Carrasco-Labra Alonso, Brignardello-Petersen Romina, Glick Michael, Guyatt Gordon H, Neumann Ignacio, Azarpazhooh Amir
J Am Dent Assoc. 2015 May;146(5):327-336.e1. doi: 10.1016/j.adaj.2015.03.015.
Clinical practice guidelines represent highly processed evidence with associated recommendations to inform clinical practice and optimize patient care. Appropriately developed, evidence-based recommendations will integrate the best evidence regarding benefits and harms, the certainty of the evidence, patients' values and preferences, and resource utilization.
The authors provide a structure for clinicians to critically appraise clinical practice guidelines to determine whether the guidelines offer trustworthy recommendations.
临床实践指南呈现了经过高度提炼的证据以及相关建议,旨在为临床实践提供指导并优化患者护理。经过恰当制定的循证建议将整合有关益处与危害的最佳证据、证据的确定性、患者的价值观和偏好以及资源利用情况。
作者为临床医生提供了一种结构,用于批判性地评估临床实践指南,以确定这些指南是否提供了可靠的建议。