American Academy of Orthopaedic Surgeons, Rosemont, IL, USA.
J Am Acad Orthop Surg. 2013 Aug;21(8):502-5. doi: 10.5435/JAAOS-21-08-502.
The American Academy of Orthopaedic Surgeons has developed Appropriate Use Criteria (AUC) for treating distal radius fractures (DRF). Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the criteria to improve patient care and obtain best outcomes while considering the subtleties and distinctions necessary in making clinical decisions. The DRF AUC clinical patient scenarios were derived from patient indications that generally accompany a DRF, as well as from current evidence-based clinical practice guidelines and supporting literature. The 216 indications and 10 treatments were developed by the Writing Panel, a group of clinicians who are specialists in this AUC topic. Next, the Review Panel, a separate group of volunteer physicians, independently reviewed these materials to ensure that they were representative of patient scenarios that clinicians are likely to encounter in daily practice. Finally, the multidisciplinary Voting Panel (made up of specialists and nonspecialists) rated the appropriateness of treatment of each patient scenario using a 9-point scale to designate a treatment as Appropriate (median rating, 7 to 9), May Be Appropriate (median rating, 4 to 6), or Rarely Appropriate (median rating, 1 to 3).
美国矫形外科医师学会已经制定了治疗桡骨远端骨折 (DRF) 的适当使用标准 (AUC)。这些标准是使用循证信息，并结合医生的临床专业知识制定的，旨在改善患者护理并获得最佳结果，同时考虑到在做出临床决策时所需的细微差别和区别。DRF AUC 临床患者情况源自通常伴随 DRF 的患者指征，以及当前基于循证的临床实践指南和支持文献。216 个适应证和 10 种治疗方法由写作小组制定，该小组由该 AUC 主题的专家组成。然后，由一组独立的志愿医生组成的审查小组独立审查这些材料，以确保它们代表了临床医生在日常实践中可能遇到的患者情况。最后，由专家和非专家组成的多学科投票小组使用 9 分制对每个患者情况的治疗适宜性进行评分，以指定治疗为适宜 (中位数评分 7 至 9)、可能适宜 (中位数评分 4 至 6) 或很少适宜 (中位数评分 1 至 3)。
