轴性脊椎关节炎指南 - 旨在最大限度地影响
Mathieu Choufani1, Jonathan Kay2, Joerg Ermann1,3
1Brigham and Women's Hospital, Boston.
Current opinion in rheumatology
|April 25, 2024
概括
轴性脊柱关节炎 (axSpA) 的国际临床实践指南 (CPG) 在方法和呈现方面有所不同. 成功实施需要用户友好的格式和解决已识别的遵守障碍.
科学领域:
- 类风湿病学 类风湿病学
- 临床实践指南 临床实践指南
- 实施科学 实施科学
背景情况:
- 轴性脊柱关节炎 (axSpA) 临床实践指南 (CPG) 对基于证据的患者护理至关重要.
- 最近ASAS/EULAR和PANLAR的指导方针,以及ACR/SAA/SPARTAN和APLAR即将发布的更新,突出了不断变化的标准.
- 越来越多地采用GRADE框架来开发高质量的axSpA CPG.
研究的目的:
- 审查国际 axSpA CPG,重点关注其方法,质量和实施策略.
- 识别指导方针开发和呈现的变化.
- 评估axSpA CPG实施的现状,并确定需要改进的领域.
主要方法:
- 系统审查最近发表的和即将发布的国际axSpA临床实践指南.
- 分析指导方针开发方法,包括使用像GRADE这样的框架.
- 评估报告的实施策略和遵守研究.
主要成果:
- 在 axSpA CPG 之间,在推呈现方面存在显著差异.
- 实施策略是公认的,但往往缺乏细节.
- 研究表明,人们对物理治疗/运动和疾病监测建议的遵守程度较差.
- 指南采用的障碍涉及医疗保健专业人员和指南特征.
结论:
- AxSpA CPG 需要用户友好的格式来实现实际应用.
- "生活指南"可以改善内容货币.
- 强调实施策略和进一步研究障碍对于 axSpA CPG 的成功采用至关重要.
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