肝胆外科手术随机对照试验的质量和数量的评估:一个范围/映射审查
Ali Majlesara1, Ehsan Aminizadeh1, Ali Ramouz1
1Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Heidelberg, Germany.
European journal of clinical investigation
|April 16, 2024
概括
随着时间的推移,肝胆外科手术中的随机对照试验的数量和质量得到了改善. 在肝囊手术,血管手术和术后管理方面存在研究缺口.
科学领域:
- 肝胆道手术 肝胆道手术
- 临床研究方法论 临床研究方法论
背景情况:
- 随机对照试验 (RCT) 对于推进肝胆外科手术至关重要.
- 评估RCT数量和质量的演变对于基于证据的实践至关重要.
研究的目的:
- 评估肝胆外科手术中RCT数量和质量的趋势.
- 确定肝胆外科领域现有的证据缺口.
主要方法:
- 在MEDLINE,Web of Science和CENTRAL系统搜索到2023年之前的肝胆外科手术中的RCT.
- 使用Cochrane偏差风险工具进行质量评估.
- 证据映射用于识别研究缺口.
主要成果:
- 随着时间的推移,肝胆道手术中RCT的数量和比例的增加.
- 研究质量的显著改善,特别是后CONSORT指南.
- 研究重点是肝切除术和胆囊切除术,在肝囊手术,血管手术和外科手术期间的干预中发现了差距.
结论:
- 肝胆外科手术中RCT的数量和质量正在增加.
- 未来的研究应该解决在特定的外科领域和术后护理中发现的差距.
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