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考科蓝肌肉骨骼组向临床医生和消费者进行的知识传播。

Knowledge transfer to clinicians and consumers by the Cochrane Musculoskeletal Group.

作者信息

Santesso Nancy, Maxwell Lara, Tugwell Peter S, Wells George A, O'connor Annette M, Judd Maria, Buchbinder Rachelle

机构信息

Cochrane Musculoskeletal Group, Institute of Population Health, University of Ottawa, 1 Stewart Street, Ottawa, Ontario, Canada.

出版信息

J Rheumatol. 2006 Nov;33(11):2312-8.

Abstract

The Cochrane Musculoskeletal Group (CMSG) is one of 50 groups of the Cochrane Collaboration that prepares, maintains, and disseminates systematic reviews of treatments for musculoskeletal diseases. Once systematic reviews are completed, the next challenge is presenting the results in useful formats to be integrated into the healthcare decisions of clinicians and consumers. The CMSG recommends 3 methods to aid knowledge translation and exchange between clinicians and patients: produce clinical relevance tables, create graphical displays using face figures, and write consumer summaries and patient decision aids. Accordingly, CMSG has developed specific guidelines to help researchers and authors convert the pooled estimates of metaanalyses in the systematic reviews to user-friendly numbers. First, clinical relevance tables are developed that include absolute and relative benefits or harms and the numbers needed to treat. Next, the numbers from the clinical relevance tables are presented graphically using faces. The faces represent a group of 100 people and are shaded according to how many people out of 100 benefited or were harmed by the interventions. The user-friendly numbers are also included in short summaries and decision aids written for patients. The different levels of detail in the summaries and decision aids provide patients with tools to prepare them to discuss treatment options with their clinicians. Methods to improve the effects and usability of systematic reviews by providing results in more clinically relevant formats are essential. Both clinicians and consumers can use these products to use evidence-based information in individual and shared decision-making.

摘要

考科蓝肌肉骨骼组(CMSG)是考科蓝协作网50个小组之一,负责编写、维护和传播关于肌肉骨骼疾病治疗的系统评价。系统评价完成后,下一个挑战是以有用的形式呈现结果,以便纳入临床医生和消费者的医疗决策中。CMSG推荐了3种方法来促进临床医生与患者之间的知识转化和交流:编制临床相关性表格、使用面部图形创建图表展示以及撰写消费者摘要和患者决策辅助工具。因此,CMSG制定了具体指南,以帮助研究人员和作者将系统评价中荟萃分析的汇总估计值转化为用户友好的数字。首先,编制临床相关性表格,其中包括绝对和相对益处或危害以及治疗所需人数。接下来,利用面部图形以图表形式呈现临床相关性表格中的数字。这些面部代表一组100人,并根据干预措施使多少人受益或受到伤害进行着色。用户友好的数字也包含在为患者撰写的简短摘要和决策辅助工具中。摘要和决策辅助工具中不同程度的详细信息为患者提供了工具,帮助他们准备好与临床医生讨论治疗方案。通过以更具临床相关性的形式呈现结果来提高系统评价的效果和可用性的方法至关重要。临床医生和消费者都可以使用这些产品,在个人和共同决策中使用基于证据的信息。

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