Schädel-Höpfner M, Diener M K, Eisenschenk A, Lögters T, Windolf J
Universitätsklinikum Düsseldorf, Klinik für Unfall- und Handchirurgie, Moorenstrasse 5, Düsseldorf.
Handchir Mikrochir Plast Chir. 2011 Feb;43(1):15-9. doi: 10.1055/s-0030-1267935. Epub 2010 Dec 15.
Systematic reviews are fundamental decision-making tools for the assessment of the effectiveness of healthcare interventions and for determining future research fields. In the field of hand surgery, so far, there exists only a limited number of systematic reviews. According to the diversity and multitude of hand surgical topics, relevant fields for systematic reviews were identified by means of an expert ranking.
A catalogue of 24 topics was extracted from publications of representative hand surgical journals. These topics were categorized and integrated into a questionnaire which was presented to 30 experts in the field of hand surgery. Every single topic had to be rated by marks from 1 (very relevant) to 5 (not relevant). Further topics could have been indicated. Averaging of the marks allowed to define a ranking and a prioritisation of the topics.
29 of 30 questionnaires were returned. The ranking showed scapholunate ligament injury, Kienboeck's disease and scaphoid nonunion to have the highest relevance, followed by 5 other topics dealing with wrist problems. The lowest relevance was attributed to neck fractures of the fifth metacarpal, ulnar collateral ligament injury of the thumb metacarpophalangeal joint and postoperative management following replantation.
The results of the presented survey allow for a prioritisation of topics for systematic reviews in hand surgery. The ranking of the topics emphasises the particular relevance of injuries and diseases of the wrist.
系统评价是评估医疗保健干预措施有效性和确定未来研究领域的基本决策工具。在手部外科领域，到目前为止，仅存在数量有限的系统评价。根据手部外科主题的多样性和众多性，通过专家排名确定了系统评价的相关领域。
从代表性手部外科期刊的出版物中提取了24个主题的目录。这些主题被分类并整合到一份问卷中，该问卷被提交给30位手部外科领域的专家。每个主题都必须用1（非常相关）到5（不相关）的分数进行评分。也可以指出其他主题。对分数进行平均可以确定主题的排名和优先级。
30份问卷中有29份被返回。排名显示舟月韧带损伤、月骨无菌性坏死和舟骨不愈合的相关性最高，其次是其他5个涉及腕部问题的主题。相关性最低的是第五掌骨颈部骨折、拇指掌指关节尺侧副韧带损伤和再植术后的管理。
本次调查结果有助于确定手部外科系统评价主题的优先级。主题排名强调了腕部损伤和疾病的特殊相关性。
