级别确定性评级:值而不是上下文化类别 (级别指导 41)
Monica Hultcrantz1, Holger J Schünemann2, Reem A Mustafa3
1HTA Region Stockholm, Center for Health Economics, Informatics and Health Care Research, Stockholm Health Care Services, and Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden (M.H.).
格雷德工作组更新了关于证据确定性的定义. 他们将不再将值归类为上下文化,为用户简化确定性评级.
科学领域:
- 基于证据的医学是基于证据的医学.
- 临床实践指南 临床实践指南
背景情况:
- 在2017年,GRADE工作组定义了证据确定性.
- 这个定义有助于评级确定性和解释结果.
研究的目的:
- 为了解决在GRADE中将值归类为上下文化所造成的不一致性和混乱.
- 改进GRADE方法对评级证据的确定性进行细化.
主要方法:
- 格雷德工作组审查了其2017年关于证据确定性的定义.
- 该小组决定停止将值归类为"上下文化水平".
主要成果:
- 证据确定性的定义仍然是有价值的.
- 为了提高清晰度,将值归类为上下文化已被删除.
结论:
- 现在GRADE将直接引用所选择的值或范围来进行确定性评级.
- 这一变化旨在减少混,提高应用GRADE方法的一致性.
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