系统审查作者在使用GRADE方法时所面临的经验和挑战:一项定性研究
Adriana Andrić1, Tina Poklepović Peričić2, Ružica Tokalić3
1TRIBE PhD Program, University of Split School of Medicine, Split, Croatia.
Journal of clinical epidemiology
|June 22, 2025
概括
系统审查的作者发现推,评估,开发和评估 (GRADE) 的评级方法有价值,但复杂. 改善培训和指导对于更广泛地采用这种证据分级工具至关重要.
科学领域:
- 基于证据的医学是基于证据的医学.
- 系统审查是系统的审查.
- 健康研究方法的方法论.
背景情况:
- 建议,评估,开发和评估 (GRADE) 的评级方法被广泛用于评估系统审查中的证据质量.
- 了解作者经验和实施障碍对于优化其使用至关重要.
研究的目的:
- 收集系统审查作者关于他们对GRADE方法的经验的反.
- 确定阻碍GRADE有效实施的挑战和障碍.
主要方法:
- 一项定性研究,采用经验丰富的系统审查主要调查人员的半结构面试.
- 参与者还填写了一个结构化问卷,以了解他们对GRADE和系统审查的经验.
主要成果:
- 十一位专家提供了见解,赞赏GRADE的结构,但注意到复杂性和被认为的主观性.
- 主要障碍包括特定GRADE领域的困难 (不准确性,间接性),培训不足,时间/财务限制以及动机问题.
- 作者强调需要加强培训,明确指导方针和期刊支持,以便更广泛地采用GRADE.
结论:
- 提高培训,开发更实用的工具,平衡标准化与灵活性是提高GRADE实用性的关键.
- 解决已识别的障碍对于促进在系统审查中更广泛,更有效地使用GRADE方法至关重要.
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