Moss Rehabilitation Research Institute, Elkins Park, PA.
Wayne State University, Detroit, MI; Icahn School of Medicine at Mount Sinai, New York, NY.
Arch Phys Med Rehabil. 2018 Jul;99(7):1433-1435. doi: 10.1016/j.apmr.2018.03.008. Epub 2018 Apr 9.
Several guidelines have been published with the goal of increasing the usefulness of reports of clinical research. Although such guidelines may clarify key features of study design, the way in which rehabilitation treatments themselves are described continues to be problematic and limits the ability to replicate research, synthesize evidence across studies, or apply these treatments in practice. Lohse et al report little improvement in the description of rehabilitation treatments in recent years, with particular limitations in the description of comparison or standard-of-care treatments. This commentary explores the kind of published treatment descriptions that would be most useful in supporting evidence synthesis and clinical implementation and examines the degree to which a developing conceptual framework-the Rehabilitation Treatment Specification System-might support improvements in research reporting.
已经发布了几项指南，旨在提高临床研究报告的有用性。尽管这些指南可能阐明了研究设计的关键特征，但康复治疗本身的描述方式仍然存在问题，限制了研究的复制、跨研究综合证据的能力，或在实践中应用这些治疗方法。Lohse 等人报告说，近年来康复治疗的描述几乎没有改善，特别是在描述比较或标准护理治疗方面存在特别的局限性。本评论探讨了在支持证据综合和临床实施方面最有用的已发表的治疗描述，并研究了正在发展的概念框架——康复治疗规范系统在多大程度上支持研究报告的改进。
