肺癌指南制定方法学:肺癌的诊断与管理,第 3 版:美国胸科学会循证临床实践指南。
Methodology for development of guidelines for lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines.
机构信息
American College of Chest Physicians, Northbrook, IL.
American College of Chest Physicians, Northbrook, IL.
出版信息
Chest. 2013 May;143(5 Suppl):41S-50S. doi: 10.1378/chest.12-2344.
BACKGROUND
The objective was to develop high-quality and comprehensive evidence-based guidelines on the diagnosis and management of lung cancer.
METHODS
A carefully crafted panel of lung cancer experts, methodologists, and other specialists was assembled and reviewed for relevant conflicts of interest. The American College of Chest Physicians guideline methodology was used. Population, intervention, comparator, outcome (PICO)-based key questions and defined criteria for eligible studies were developed to inform the search strategies, subsequent evidence summaries, and recommendations. Research studies, systematic reviews, and meta-analyses, where they existed, were assessed for quality and summarized to inform the recommendations.
RESULTS
Each recommendation was developed with supporting evidence and the consensus of the writing committees. Controversial recommendations were identified for further consultation by the entire panel, with anonymous voting to achieve consensus.
CONCLUSIONS
The final recommendations can be trusted by health-care providers, patients, and other stakeholders since they are based on the current evidence in these areas and were developed with trustworthy processes for guideline development.
背景
本研究旨在制定高质量且全面的肺癌诊断和管理循证指南。
方法
精心挑选肺癌专家、方法学家和其他专家组成小组,并对其相关利益冲突进行审查。采用美国胸科学会指南方法。基于人群、干预、对照、结局(PICO)的关键问题和合格研究的定义标准,制定了搜索策略、随后的证据总结和建议。对研究性研究、系统评价和荟萃分析进行质量评估并进行总结,以提供建议依据。
结果
每条建议均基于支持证据和写作委员会的共识制定。存在争议的建议将由全体小组成员进一步咨询,通过匿名投票达成共识。
结论
最终的建议可以得到医疗保健提供者、患者和其他利益相关者的信任,因为这些建议是基于这些领域的现有证据,并采用值得信赖的指南制定流程制定的。