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冷肩的临床实践指南的质量:系统审查
Paul Salamh1, Merissa Ross2, Matthew Cornett2
1Krannert School of Physical Therapy, University of Indianapolis, Indianapolis, IN.
Physiotherapy theory and practice
|November 5, 2024
概括
这项研究批判性地评估了冷肩的临床实践指南,发现需要更新的,高质量的基于证据的指导. 当前的指导方针显示出质量的变化,特别是适用性和编辑独立性.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 基于证据的医学基于证据的医学.
背景情况:
- 冷肩 (粘性囊炎) 的管理依赖于临床实践指南 (CPG).
- 现有的冷肩的CPG的质量和适用性需要进行系统的评估.
- 最近的研究进展需要对当前的指南进行评估.
研究的目的:
- 批判性地评估现有的临床实践指南,冷肩.
- 确定目前用于冷肩部评估和治疗的CPG的质量和局限性.
- 突出需要更新,基于证据的指导方针.
主要方法:
- 对冷肩的临床实践指南 (CPG) 的系统审查.
- 在PubMed,EMBASE,Scopus和CINAHL数据库中进行了搜索.
- 使用研究和评估指南评估 (AGREE) II工具评估指南质量.
主要成果:
- 从38,428项初步研究中评估了两个CPG.
- AGREE II的平均整体得分为75%,在适用性 (27%) 和编辑独立性 (48%) 中得分最低.
- 建议使用一种更高质量的CPG,但仍然需要更新指南.
结论:
- 目前对冷肩的临床实践指南显示质量存在显著的变化.
- 适用性和编辑独立性的差距需要在未来的指南开发中加以关注.
- 更新,高质量,基于证据的CPG对于推进冷肩部护理至关重要.
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