Cook Chad, Brismée Jean-Michel, Pietrobon Ricardo, Sizer Philip, Hegedus Eric, Riddle Daniel L
Department of Community and Family Medicine, Duke University Health System, Durham, NC 27708, USA.
J Manipulative Physiol Ther. 2010 Jan;33(1):29-41. doi: 10.1016/j.jmpt.2009.11.010.
Clinical prediction rules (CPRs) are clinician decision-making aids designed to improve the accuracy of a variety of decisions made during patient care. To our knowledge, there are no formally developed consensus-based guidelines designed to provide standards for the creation of CPRs.
The study used a 3-round Delphi method for consensus of a quality checklist initially developed based on recommendations derived from the literature. The 9 Delphi participants were randomly selected from the authors of peer-reviewed publications of prescriptive CPRs.
During the 3 rounds, the Delphi participants modified the originally derived checklist and, based on a consensus standard, agreed upon a final 23-item checklist, which involved 4 constructs: (1) sample and participants, (2) outcome measures, (3) quality of tests and measures, and (4) statistical assumptions.
Use of the checklist has potential for improving the design and reporting of future prescriptive CPRs.
临床预测规则（CPRs）是临床医生的决策辅助工具，旨在提高患者护理过程中各种决策的准确性。据我们所知，目前尚无正式制定的基于共识的指南来为CPRs的创建提供标准。
本研究采用三轮德尔菲法，就最初基于文献建议制定的质量检查表达成共识。9名德尔菲参与者是从规定性CPRs的同行评审出版物的作者中随机挑选出来的。
在三轮过程中，德尔菲参与者对最初得出的检查表进行了修改，并根据共识标准，商定了最终的23项检查表，其中涉及4个结构：（1）样本和参与者，（2）结果测量，（3）测试和测量的质量，以及（4）统计假设。
使用该检查表有可能改善未来规定性CPRs的设计和报告。
