流行病期间发表的早期与晚期病例系列的方法质量:一项超流行病学研究
Yahya Alsawaf1,2, Mohammed Firwana1,2, Tarek Nayfeh1,2
1Evidence-based Practice Center, Kern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, Minnesota, United States.
Avicenna journal of medicine
|May 21, 2025
概括
2019年新冠肺炎疾病 (COVID-19) 的病例系列显示出高方法质量. 在案例选择和排除未来流行病研究的替代原因方面需要改进.
科学领域:
- 流行病学 流行病学
- 医学研究方法学 医学研究方法学
背景情况:
- 病例报告和系列对于最初的流行病决策至关重要,但由于快速发布,可能缺乏严格性.
- 冠状病毒疾病2019 (COVID-19) 流行突出了对及时但在方法上健全研究的需求.
研究的目的:
- 为了比较描述2020年COVID-19急性阶段的病例系列的方法质量与描述长途COVID病例的病例系列.
- 确定需要改善案例系列方法论质量的具体领域.
主要方法:
- 进行了系统审查,以确定长途COVID的病例系列.
- 发表的系统审查被用来识别早期急性COVID-19病例系列.
- 方法质量由独立审查员使用专门的评估工具进行评估.
主要成果:
- 包括239个病例系列 (81个急性COVID-19,158个长途COVID).
- 两组都表现出非常好的方法质量 (80-100%的满意度),除了案例选择和排除其他原因之外.
- 评估工具显示了高的审查员之间的协议和可靠性.
结论:
- 现代案例系列表现出高的方法质量.
- 需要改进的领域包括对病例的选择方法和严格排除发现的替代解释.
- 这些见解可以指导作者在未来的流行病期间制作更高质量的病例系列.
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