随机临床试验问题对患有常见疾病住院儿童的优先考虑:一个共识声明
Eric R Coon1,2, Corrie E McDaniel3, Natalia Paciorkowski4
1Department of Pediatrics, Intermountain Primary Children's Hospital, Salt Lake City, Utah.
JAMA network open
|May 15, 2024
概括
这项研究确定了住院儿童的关键研究问题,重点关注缺乏随机临床试验 (RCT) 数据的常见疾病. 这些发现优先考虑了未来研究的关键领域,以改善儿科护理.
科学领域:
- 儿科医院医药 儿科医院医药
- 临床试验设计 临床试验设计
- 基于证据的实践.
背景情况:
- 有限的随机临床试验 (RCT) 数据存在于常见疾病的住院儿童的常规护理决策.
- 对于这一弱势群体来说,有必要确定高优先级的RCT问题.
研究的目的:
- 确定和优先考虑最重要和可行的随机临床试验 (RCT) 问题,用于常见的儿科住院治疗.
- 为指导未来的研究工作和为儿科临床试验提供资金.
主要方法:
- 从2022年1月到9月,一个经过修改的三阶段的Delphi过程几乎进行了.
- 来自30个机构的46名参与者,包括儿科医生和家长,为10种常见的儿科疾病制定和评分了RCT问题.
- 问题采用PICO格式,并按重要性和可行性排序.
主要成果:
- 产生了62个独特的实用RCT问题,解决了有效性数据有限的干预措施.
- 排名最高的问题集中在优化针对肺炎,尿路感染和细胞炎的抗生素治疗方案上.
- 整体重要性和可行性得分从1到9不等,中位数为5.
结论:
- 这份共识声明强调了医院住院儿童最关键和可实现的RCT问题.
- 确定的研究重点可以引导研究人员和资助者进行具有影响力的试验.
- 改善儿科医院护理的证据基础对于更好的患者结果至关重要.
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