支持胃肠病学建议的证据水平
Miyabi Saito1,2, Amy Yu3, Nneka N Ufere2,4
1Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
胃肠病学指南越来越缺乏强有力的证据. 一项审查发现,只有13%的陈述得到了高级别的支持,这表明需要更好的研究来改进临床实践指南.
科学领域:
- 胃肠病学 胃肠病学
- 临床实践指南 临床实践指南
- 基于证据的医学基于证据的医学.
背景情况:
- 对胃肠道指导方针的分析,以评估证据质量和建议强度.
- 评估美国主要胃肠病学协会的临床实践指南和指导声明.
研究的目的:
- 评估胃肠病学指南中证据的质量和建议的强度.
- 通过时间来识别支持指南陈述的证据水平的趋势.
主要方法:
- 临床实践指南和指导声明的系统抽象.
- 分析了来自美国主要胃肠病学专业协会的3,609份陈述.
主要成果:
- 只有13%的分析陈述得到了高水平的证据支持.
- 每年出版的声明数量越来越多.
- 支持推的证据水平随着时间的推移而下降.
结论:
- 强调需要在胃肠病学中进行高质量的研究.
- 强调需要更强有力的基于证据的指导性陈述.
- 呼吁改进研究,以加强临床实践指南的基础.
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