在临床指南中定义专家意见:来自98个科学协会的见解 - 一项方法论研究
Blin Nagavci1, Zsófia Gáspár2,3, Botond Lakatos2,3,4
1Doctoral School of Clinical Medicine, Semmelweis University, Budapest, H-1097, Hungary. dr.bnagavci@gmail.com.
专家意见 (EO) 在临床指南中被广泛使用,但缺乏标准化. 这项研究综合了EO的全面定义,以提高医疗保健决策的一致性和透明度.
科学领域:
- 临床流行病学临床流行病学
- 医疗保健服务研究 医疗服务研究
- 准则开发方法的指导方针.
背景情况:
- 在临床指南中使用专家意见 (EO) 是不一致的,缺乏通用定义.
- 制定指导方针的社会对EO的概念化和应用尚未得到系统的评估.
- 这项研究解决了EO在临床指南中的变异性和缺乏标准化的问题.
研究的目的:
- 绘制指导方针开发社会的方法手册.
- 评估专家意见 (EO) 的理由,基础和应用.
- 综合对专家意见 (EO) 的全面定义.
主要方法:
- 在PubMed系统地搜索临床指南和社会手册.
- 由两个审查员进行独立选和数据提取.
- 叙述证据综合和描述性统计.
主要成果:
- 分析了来自98个学会的方法手册;66%的人提到了专家意见 (EO).
- EO主要用于填补证据空白 (72%) 和解释证据 (8%).
- 确定了EO的五个基础,导致了综合的全面定义.
结论:
- 在制定指南时,专家意见 (EO) 对于解决证据缺口和解释模两可的数据至关重要.
- 在EO应用和概念化中的显著变化需要标准化.
- 拟议的全面EO定义旨在提高一致性,透明度和临床决策.
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