编者的选择 - 系统性审查的报告和方法质量 支血管外科手术临床实践指南:系统性审查
Alex Murigu1, Kitty H F Wong2, Ross T Mercer3
1Bristol Medical School, University of Bristol, Bristol, UK.
概括
对血管外科手术指南的系统审查显示质量中等. 资金和最近的出版物改善了报告和方法,表明需要投资来加强临床建议.
科学领域:
- 血管外科 血管外科
- 基于证据的医学基于证据的医学.
- 系统审查是系统的审查.
背景情况:
- 临床实践指导方针依赖于对建议的系统审查.
- 这些审查的质量会影响指南的可靠性.
- 血管外科手术指南需要高质量的证据.
研究的目的:
- 评估血管外科手术指南中使用的系统审查报告和方法质量.
- 确定影响这些系统审查质量的因素.
主要方法:
- 搜索了MEDLINE和Embase的系统审查,以告知血管外科指南 (2021-2023).
- 使用系统审查和元分析 (PRISMA) 2020年首选报告项目评估报告质量.
- 通过2017年"多重系统审查评估2 (AMSTAR 2) "工具评估方法质量.
- 使用相关性和回归分析了质量得分和研究特征之间的关联.
主要成果:
- 包括来自11个临床实践指南的215个系统审查.
- 普利斯玛的平均完成率为63%,AMSTAR 2的平均完成率为50%.
- 较高的质量分数与显著相关 (r=0.85).
- 最近的出版日期和资金的存在与质量得分的提高有关.
结论:
- 针对血管外科手术指南的系统审查质量中等.
- 资助系统审查可以提高其质量和临床建议的可靠性.
- 对于血管外科手术,需要进一步改进系统审查方法和报告.
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