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当需要决策时:利用证据目录报告聚焦卫生技术评估。

When the decision is what to decide: using evidence inventory reports to focus health technology assessments.

机构信息

Center for Evidence-based Practice, University of Pennsylvania Health System, 3535 Market Street, Suite 50, Philadelphia, Pennsylvania 19104, USA.

出版信息

Int J Technol Assess Health Care. 2011 Apr;27(2):127-32. doi: 10.1017/S0266462311000031. Epub 2011 Mar 30.

DOI:10.1017/S0266462311000031
PMID:21450127
Abstract

OBJECTIVES

Health systems frequently make decisions regarding acquisition and use of new technologies. It is desirable to base these decisions on clinical evidence, but often these technologies are used for multiple indications and evidence of effectiveness for one indication does not prove effectiveness for all. Here, we describe two examples of evidence inventory reports that were performed for the purposes of identifying how much and what type of published clinical evidence was available for a given technology, and the contexts in which those technologies were studied.

METHODS

The evidence inventory reports included literature searches for systematic reviews and health technology assessment (HTA) reports, and systematic searches of the primary literature intended to count and categorize published clinical studies. The reports did not include analysis of the primary literature.

RESULTS

The inventory reports were completed in 3 to 4 days each and were approximately ten pages in length, including references. Reports included tables listing the number of reported studies by specific indication for use, and whether or not there were randomized trials. Reports also summarized findings of existing systematic reviews and HTA reports, when available. Committees used the inventory reports to decide for which indications they wanted a full HTA report.

CONCLUSIONS

Evidence inventory reports are a form of rapid HTA that can give decision makers a timely understanding of the available evidence upon which they can base a decision. They can help HTA providers focus subsequent reports on topics that will have the most influence on healthcare decision making.

摘要

目的

卫生系统经常需要就新技术的采购和使用做出决策。这些决策最好基于临床证据,但这些技术通常用于多种适应症,并且一种适应症的有效性证据并不能证明其对所有适应症都有效。在这里,我们描述了两个证据清单报告的示例,这些报告旨在确定给定技术有多少和何种类型的已发表临床证据可用,以及这些技术的研究背景。

方法

证据清单报告包括对系统评价和卫生技术评估 (HTA) 报告的文献检索,以及对旨在计算和分类已发表临床研究的主要文献的系统检索。报告不包括对主要文献的分析。

结果

每份清单报告的完成时间为 3 到 4 天,长度约为 10 页,包括参考文献。报告包括按具体适应症列出报告研究数量的表格,以及是否有随机试验。报告还总结了现有系统评价和 HTA 报告的发现,如适用。委员会使用清单报告来决定他们希望对哪些适应症进行全面 HTA 报告。

结论

证据清单报告是一种快速 HTA 形式,可以使决策者及时了解他们可以据此做出决策的现有证据。它们可以帮助 HTA 提供者将后续报告重点放在对医疗保健决策最有影响的主题上。

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