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勘误

Corrigendum.

出版信息

Otolaryngol Head Neck Surg. 2017 Sep;157(3):539. doi: 10.1177/0194599817725542. Epub 2017 Aug 8.

Abstract

Schwartz SR, Magit AE, Rosenfeld RM, et al. Clinical practice guideline (update): earwax (cerumen impaction). Otolaryngol Head Neck Surg. 2017;156(1)(suppl):S1-S29. (Original DOI: 10.1177/0194599816671491) Schwartz SR, Magit AE, Rosenfeld RM, et al. Clinical practice guideline (update): earwax (cerumen impaction) executive summary. Otolaryngol Head Neck Surg. 2017;156(1):14-29. (Original DOI: 10.1177/0194599816678832) In the Clinical Practice Guideline Update and its Executive Summary, the new evidence was misstated. In the abstracts, "Differences from Prior Guideline," and "General Methods and Literature Search" sections of both pieces, the new evidence was described as being from "from 1 guideline, 6 systematic reviews, 5 randomized controlled trials, and 6 observational studies"; this should have read "1 guideline, 4 systematic reviews, and 5 randomized controlled trials." In addition, the fourth paragraph of the Methods section of the guideline and its executive summary ("Clinical Practice Guideline" p. 5, "Executive Summary" p. 3), which describe the English-language search, only included the quality criteria for systematic reviews and omitted the quality criteria for clinical practice guidelines and randomized controlled trials. This information has been included in the revised version below. Also included is a short section, required by the National Guidelines Clearinghouse, that explicitly states that the clinical practice guideline was based on systematic reviews. The initial English-language search identified 1 potential clinical practice guideline, 7 systematic reviews, 5 randomized controlled trials, and 10 other studies. All searches were conducted on April 3, 2015. Clinical practice guidelines were included if they met quality criteria of (a) an explicit scope and purpose, (b) multidisciplinary stakeholder involvement, (c) systematic literature review, (d) explicit system for ranking evidence, and (e) explicit system for linking evidence to recommendations. Systematic reviews were emphasized and included if they met quality criteria of (a) clear objective and methodology, (b) explicit search strategy, and (c) valid data extraction methods. Randomized controlled trials were included if they met quality criteria of (a) trials involved study randomization, (b) trials were described as double blind, or (c) trials denoted a clear description of withdrawals and dropouts of study participants. Additional evidence was identified, as needed, with targeted searches to support needs of the guideline development group in updating sections of the guideline text. Specifically, ear candling/coning was identified as an area of concern by the reviewers. The databases were also searched using both controlled vocabulary words and synonymous free text words for the topic of interest (ear candling and ear coning) in this population. The search strategies were adjusted for the syntax appropriate for each database/platform. The search was not limited by date range or study design but was limited to the English language. Therefore, in total, the evidence supporting this guideline includes 1 clinical practice guideline, 4 systematic reviews, and 5 randomized control trials. The recommendations in this clinical practice guideline are based on systematic reviews identified by a professional information specialist using an explicit search strategy. Additional background evidence included randomized controlled trials and observational studies, as needed, to supplement the systematic reviews or to fill gaps when a review was not available.

摘要

施瓦茨SR、马吉特AE、罗森菲尔德RM等。临床实践指南(更新版):耵聍(耵聍栓塞)。《耳鼻咽喉头颈外科杂志》。2017年;156(1)(增刊):S1 - S29。(原始DOI:10.1177/0194599816671491)施瓦茨SR、马吉特AE、罗森菲尔德RM等。临床实践指南(更新版):耵聍(耵聍栓塞)执行摘要。《耳鼻咽喉头颈外科杂志》。2017年;156(1):14 - 29。(原始DOI:10.1177/0194599816678832)在《临床实践指南更新版》及其执行摘要中,新证据表述有误。在这两篇文章的摘要、“与先前指南的差异”以及“一般方法和文献检索”部分,新证据被描述为来自“1篇指南、6篇系统评价、5项随机对照试验和6项观察性研究”;实际应为“1篇指南、4篇系统评价和5项随机对照试验”。此外,指南及其执行摘要的方法部分第四段(《临床实践指南》第5页,《执行摘要》第3页)描述英文检索时,仅纳入了系统评价的质量标准,遗漏了临床实践指南和随机对照试验的质量标准。此信息已包含在以下修订版中。还纳入了国家指南交换中心要求的一个简短部分,明确指出临床实践指南基于系统评价。最初的英文检索确定了1篇潜在的临床实践指南、7篇系统评价、5项随机对照试验和10项其他研究。所有检索均于2015年4月3日进行。如果临床实践指南符合以下质量标准则予以纳入:(a) 明确的范围和目的;(b) 多学科利益相关者参与;(c) 系统的文献综述;(d) 明确的证据分级系统;(e) 明确的证据与推荐意见关联系统。如果系统评价符合以下质量标准则予以强调并纳入:(a) 明确目的和方法;(b) 明确的检索策略;(c) 有效的数据提取方法。如果随机对照试验符合以下质量标准则予以纳入:(a) 试验涉及研究随机化;(b) 试验描述为双盲;(c) 试验对研究参与者的退出和失访有清晰描述。根据需要,通过针对性检索确定其他证据,以支持指南制定小组更新指南文本各部分的需求。具体而言, reviewers将耳烛/耳锥疗法确定为一个关注领域。还使用受控词汇和感兴趣主题(该人群中的耳烛和耳锥疗法)的同义自由文本词对数据库进行了检索。根据每个数据库/平台的语法调整检索策略。检索不受日期范围或研究设计限制,但限于英文。因此,支持本指南的证据总共包括1篇临床实践指南、4篇系统评价和5项随机对照试验。本临床实践指南中的推荐意见基于专业信息专家使用明确检索策略确定的系统评价。如有需要,额外的背景证据包括随机对照试验和观察性研究,以补充系统评价或在没有可用综述时填补空白。

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