[半自动化方法与传统搜索方法之间的比较,用于识别研究,以告知GES临床实践指南建议:一项超流行病学研究]
Viviana Araya1, Camila Ávila2, Francisca Verdugo-Paiva2
1Facultad de Medicina y Ciencias de la Salud, Universidad Central de Chile, Chile.
一个新的半自动化工具使用现有的系统审查有效地识别临床实践指南的研究. 这种方法比传统搜索提供了更高的精度,支持基于证据的决策.
科学领域:
- 健康科学 卫生科学 卫生科学
- 临床实践指南 临床实践指南
- 证据综合 证据综合
背景情况:
- 技术工具正在越来越多地自动化健康科学任务,包括为临床实践准则 (CPG) 确定证据.
- 系统性审查的激增意味着许多相关的证据已经被策划好了.
研究的目的:
- 为了比较半自动化Epistemonikos证据矩阵工具与传统手动文献搜索的有效性,以识别用于CPG开发的研究.
主要方法:
- 三种CPG (艾滋病毒/艾滋病,儿科喘,中风) 用作比较.
- 使用关键字和RCT过器的传统搜索策略 (MEDLINE,Embase,Cochrane图书馆).
- 基于Epistemonikos的策略使用了证据矩阵工具,识别了多次系统审查中常见的研究.
主要成果:
- 传统的搜索发现了8,466篇文章;Epistemonikos发现了6,771.
- 相关研究:155个 (1.8%) 来自传统搜索,而103个 (1.5%) 来自Epistemonikos (p=0.14).
- 脑膜学显示出更高的精度 (94%与78%,p<0.01),但较低的灵敏度 (58%与88%,p<0.01).
结论:
- 利用现有系统审查的证据搜索策略是一个高效可靠的替代方案.
- 这种方法有助于识别相关研究,以基于证据的决策.
- 半自动化的Epistemonikos证据矩阵工具在CPG开发中发挥了宝贵的作用.
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