Kajita Etsuko
Department of Public Health and Home Care Nursing, Nagoya University School of Health Sciences, Japan.
Clin Calcium. 2005 Aug;15(8):1325-30.
The objectives of evidence-based assessment of the effectiveness of clinical practice guidelines are:first, to evaluate the validity, reproducibility, reliability, and applicability of the guidelines prepared;second, to evaluate whether the preventive measures against fractures and osteoporosis taken by the application of the guidelines have become evidence-based, and whether the contents and methods of guidance and education for public health nurses and nutritionists, who perform fracture-control activities, have been improved;and, lastly, to evaluate whether the frequency of fracture has been reduced by the use of the guidelines. Designs for the effectiveness assessment include the randomized controlled trial, non-randomized controlled trial, and before-after trial. It is important to establish the effectiveness of the guidelines by incorporating one of these designs in the preventive measures.
第一，评估所制定指南的有效性、可重复性、可靠性和适用性；第二，评估应用该指南所采取的预防骨折和骨质疏松症的措施是否基于证据，以及开展骨折防控活动的公共卫生护士和营养师的指导和教育内容及方法是否得到改进；最后，评估使用该指南是否降低了骨折发生率。有效性评估的设计包括随机对照试验、非随机对照试验和前后试验。通过将这些设计之一纳入预防措施中来确定指南的有效性很重要。
