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[荟萃分析与循证医学]

[Meta-analysis and evidence based medicine].

作者信息

Hinotsu Shiro, Akaza Hideyuki

机构信息

Dept. of Urology, Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8575, Japan.

出版信息

Gan To Kagaku Ryoho. 2002 Oct;29(10):1705-10.

Abstract

Meta-analysis is a statistical method for combining the results of available research studies to increase statistical power. The steps of meta-analysis are identification of question, search and selection of trials and analysis. Evidence based medicine (EBM) is integrating individual clinical expertise with the best available external clinical evidence from systematic research. The practice of EBM consists of formulated clinical question, systematic review, critical appraisal, application for patients and performance review. We must notice the results of meta-analysis and evidence are keeping up to date. We should use them with critical appraisal skill and should not criticize without good understanding.

摘要

荟萃分析是一种统计方法,用于合并现有研究的结果以提高统计效能。荟萃分析的步骤包括问题识别、试验检索与选择以及分析。循证医学(EBM)是将个体临床专业知识与系统研究中可得的最佳外部临床证据相结合。循证医学的实践包括提出临床问题、系统评价、严格评价、应用于患者以及效果评估。我们必须注意荟萃分析的结果和证据要与时俱进。我们应以批判性评价技能来使用它们,而不应在未充分理解的情况下进行批评。

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