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在循证医学领域制定实践指南。

Crafting practice guidelines in the world of evidence-based medicine.

作者信息

Chung Kevin C, Shauver Melissa J

机构信息

Ann Arbor, Mich. From the Section of Plastic Surgery, Department of Surgery, The University of Michigan Health System.

出版信息

Plast Reconstr Surg. 2009 Oct;124(4):1349-1354. doi: 10.1097/PRS.0b013e3181b5a3db.

Abstract

BACKGROUND

In the era of exponential increase in the medical literature, physicians and health policy-makers are relying on well-constructed, evidence-based practice guidelines to help ensure that the care given to patients is based on valid, scientific data. The construction of practice guidelines, however, may not always adhere to accepted research protocol.

METHODS

In this article, the authors detail the steps required to produce effective, evidence-based practice guidelines.

RESULTS

The seven essential steps in crafting a practice guideline are presented: (1) defining a topic, (2) selecting a work group, (3) performing a literature review, (4) writing the guideline, (5) peer review, (6) making plans for review and revision, and (7) dissemination.

CONCLUSION

Given the importance of practice guidelines in supporting everyday practice, this article strives to provide a practical guide in the development of this key component of evidence-based medicine.

摘要

背景

在医学文献呈指数级增长的时代,医生和卫生政策制定者依靠精心构建的、基于证据的实践指南,以确保为患者提供的护理基于有效的科学数据。然而,实践指南的制定可能并不总是遵循公认的研究方案。

方法

在本文中,作者详细阐述了制定有效、基于证据的实践指南所需的步骤。

结果

介绍了制定实践指南的七个基本步骤:(1)确定主题,(2)选择工作小组,(3)进行文献综述,(4)撰写指南,(5)同行评审,(6)制定审查和修订计划,以及(7)传播。

结论

鉴于实践指南在支持日常实践中的重要性,本文力求为循证医学这一关键组成部分的制定提供实用指南。

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本文引用的文献

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Where do we find the best evidence?我们在哪里能找到最佳证据?
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Systematic reviews: a primer for plastic surgery research.系统评价:整形外科学研究入门
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The modern way of developing clinical guidelines.制定临床指南的现代方法。
Thorax. 2007 Dec;62(12):1022-4. doi: 10.1136/thx.2007.090944.
9
Is an evidence-based approach to creating guidelines always the right one?
Nat Clin Pract Gastroenterol Hepatol. 2008 Feb;5(2):60-1. doi: 10.1038/ncpgasthep0997. Epub 2007 Nov 13.

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