骨关节疼痛的共识方法:它们有多严格? 一个范围审查审查
Paul Blazey1,2, Alex Scott3,2, Clare L Ardern3,2,4
1Department of Physical Therapy, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada paul.blazey@ubc.ca.
British journal of sports medicine
|May 22, 2024
概括
对骨疼痛 (PFP) 的共识陈述往往缺乏多样化的小组和严格的方法. 这些指南需要提高透明度和患者纳入,以获得更好的临床实践建议.
科学领域:
- 整形外科 整形外科 整形外科
- 基于证据的实践.
- 临床指南 临床指南
背景情况:
- 临床医生使用共识陈述来管理关节疼痛 (PFP) 由于有限的最终证据.
- 支持这些共识建议的方法及其协议流程尚未被彻底检查.
研究的目的:
- 系统地审查和绘制用于生成基于共识的PFP建议的方法.
- 通过使用新的评估问题,批判性地评估PFP指南中共识发展的严谨性.
主要方法:
- 进行了全面的范围审查,搜索主要数据库 (Medline,SPORTDiscus,CINAHL,Embase) 到2022年5月.
- 乔安娜·布里格斯研究所证据综合手册指导了审查过程.
- 基于小组组成,共识方法,协议流程和证据映射来评估共识方法.
主要成果:
- 确定了22个PFP共识声明,并指出了重大缺陷.
- 专家小组的多样性很低,只有9%包括患者,32%报告建立了共识方法.
- 关于同意值 (45%) 和不同意见 (9%) 的透明度有限,只有27%使用系统的证据差距识别.
结论:
- 椎关节疼痛共识小组经常缺乏多样性,特别是排除了患者代表.
- 对PFP的共识陈述的制定和报告往往未能采用公认的方法,明确定义协议,或系统地识别证据缺口.
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