[《英国医学杂志》快速推荐：迈向临床实践指南制定的新模式]

[The BMJ Rapid Recommendations: towards a new model for the production of clinical practice guidelines].

作者信息

Agoritsas Thomas, Darbellay Farhoumand Pauline, Siemieniuk Reed, Heen Anja Fog, Lytvyn Lyubov, MacDonald Helen, Stahl-Timmins Will, Guyatt Gordon, Vandvik Per Olav

机构信息

Service de médecine interne générale, Département de médecine, 1211 Genève 14.

Department of Health Research Methods, Evidence and Impact, McMaster University, 1280 Main Street West, Hamilton, Ontario L8S 4L8, Canada.

出版信息

Rev Med Suisse. 2019 Jan 9;15(N° 632-633):149-155.

PMID:30657266

Abstract

Guidelines play a central role in clinical practice, but their development often does not meet trustworthiness standards, which makes them vulnerable to conflict of interest. Additional problems -include their insufficient updating, and current formats that do not support shared decision-making. To address these issues, we have created the Rapid Recommendations, in collaboration with the British -Medical Journal. In this innovative approach, we a) identify new practice-changing evidence ; b) incorporate them in updated -systematics reviews in about 45 days ; c) gather an international and unconflicted panel including patients and d) publish trust-worthy recommendation in about 90 days, along with new multilayered evidence summaries and tools that facilitate shared decision-making.

摘要

指南在临床实践中发挥着核心作用，但其制定过程往往不符合可信度标准，这使其容易受到利益冲突的影响。其他问题还包括更新不及时，以及当前的格式不支持共同决策。为了解决这些问题，我们与《英国医学杂志》合作创建了快速推荐。在这种创新方法中，我们：a）识别新的改变实践的证据；b）在约45天内将其纳入更新的系统评价；c）召集一个包括患者在内的无利益冲突的国际专家小组；d）在约90天内发布可信的推荐意见，以及新的多层次证据总结和有助于共同决策的工具。