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评级指南:在决策中使用关于健康益处和危害的判断门 (评级指南42)
Wojtek Wiercioch1, Gian Paolo Morgano2, Thomas Piggott1
1Michael G. DeGroote Cochrane Canada & McMaster GRADE Centres, McMaster University, and Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada (W.W., T.P., R.N.).
本研究提供了关于在推评估,开发和评估 (GRADE) 系统中使用决策门 (DTs) 的指导. 它提供了对健康决策效应大小进行基准测试的方法,提高了证据到决策框架的透明度.
科学领域:
- 卫生技术评估 卫生技术评估
- 开发临床指南的指导方针.
- 基于证据的实践实践.
背景情况:
- 建议评估,发展和评价 (GRADE) 框架的分级有助于对干预效应作出判断.
- 使用决策值 (DTs) 的基准效应大小可以促进这些对健康结果的判断.
- 目前的GRADE使用需要明确的方法来评估健康影响的程度.
研究的目的:
- 提供关于使用决策值 (DTs) 来评估可望和不可望的健康影响的大小的GRADE指导.
- 开发标准化方法,将数据技术纳入证据到决策 (EtD) 框架.
- 提高卫生指南和卫生技术评估流程的透明度和一致性.
主要方法:
- 在GRADE项目组内进行反复讨论和改进,包括面对面和在线会议.
- 开发用于在证据到决策 (EtD) 框架中使用DTs的指导,以实践示例和随机方法研究为基础.
- 介绍了两种主要方法来确定特定结果的DTs:基于计算和直接调查决策者.
主要成果:
- 在GRADE证据到决策 (EtD) 框架中使用DTs的指导已经开发出来.
- 介绍了确定DTs的两种主要方法:一种是基于实证数据和实用值,另一种是使用决策者直接输入的方法.
- 这篇文章展示了如何将这些方法结合起来,以提高判断透明度.
结论:
- 确定和使用DT的拟议方法在GRADE证据到决策 (EtD) 框架中提供了透明度.
- 这些方法有助于对干预对健康结果的影响程度作出一致的判断.
- 该指南支持更强大和可重复的健康指南和健康技术评估.
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