拉丁美洲小组成员发现,GRADE-ADOLOPMENT对于将建议置于本地区的背景是有用和重要的
Zil H Nasir1, Tamara Lotfi2, Juan J Yepes Nuñez3
1Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada; McMaster GRADE Centre, McMaster University, Hamilton, Ontario, Canada.
Journal of clinical epidemiology
|August 2, 2024
概括
推,评估,发展和评价 (GRADE) - 发展方法的分级成功地适应了拉丁美洲的临床指南,指南开发小组 (GDG) 报告了满意度. 优化需要强大的区域数据和高效的时间表.
科学领域:
- 临床实践指南 临床实践指南
- 卫生技术评估 卫生技术评估
- 基于证据的医学基于证据的医学.
背景情况:
- 建议分级,评估,发展和评价 (GRADE) -发展框架有助于将指南适应特定环境.
- 拉丁美洲指南制定小组 (GDG) 在适应国际指南方面面临着独特的挑战.
研究的目的:
- 评估拉丁美洲GDG的经验,通过使用GRADE-ADOLOPMENT调整美国血液学会的VTE指南.
- 确定在适应过程中遇到的促进者和障碍.
主要方法:
- 进行了混合方法后评估.
- 调查和半结构面试评估了GDG的满意度,信心和GRADE-ADOLOPMENT工具的实用性.
- 专注于一般的满意度,有用性,适当性,重要性以及障碍物/促进者的识别.
主要成果:
- 大多数GDG成员对调整后的指南表示高度满意.
- 专家小组成员发现,成年阶段的发展是有用的,特别是在资源有限的环境中,并在培训后获得了信心.
- 关键的挑战包括获取本地数据,优先考虑不同的区域需求,以及漫长的出版流程.
结论:
- 渐进发展是适应和在新环境中实施临床实践指南的宝贵工具.
- GDG的满意度突显了该方法的潜力,但获得区域证据和简化时间表对于优化至关重要.
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