日本临床实践指南的质量:使用AGREE II评分进行时间趋势分析
Yosuke Hatakeyama1, Kanako Seto1, Ryo Onishi1
1Department of Social Medicine, Toho University School of Medicine, 5-21-16, Omori-Nishi, Ota-ku, Tokyo, 143-8540, Japan.
概括
这项研究分析了日本临床实践指南 (CPG) 的项目级质量评分. 更新程序和监测标准等关键领域需要改进,以提高整体CPG质量.
科学领域:
- 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.
- 准则的制定和评估.
背景情况:
- 之前对临床实践指南 (CPG) 的质量评估主要集中在研究和评估指南评估 (AGREE) II工具的领域评分上.
- 目前的研究将重点转移到项目级的AGREE II分数,以确定时间趋势和CPG质量提升的具体领域.
研究的目的:
- 分析2011年至2022年日本CPG的项目级AGREE II评分.
- 随着时间的推移,识别CPG质量的趋势.
- 确定需要改进的AGREE II工具中的特定项目.
主要方法:
- 2011年至2022年期间使用AGREE II工具发布的604个日本CPG的评估.
- 三位独立评价员给每项项目1分 (强烈不同意) 到7分 (强烈同意).
- 斯皮尔曼的等级相关系数被用来分析项目得分的时间趋势.
主要成果:
- 2011年的平均项目得分为4.96.
- 没有一个单一项目同时显示出高分和改善趋势.
- 项目14 (更新程序) 和项目21 (监控/审计标准) 的得分很低,没有改善,项目14和项目21甚至呈现恶化趋势.
结论:
- 具体项目,即更新程序 (项目14) 和监测/审计标准 (项目21),代表了提高CPG质量的关键领域.
- 建议加强出版后的活动和推广最佳实践,以提高CPG的整体质量.
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