关于母胎护理的GRADE实践指南的特点和质量评估
Andelys De la Rosa1,2, Patxis Taveras3, Reveiz Ludovic4
1Facultad Ciencias de la Salud, Pontificia Universidad Católica Madre y Maestra, Santo Domingo, República Dominicana.
这项研究评估了母胎健康指导方针,发现临床适用性得分最高,但质量需要改善,以便在全球采用. 建议侧重于加强基于证据的指导方针的制定和在全球范围内实施.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健服务研究 医疗服务研究
- 基于证据的医学基于证据的医学.
背景情况:
- 临床实践指南 (CPG) 对母胎健康至关重要.
- 评估现有CPG的质量和适用性对于国际采用至关重要.
- 格雷德系统和AGREE-REX工具是评估CPG的关键.
研究的目的:
- 评估母胎健康CPG的质量和适用性.
- 确定在CPG开发和适应方面需要改进的领域.
- 根据临床适用性,价值,偏好和整体适用性来评估CPG.
主要方法:
- 系统搜索国际GRADE指导方针数据库 (BIGG) 的母胎护理CPG.
- 在三个领域使用AGREE-REX工具对72个选定的CPG进行评估.
- 描述性统计和基于机构和原产国领域的统计分析.
主要成果:
- 世界卫生组织是主要的发展中国家组织 (58.3%).
- 第1领域 (临床适用性) 获得了最高评分 (68.5%),其次是第2领域 (价值观和偏好) (60%).
- 根据正在发展的机构观察到所有领域的显著差异;领域1和3显示出基于原产国的重要性.
结论:
- 需要提高各种机构开发的母胎CPG的质量.
- 加强在开发,调整和实施CPG时使用证据至关重要.
- 国际合作对于改善全球孕产妇和胎儿保健标准至关重要.
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