协议II 关于一般化癌症疼痛管理临床实践指南的评估
Fatima Rizvi1, Anza Rizvi1, Kevin Chorath2
1Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
概括
大多数针对癌症疼痛的临床实践指南都质量不佳. 未来的指导方针需要改进范围,利益相关者的投入,以及更好的患者护理的发展严格性.
科学领域:
- 在瘤学瘤学.
- 基于证据的医学基于证据的医学.
- 临床实践指南 临床实践指南
背景情况:
- 临床实践指南 (CPG) 对于管理通用癌症疼痛至关重要.
- 缺乏对现有的CPG进行全面的质量评估.
研究的目的:
- 通过研究和评估指南的评估 (AGREE II) 工具,评估一般癌症疼痛的CPG的质量.
主要方法:
- 使用PRISMA指南进行系统的文献搜索.
- 通过使用AGREE II工具,由四名独立审查员对12个选定的CPG进行评估.
- 计算缩放域分数和评分器间可靠性 (ICCs).
主要成果:
- 在12个CPG中,只有2个质量高,7个质量低.
- 呈现的清晰度得分最高,适用性和利益相关者的参与得分最低.
- 较高的评价者间可靠性 (ICCs 0.85-0.98) 证实了一致的评估.
结论:
- 大多数针对通用癌症疼痛的CPG都是低质量的.
- 未来的CPG开发应该优先考虑范围,利益相关者的参与,严格性,适用性和编辑独立性.
- 提高指南质量可以提高患者护理和结果测量.
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