分类/诊断标准和指南制定中的正式共识方法。
Methods of formal consensus in classification/diagnostic criteria and guideline development.
机构信息
Department of Medicine, Washington Hospital Center, Washington, DC, USA.
出版信息
Semin Arthritis Rheum. 2011 Oct;41(2):95-105. doi: 10.1016/j.semarthrit.2010.12.001. Epub 2011 Mar 21.
Abstract
Guidelines or diagnostic criteria in clinical practice assist physicians in their clinical decision-making and improve health outcomes for patients. Diagnostic and classification criteria should be based on evidence from rigorously conducted controlled studies. Formal group consensus methods have been developed to organize subjective judgments and to synthesize them with the available evidence. This review discusses 4 types of formal consensus methods used in the health field and their applications in rheumatology: the Delphi method, Nominal Group Technique, RAND/UCLA Appropriateness Method, and National Institutes of Health consensus development conference.
摘要
临床实践中的指南或诊断标准有助于医生做出临床决策，并改善患者的健康结局。诊断和分类标准应基于严格进行的对照研究的证据。已经开发出正式的小组共识方法来组织主观判断，并将其与现有证据相结合。这篇综述讨论了在健康领域中使用的 4 种正式共识方法及其在风湿病学中的应用：德尔菲法、名义小组技术、RAND/UCLA 适宜性方法和美国国立卫生研究院共识发展会议。
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