分析俄罗斯生产的临床实践指南,使用RIGHT报告检查清单:2019年冠状病毒疾病直接口服抗凝剂的案例
Elena A Baybulatova1, Mikhail S Chenkurov1, Elina A Korovyakova1
1Рeoples' Friendship University of Russia Named After Patrice Lumumba (RUDN University), Moscow, Russia.
The International journal of risk & safety in medicine
|September 8, 2025
概括
RIGHT检查清单有效评估了俄罗斯临床实践指南,用于COVID-19治疗中的直接口服抗凝剂. 虽然基本信息得分很高,但资金和质量保证等领域需要改进,以获得更好的患者护理.
科学领域:
- 医学指南 评估 医学指南 评估
- 医疗保健服务研究 医疗服务研究
背景情况:
- 俄罗斯临床实践指南 (CPG) 要求在COVID-19治疗和预防中使用直接口服抗凝剂 (DOAC) 进行质量评估.
- 评估CPG对于确保基于证据的患者护理和合理的药物使用至关重要.
研究的目的:
- 通过使用RIGHT检查表和AGREE II仪器,比较俄罗斯DOAC CPG的质量评估结果.
- 确定俄罗斯CPG的RIGHT检查清单的适用性和实用性.
主要方法:
- 评估了6本俄罗斯关于COVID-19的DOACs的CPG,发表于2020年至2023年.
- 在质量评估中使用了RIGHT检查清单和AGREE II工具.
- 对两种工具的评估结果进行了比较分析.
主要成果:
- 所有六个CPG在"基本信息" (56.2%-70.8%) 和"背景" (48.4%-74.0%) 部分都获得了很高的分数.
- 在RIGHT部分观察到的最低分数是:"审查和质量保证" (0% - 4.2%) 和"资金和利益声明管理" (14.6% - 19.8%).
结论:
- RIGHT检查清单适用于评估俄罗斯CPG,并且对此非常有用.
- RIGHT 工具提高了质量评估的深度和广度,识别了特定的问题领域.
- 为了最佳的患者护理和DOAC利用,需要进一步改进俄罗斯的CPG及其实施.
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