在基于证据的指导方针开发中,三种策略用于确定临床重要值的结果
Xiaomei Yao1, Jun Xia2, Marisa Deodat3
1Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada; Department of Oncology, McMaster University, Hamilton, Ontario, Canada.
Journal of clinical epidemiology
|September 16, 2025
概括
本研究概述了确定临床重要值的三种方法. 这些门对于评估证据确定性和确定临床实践指南中的建议强度至关重要.
科学领域:
- 临床流行病学临床流行病学
- 基于证据的医学基于证据的医学.
- 健康科学 卫生科学 卫生科学
背景情况:
- 建议分级,评估,开发和评估 (GRADE) 方法是制定临床实践指南 (CPG) 的标准.
- 最近的GRADE指南强调使用置信区间和临床重要值来评估证据的不准确性和不一致性.
- 对于CPG开发者来说,设定这些门是个挑战.
研究的目的:
- 概述三种实用方法,用于确定CPG开发中临床重要值的结果.
- 帮助CPG开发人员设定评估证据确定性和建议强度的门.
主要方法:
- 使用与糖尿病相关的CPG开发过程来确定实际策略.
- 确定和描述了三种不同的值确定方法.
主要成果:
- 方法1:使用现有文献中的最小重要差异 (MID) 或最小临床重要差异 (MCID) 作为小值.
- 方法2:使用随机对照试验 (RCT) 中样本大小计算的效果大小作为一个小,有时是中等或大的值.
- 方法3:在政府药物批准试验中,利用不同组之间的杆效应大小差异来指导确定小,中等和大值,特别是安全结果.
结论:
- 提出了三个可行的方法来指导临床重要值的建立.
- 这些门对于评估GRADE框架内的证据不准确性和不一致性至关重要.
- 这些方法支持对CPG建议的强度进行知情判断.
相关概念视频
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
407
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
407
Guidelines for Writing Outcome
3.7K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
3.7K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.1K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.1K
Strategies for Assessing and Addressing Confounding
364
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
364
Clinical Trials
10.2K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
10.2K
Clinical Trials: Overview
4.6K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
4.6K


