远程皮肤镜诊断结果研究的挑战:对异质研究特征的范围审查
Femke van Sinderen1,2,3, Anne P Langermans1, Andre W Kushniruk4
1Department of Medical Informatics, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands.
JMIR dermatology
|October 18, 2024
概括
远程皮肤镜研究的异质性阻碍了系统审查和临床采用. 建议通过量身定制的检查清单标准化报告,以提高诊断准确性和医疗保健整合性.
科学领域:
- 皮肤病学 皮肤病学
- 医疗信息学 医疗信息学
- 医学研究方法学 医学研究方法学
背景情况:
- 远程皮肤显微镜对皮肤癌的检测有好处,包括降低成本和改善接入.
- 然而,研究设计的显著异质性使系统审查复杂化,并限制了临床信任和采用.
研究的目的:
- 识别和分类研究特征,为远程皮肤镜诊断研究的异质性做出贡献.
- 评估这些特征的可变性和一致性,以告知标准化工作.
主要方法:
- 进行了对远程皮肤镜诊断结果的系统审查的审查.
- 在PRISMA-ScR的指导下,对远程皮肤镜诊断研究进行了范围审查,分析了人口,索引测试和参考标准领域的研究特征.
- 使用描述性内容分析来提取数据.
主要成果:
- 在4次系统性审查中确定了15项异质研究,在范围审查中确定了49项研究.
- 在人口特征 (样本大小,病变类型),索引测试报告 (专业知识,图像质量) 和参考标准 (组织病理学使用) 中发现了显著的变化.
- 许多研究缺乏详细的报告,包括/排除标准和诊断专业知识.
结论:
- 远程皮肤镜研究的异质性需要标准化的报告,以实现可靠的系统审查和实际整合.
- 建议采用针对远程皮肤镜检查的诊断准确性研究报告标准 (STARD) 检查清单.
- 提出一项德尔菲研究,以达成关于定制的STARD指南的共识,以提高一致性和可比性.
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