Holtmann I, Lühmann D, Raspe H
Institut für Sozialmedizin, Universitätsklinikum Lübeck.
Z Arztl Fortbild Qualitatssich. 2000 Aug;94(6):483-90.
To a growing extent evidence-based clinical practice guidelines are considered helpful in supporting high quality medical care. Our study assessed the methodological quality of 20 clinical practice guidelines on the management of osteoporosis. Results indicated that only 2 out of 20 guidelines were developed with sufficient methodological rigour to be called evidence-based--none of them from Germany. Comparative reports including quality assessments may not only be helpful for clinicians to choose an appropriate guideline for their daily practice but also to stimulate guideline developers to use more rigorous methodology.
越来越多的人认为循证临床实践指南有助于提供高质量的医疗服务。我们的研究评估了20份关于骨质疏松症管理的临床实践指南的方法学质量。结果表明，20份指南中只有2份在制定时具备足够严格的方法学，可称得上是循证指南——其中没有一份来自德国。包括质量评估在内的比较报告不仅有助于临床医生在日常实践中选择合适的指南，还能促使指南制定者采用更严谨的方法学。
