用AGREE II工具对巴雷特食道的临床实践指南进行系统的批判性评估
Denisse C Dayto1, Andrew Sephien2, Tea Reljic3
1Division of Liver Disease and Transplant Hepatology, Department of Medicine, Rutgers Health New Jersey Medical School-University Hospital, Newark, NJ.
Journal of clinical gastroenterology
|January 6, 2025
概括
这项研究批判性地评估了巴雷特食道 (BE) 管理的临床实践指南 (CPG). 方法质量有所不同,突出需要在未来的BE CPG中提高严格性和适用性.
科学领域:
- 胃肠病学 胃肠病学
- 临床实践指南 临床实践指南
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于管理巴雷特食道 (BE) 存在多个临床实践指南 (CPG).
- 这些现有的CPG的方法质量尚未先前评估.
- 这项研究批判性地评估了BE CPGs的质量.
研究的目的:
- 批判性地评估巴雷特食道 (BE) 管理的临床实践指南 (CPG) 的方法质量.
- 确定现有的BE CPG的优势和弱点.
- 为了在未来的BE CPGs的开发中进行改进.
主要方法:
- 在EMBASE和PubMed进行了系统的文献搜索,寻找在2018年1月至2023年2月期间发表的BE CPG.
- 确定了五个符合条件的CPG,并由两名审查员独立评估.
- 研究与评价指南评估II (AGREE II) 工具被用于评估方法质量.
主要成果:
- 在"范围和目的" (100%),"利益相关者参与" (93%),"发展的严格性" (93%) 和"陈述的清晰度" (93%) 中,AGREE II的中位数表示质量很高.
- "适用性" (75%) 和"编辑独立性" (75%) 的中位数较低.
- 在评估的CPG的不同领域中,在方法质量方面发现了显著的变化.
结论:
- 对巴雷特食道管理的临床实践指南的方法质量存在相当大的差异.
- AGREE II 工具是评估 CPG 质量的宝贵工具.
- 调查结果表明,在开发未来的BE CPG时,需要加强方法论的严谨性和适用性.
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