面板堆叠是对共识陈述有效性的威胁
Kasper P Kepp1, Preben Aavitsland2, Marcel Ballin3
1Meta-Research Innovation Center at Stanford, Stanford University, Stanford, CA, USA.
Journal of clinical epidemiology
|June 19, 2024
概括
由于小组成员的偏见,共识陈述可能会误导,特别是在COVID-19建议中. 严格的证据综合和倡导冲突的透明度对于有效的共识至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗政策 医疗政策
- 证据综合 证据综合
背景情况:
- 共识陈述显著影响医疗和公共卫生决策.
- 一些陈述缺乏系统的证据综合,依靠专家小组和德尔菲流程.
- 来自小组成员倡导的潜在偏见对共识有效性构成威胁.
研究的目的:
- 分析共识陈述如何可能具有误导性.
- 作为一个案例,检查最近的COVID-19 Delphi共识声明.
- 为共识声明的有效性提出改进建议.
主要方法:
- 关于COVID-19的高影响力德尔菲共识声明的深入分析.
- 识别和评估小组成员的倡导和潜在的利益冲突.
- 声明冲突与实际倡导立场的评估.
主要成果:
- 许多精选的小组成员,包括核心小组的35%,主张消除COVID-19 (Zero-COVID).
- 这些成员是侵略性倡导团体的领导人,他们的冲突在很大程度上是未经声明的.
- 案例示例表明,由于未申报的倡导,存在重大偏见.
结论:
- 达成共识的声明需要严格的证据综合才能有效.
- 对于潜在的偏见,包括宣传和游说,最大程度的透明度至关重要.
- 必须避免倡导团体对共识小组的偏见影响.
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