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临床医师掌握循证医学文献评价技能指导手册:研究的基本原理

A practitioner's guide to developing critical appraisal skills: the fundamentals of research.

机构信息

Department of Dentistry, Advocate Illinois Masonic Medical Center, Chicago 60657, USA.

出版信息

J Am Dent Assoc. 2012 Jan;143(1):54-6. doi: 10.14219/jada.archive.2012.0019.

Abstract

BACKGROUND AND OVERVIEW

This is the first of a series of articles summarizing the basic principles and methods of research with an emphasis on clinical investigation. In today's environment of evidence-based practice, the prevention of, diagnosis of, prognosis for and treatment of oral diseases must be based on a critical evaluation of available research. The purpose of this series is to help practitioners understand research and develop skills in interpreting research published in the medical and dental literature.

CONCLUSIONS AND PRACTICE IMPLICATIONS

Research involves systematic investigation and can be categorized in different ways. Primary research may take several forms and includes basic and applied research. Basic research seeks fundamental knowledge without having a specific application; applied research is conducted for the purpose of a specific application and often is predicated on basic research findings. Applied research may take several forms and includes clinical research, which seeks to inform patients, clinicians, public health workers and policymakers about methods of preventing and treating diseases. Secondary research involves the use of existing data and results of published scientific studies. Systematic literature reviews are a form of secondary research that attempt to remove bias often associated with narrative reviews.

摘要

背景与概述

这是一系列文章中的第一篇,主要总结临床研究的基本原则和方法。在当前循证实践的环境下,口腔疾病的预防、诊断、预后和治疗必须基于对现有研究的批判性评估。本系列的目的是帮助从业者理解研究,并培养解读医学和牙科文献中发表的研究的技能。

结论和实践意义

研究涉及系统调查,可以用不同的方式进行分类。原始研究可以采用多种形式,包括基础研究和应用研究。基础研究旨在寻求基本的知识,而不具有特定的应用;应用研究是为了特定的应用目的而进行的,通常基于基础研究的发现。应用研究可以采用多种形式,包括临床研究,旨在为患者、临床医生、公共卫生工作者和决策者提供有关预防和治疗疾病的方法。二次研究涉及使用现有的数据和已发表的科学研究结果。系统文献综述是二次研究的一种形式,旨在消除与叙述性综述相关的偏见。

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