临床实践指南说什么关于抑郁症? 一个范围审查审查
Aili Veronica Langford1,2, Imaan Warriach3,4, Aisling M McEvoy3
1Centre for Medicine Use and Safety, Monash Institute of Pharmaceutical Sciences, Parkville, Victoria, Australia aili.langford@monash.edu.
BMJ quality & safety
|May 24, 2024
概括
临床指南中的处方建议越来越多,但往往缺乏明确的指示,说明如何减少或停止药物使用. 开发实用指南对于在患者护理中有效实施至关重要.
科学领域:
- 药理学 药理学是指药理学的学科.
- 基于证据的医学是基于证据的医学.
- 医疗服务研究 医疗服务研究
背景情况:
- 停止处方,减少或停止药物,对于适当的处方至关重要.
- 临床实践指南中抑止处方建议的流行程度和性质仍然不清楚.
研究的目的:
- 确定含有减轻处方建议的临床实践指南.
- 对这些建议的内容和格式进行定性分析.
- 估计包括抑郁症建议的指导方针的比例.
主要方法:
- 一个范围审查搜索了文献数据库和谷歌 (2012-2022) 和指南注册表 (2017-2023).
- 两个审查员对记录进行了选;对10%的注册表样本进行了评估,以估计比例.
- 内容分析和SHeLL健康素养编辑器工具检查了推特征和可读性.
主要成果:
- 确定了80条指南和316条描述建议,显示了格式和术语的变化.
- 大多数指南都规定了谁,什么以及何时/为什么要描述,但只有58%的指南详细说明了如何.
- 在注册表样本中,大约29%的指导方针包含了减记推.
结论:
- 处方建议越来越多地包含在指南中,但往往缺乏可行的"如何"指导.
- 缺乏明确的实施说明可能会阻碍临床实践.
- 建议开发一个共同设计的模板或最佳实践指南,以提高描述建议的实用性.
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