London Institute of Healthcare Engineering, King's College London, London, UK.
Cochrane Schizophrenia Group, Division of Psychiatry and Applied Psychology, School of Medicine, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Health Info Libr J. 2023 Jun;40(2):201-216. doi: 10.1111/hir.12366. Epub 2021 Feb 18.
BACKGROUND: Systematic reviewing is a time-consuming and resource-intensive process. Information specialists are maintaining study-based registers to facilitate efficient conduct of systematic reviews. Classification of study-level meta-data -such as interventions -can result in much more accurate searches, saving time in the early steps of systematic reviewing. OBJECTIVE: To classify all pharmacological interventions from all schizophrenia trials. METHODS: We used Cochrane Schizophrenia's Study-based Register as the source of trials, Emtree and MeSH for synonyms, AdisInsight and CT.gov for research drugs and WHO ATC for marketed drugs. RESULTS: One third of tested interventions on patients with schizophrenia are pharmacological (816; belonging to 106 clinical classes) with antipsychotic drugs being the most researched (15.1%). Only 528 of these medications are listed in WHO ATC. Around one third of these drug interventions are seen only in research (236; from 21 pharmacological/biochemical classes). Within the pharmacological interventions, we identified 28 'qualifiers' including dose, route and timing of drug delivery. CONCLUSION: Identification and classification of pharmacological interventions from trials require use of many sources of information none of which are inclusive of all drugs. Limitations of each source are helpful to understand. Classification of non-pharmacological interventions is now a priority for clinical and information scientists and professionals.
背景:系统评价是一个耗时且资源密集型的过程。信息专家正在维护基于研究的注册系统,以促进系统评价的高效进行。对研究级元数据(如干预措施)进行分类可以导致更准确的搜索,从而在系统评价的早期步骤中节省时间。
目的:对所有精神分裂症试验中的所有药理学干预措施进行分类。
方法:我们使用 Cochrane Schizophrenia 的基于研究的注册系统作为试验来源,Emtree 和 MeSH 用于同义词,AdisInsight 和 CT.gov 用于研究药物,以及 WHO ATC 用于上市药物。
结果:接受精神分裂症治疗的患者中,三分之一的干预措施是药理学的(816 种;属于 106 种临床类别),其中抗精神病药物的研究最多(15.1%)。这些药物中只有 528 种被列入 WHO ATC。这些药物干预措施中有三分之一仅在研究中使用(236 种;来自 21 种药理学/生化类别)。在药理学干预措施中,我们确定了 28 个“限定词”,包括药物给药的剂量、途径和时间。
结论:从试验中识别和分类药理学干预措施需要使用许多信息来源,而这些来源没有一个包含所有药物。了解每个来源的局限性是有帮助的。现在,对临床和信息科学家以及专业人员来说,对非药理学干预措施进行分类是当务之急。
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