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使用 AGREE II 工具对压力性尿失禁的诊断和治疗临床实践指南进行批判性评估:系统评价方案。

Critical appraisal of clinical practice guidelines for the diagnosis and treatment of stress urinary incontinence using AGREE II instrument: a systematic review protocol.

机构信息

King's College London, Florence Nightingale Faculty of Nursing, Midwifery and Palliative care, London, UK

Nursing department, Nanjing Vocational Health College, Nanjing, China.

出版信息

BMJ Open. 2019 Sep 20;9(9):e030299. doi: 10.1136/bmjopen-2019-030299.

DOI:10.1136/bmjopen-2019-030299
PMID:31542749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6756316/
Abstract

INTRODUCTION

Stress urinary incontinence is a major health problem, and several clinical guidelines have been formulated and released regarding this in different countries. However, the recommendations in these guidelines formulated by different organisations and countries are inconsistent. This review aims to conduct a critical appraisal of clinical practice guidelines for the diagnosis and treatment of stress urinary incontinence.

METHODS AND ANALYSIS

We will conduct a comprehensive search in the following databases: PubMed, Embase, Medline, Cochrane Library, three Chinese databases and six guideline databases. The databases will be searched from January 2003, and the comprehensive search will be done again to include all the qualified guidelines before making conclusions. The quality of clinical practice guidelines will be assessed by three appraisers using the Appraisal of Guidelines Research and Evaluation II instrument, and this will be scored. The recommendation available in the guidance will also be summarised in different domains including the diagnosis standard, recommended examination and questionnaire for assessment, conservative treatment and surgical treatment.

ETHICS AND DISSEMINATION

This review will be disseminated through peer-reviewed publications. The results will help inform the health practitioners about the recommendations in clinical practice guidelines.

PROSPERO REGISTRATION NUMBER

CRD42018115743.

摘要

简介

压力性尿失禁是一个主要的健康问题,不同国家已经制定并发布了多项关于该病的临床指南。然而,不同组织和国家制定的这些指南中的建议并不一致。本综述旨在对压力性尿失禁的诊断和治疗临床实践指南进行批判性评估。

方法与分析

我们将在以下数据库中进行全面检索:PubMed、Embase、Medline、Cochrane 图书馆、三个中文数据库和六个指南数据库。这些数据库将从 2003 年 1 月开始检索,并在得出结论前再次进行全面检索,以纳入所有合格的指南。使用评估指南研究和评估 II 工具,由三名评估员对临床实践指南的质量进行评估,并对其进行评分。还将根据诊断标准、推荐的检查和评估问卷、保守治疗和手术治疗等不同领域,总结指南中提供的建议。

伦理与传播

本综述将通过同行评审出版物进行传播。研究结果将帮助卫生保健从业者了解临床实践指南中的建议。

前瞻性注册号

CRD42018115743。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59f0/6756316/dce6b7edfddc/bmjopen-2019-030299f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59f0/6756316/bb6829014941/bmjopen-2019-030299f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59f0/6756316/dce6b7edfddc/bmjopen-2019-030299f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59f0/6756316/bb6829014941/bmjopen-2019-030299f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59f0/6756316/dce6b7edfddc/bmjopen-2019-030299f02.jpg

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Cancer Med. 2019 Jan;8(1):209-215. doi: 10.1002/cam4.1933. Epub 2018 Dec 21.
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BMJ Open. 2017 Jun 23;7(6):e014928. doi: 10.1136/bmjopen-2016-014928.
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Surgical Treatment of Female Stress Urinary Incontinence: AUA/SUFU Guideline.女性压力性尿失禁的外科治疗:AUA/SUFU 指南。
J Urol. 2017 Oct;198(4):875-883. doi: 10.1016/j.juro.2017.06.061. Epub 2017 Jun 15.
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