准则适应及其框架的制定,评估和实施:对英语语言准则的超流行病学研究
Yuan Zhang1, Shu Wang2, Zhixuan Wen3
1Neonatal Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Journal of evaluation in clinical practice
|September 8, 2025
概括
准则的适应质量不足,在严格性和透明度方面存在差距. 需要一个统一的框架来改进适应的临床实践指南,特别是在资源有限的环境中.
科学领域:
- 临床实践指南 临床实践指南
- 卫生系统研究 卫生系统研究
- 基于证据的医学基于证据的医学.
背景情况:
- 准则的适应是根据当地的需求和资源限制量身定制现有的临床实践准则 (CPG).
- 关于适应CPG的开发,评估和实施的信息有限.
研究的目的:
- 评估适应CPG的方法质量,利用和实施.
- 将适应和逐步发展的框架与指导方针适应进行比较.
主要方法:
- 适应和原始CPG的超流行病学研究到2022年.
- 对适应CPG的特征,利用和实施进行分析.
- 适应步骤的质量评估和适应框架的比较.
主要成果:
- 包括30个适应的CPG和75个原始CPG;大多数来自发达国家.
- 使用ADAPTE和GRADE-ADOLOPMENT调整的CPG显示质量不足 (64.7%和78.6%的报告率).
- 在严谨性,简洁性,效率和透明度方面发现了关键差距;需要一个统一的框架.
结论:
- 目前适应的CPG存在方法上的缺陷,需要仔细评估.
- 适应方法的差距需要一个统一的框架.
- 需要对非英语指南进行进一步的研究,以确保其在全球范围内适用.
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