实践指南
- 基于证据的医学基于证据的医学.
背景情况:
- 临床实践指南 (CPG) 对于标准化成人阻塞性睡眠呼吸暂停 (OSA) 管理至关重要.
- 缺乏对现有的成年OSA CPG质量的全面评估.
- 本次审查解决了评估成年OSA CPG的整体质量的需要.
研究的目的:
- 综合评估成人阻塞性睡眠呼吸暂停 (OSA) 临床实践指南 (CPG) 的方法和报告质量.
- 确定当前成人OSACPG的优势和弱点.
- 为改善未来CPG开发的质量提供建议.
主要方法:
- 对成人OSA CPG的数据库和网站进行系统的文献搜索 (2013年1月至2023年12月).
- 使用AGREE II仪器进行方法质量评估.
- 报告质量评估使用RIGHT检查清单由三个独立审核员进行.
主要成果:
- 包括44个CPG (42个是英语,2个是中文).
- 方法质量在"陈述的清晰度" (85.10%) 中得分高,但在"开发的严格性" (56.77%) 中得分低.
- 报告质量平均为51.30%,其中"基本信息" (60.61%) 最高",审查和质量保证" (15.91%) 最低. 在AGREE II和RIGHT分数之间发现了强烈的正相关性 (r=0.808,P<0.001).
结论:
- 成人OSA CPG的整体质量是可变的.
- 提高CPG质量需要优先考虑基于证据的方法,并遵守报告标准,如RIGHT检查清单.
- 改进的CPG将促进更好的临床决策和OSA管理中的证据翻译.
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