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[Cochrane系统评价在肾脏病学中的实用性]

[The usefulness of Cochrane systematic reviews in nephrology].

作者信息

Di Micco L, Manno C, Cianciaruso B, Strippoli Gfm

机构信息

Cattedra di Nefrologia, Facolta' di Medicina e Chirurgia, Universita' Federico II, Napoli, Italy.

出版信息

G Ital Nefrol. 2009 Jan-Feb;26(1):38-54.

Abstract

Systematic reviews (SRs) of the literature are clinical research studies carried out according to rigorous methodological criteria. They are aimed at searching, critically appraising and summarizing all studies with similar characteristics that address the same research question. The Cochrane Collaboration is the main institution that coordinates the production of SRs. The Cochrane Renal Group is one of the 50 research groups of the Cochrane Collaboration and is in charge of SRs in nephrology. This group compiled the Renal Health Library, an annually updated collection of SRs (Cochrane and not) and randomized controlled trials in nephrology, dialysis and renal transplantation. We searched the Renal Health Library to identify SRs useful to answer clinical questions in patients with renal disease and/or following kidney transplant. The SRs identified were summarized and the results were expressed as relative risk, weighted mean difference, standardized mean difference, and 95% confidence intervals. Since the number of randomized controlled trials is quite large and SRs are a reliable summary of the scientific evidence, their distribution is of paramount importance. Here we show several clinical cases where related SRs in the Renal Health Library provide useful guidance for treatment.

摘要

文献系统评价(SRs)是根据严格的方法学标准开展的临床研究。其目的是检索、批判性评价和总结所有针对同一研究问题且具有相似特征的研究。Cochrane协作网是协调SRs制作的主要机构。Cochrane肾脏组是Cochrane协作网的50个研究组之一,负责肾脏领域的SRs。该组编纂了肾脏健康图书馆,这是一个每年更新的关于肾脏疾病、透析和肾移植方面的SRs(包括Cochrane及非Cochrane的)和随机对照试验的合集。我们检索了肾脏健康图书馆,以确定对回答肾病患者和/或肾移植后患者的临床问题有用的SRs。对所确定的SRs进行了总结,并将结果表示为相对危险度、加权平均差、标准化平均差和95%置信区间。由于随机对照试验数量众多,且SRs是科学证据的可靠总结,其分布至关重要。在此,我们展示几个临床病例,其中肾脏健康图书馆中的相关SRs为治疗提供了有用的指导。

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