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发表的关于物理治疗干预证据的报告中是否包含通俗易懂的摘要?对 Physiotherapy Evidence Database(PEDro)上的 4421 项随机试验、系统评价和指南进行的分析。

Are plain-language summaries included in published reports of evidence about physiotherapy interventions? Analysis of 4421 randomised trials, systematic reviews and guidelines on the Physiotherapy Evidence Database (PEDro).

机构信息

Department of Physical Therapy, Faculty of Science and Technology, Sao Paulo State University, Presidente Prudente, Brazil.

Sydney Medical School, University of Sydney, Sydney, Australia; Centre for Evidence-Based Physiotherapy, Institute for Musculoskeletal Health, School of Public Health, University of Sydney, Sydney, Australia.

出版信息

Physiotherapy. 2019 Sep;105(3):354-361. doi: 10.1016/j.physio.2018.11.003. Epub 2018 Nov 15.

DOI:10.1016/j.physio.2018.11.003
PMID:30876718
Abstract

BACKGROUND

A plain-language summary is a short and clearly stated version of a study's results using non-scientific vocabulary that provide many advantages for patients and clinicians in the process of shared decision-making.

OBJECTIVES

The primary objective was to investigate the extent to which published reports of physiotherapy interventions provide plain-language summaries. We investigate as the secondary objectives if the available plain-language summaries are at a suitable reading level for a lay person and if inclusion of plain-language summaries in these reports is increasing over time and is associated with trial quality (i.e. PEDro score).

DATA SOURCES

All 4421 randomised controlled trials (RCT), systematic reviews and clinical practice guidelines that included plain-language summaries indexed on Physiotherapy Evidence Database (PEDro) were included.

MAIN OUTCOME MEASURES

Proportion of published reports with plain-language summaries, Flesch Reading Ease Score (FRES) and the Flesch-Kincaid Grade Level (FKGL).

RESULTS

The number of published reports with a plain-language summary doubled in the last 6 years. From a total of 34,444 reports indexed on PEDro, only 4421 reports had English plain-language summaries. RCTs with plain-language summaries had higher PEDro scores than RCTs without plain-language summaries (mean difference=0.8 points, 95%CI 0.7 to 0.8). Only 2% of reports were considered at a suitable reading level by the FKGL formula and 0.1% by the FRES formula.

CONCLUSIONS

Although the publication of plain-language summaries is increasing over time, the current number corresponds to only 13% of all published reports. In addition the majority of plain-language summaries are written at an advanced reading level.

摘要

背景

通俗易懂的摘要(plain-language summary)是研究结果的简明陈述版本,使用非科学词汇,为患者和临床医生在共同决策过程中提供了许多优势。

目的

主要目的是调查已发表的物理治疗干预措施报告中提供通俗易懂摘要的程度。我们还调查了以下次要目标:可用的通俗易懂摘要是否适合一般人阅读水平,以及这些报告中包含通俗易懂摘要的情况是否随时间的推移而增加,并与试验质量(即 PEDro 评分)相关。

数据来源

所有包含通俗易懂摘要的索引在 Physiotherapy Evidence Database(PEDro)上的 4421 项随机对照试验(RCT)、系统评价和临床实践指南均被纳入。

主要观察指标

发表报告中包含通俗易懂摘要的比例、Flesch 阅读舒适度得分(Flesch Reading Ease Score,FRES)和 Flesch-Kincaid 年级水平(Flesch-Kincaid Grade Level,FKGL)。

结果

过去 6 年来,发表有通俗易懂摘要的报告数量增加了一倍。在 PEDro 索引的 34444 项报告中,仅有 4421 项报告有英文通俗易懂摘要。有通俗易懂摘要的 RCT 的 PEDro 评分高于没有通俗易懂摘要的 RCT(平均差异=0.8 分,95%置信区间 0.7 至 0.8)。只有 2%的报告通过 FKGL 公式和 0.1%的报告通过 FRES 公式被认为适合阅读水平。

结论

尽管通俗易懂摘要的发表数量随着时间的推移而增加,但目前的数量仅占已发表报告的 13%。此外,大多数通俗易懂摘要的阅读水平较高。

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