关于调整临床实践指南的当前知识:一个范围审查
Simin Zhu1, Rui Wang2, Andrea J Darzi3,4
1School of Medicine, The Chinese University of Hong Kong-Shenzhen, Shenzhen, China.
这项研究审查了49种临床实践指南适应方法,发现了显著的差异. 需要标准化指导来优化适应过程的效率和质量.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床实践指南开发 临床实践指南开发
- 知识 翻译 翻译
背景情况:
- 适应临床实践指南 (CPG) 对于制定本地化建议至关重要.
- 现有的适应方法缺乏标准化,导致应用不清楚.
研究的目的:
- 系统地识别和分析CPG适应方法.
- 综合定义,理由,关键步骤和CPG适应的应用.
主要方法:
- 进行了全面的范围审查.
- 搜索包括MEDLINE,EMBASE,引用跟踪,手动搜索和专家建议.
- 数据分析涉及描述性和内容分析与Tableau可视化.
主要成果:
- 确定了49种适应方法和151种应用 (2000-2024年).
- 适应和逐步发展是最常见的方法.
- 关键的调整步骤,如"评判证据质量"是最不关注的;20%的应用程序修改了原始方法.
结论:
- 虽然CPG适应提供了效率,但仍然存在显著的差异.
- 显然需要全面的指导来规范和提高适应质量.
- 最近使用量的激增凸显了改进适应方法的重要性.
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