Ziegler S, Lühmann D, Raspe H, Windeler J
Medizinischer Dienst der Spitzenverbände der Krankenkassen e.V. (MDS), Essen.
Z Arztl Fortbild Qualitatssich. 2001 Feb;95(2):105-11.
Since evidence-based decision making is increasingly gaining acceptance among German health care authorities the need for evidence-based support for time-critical decisions becomes obvious. The best method to identify and summarize the available evidence is the conduct of systematic reviews of the literature. However, generally systematic reviews are not applicable in matters of urgency, because of their time consuming preparation. Concepts for "rapid reviews" are urgently required which ensure that these reviews still produce reliable results. The article proposes strategies to accelerate the preparation of a systematic review and discusses their possible influences on the conclusions of the review. Research efforts are needed to clarify which of the accelerations actually yield valid results.
由于循证决策在德国医疗保健当局中越来越被接受,因此对时间紧迫的决策提供循证支持的需求变得显而易见。识别和总结现有证据的最佳方法是进行文献系统综述。然而,由于系统综述的准备工作耗时,通常在紧急情况下并不适用。迫切需要“快速综述”的概念,以确保这些综述仍能产生可靠的结果。本文提出了加速系统综述准备工作的策略,并讨论了它们对综述结论可能产生的影响。需要开展研究工作,以明确哪些加速措施实际上能产生有效的结果。