Grimshaw G M, Khunti K, Baker R
Centre for Health Services Studies, University of Warwick, Coventry CV4 7AL.
Br J Gen Pract. 2001 May;51(466):384-6.
An appraisal of published, peer-reviewed guidelines, in terms of their development methodologies and clinical effectiveness, was undertaken using a published and validated appraisal tool. Electronic databases revealed 13 guidelines on heart failure but only seven of these referred to diagnosis. The quality of the published guidelines was variable but there was consensus over the main symptoms and diagnostic tests, although only two symptoms were mentioned in all guidelines. Only two guidelines scored greater than 50% for rigour of development.
使用一种已发表并经验证的评估工具，对已发表的、经过同行评审的指南在其制定方法和临床有效性方面进行了评估。电子数据库显示有13项关于心力衰竭的指南，但其中只有7项涉及诊断。已发表指南的质量参差不齐，但对于主要症状和诊断测试存在共识，不过所有指南中仅提及了两种症状。只有两项指南在制定严谨性方面得分超过50%。
