Evidence-based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China; Lanzhou University Institute of Health Data Science, Lanzhou, China.
School of Chinese Medicine, Hong Kong Baptist University, Hong Kong, China.
J Clin Epidemiol. 2023 Mar;155:1-12. doi: 10.1016/j.jclinepi.2022.11.012. Epub 2022 Nov 28.
To identify reporting guidelines related to surgical technique and propose recommendations for areas that require improvement.
A protocol-guided scoping review was conducted. A literature search of MEDLINE, the EQUATOR Network Library, Google Scholar, and Networked Digital Library of Theses and Dissertations was conducted to identify surgical technique reporting guidelines published up to December 31, 2021.
We finally included 55 surgical technique reporting guidelines, vascular surgery (n = 18, 32.7%) was the most common among the clinical specialties covered. The included guidelines generally showed a low degree of international and multidisciplinary cooperation. Few guidelines provided a detailed development process (n = 14, 25.5%), conducted a systematic literature review (n = 13, 23.6%), used the Delphi method (n = 4, 7.3%), or described post-publication strategy (n = 6, 10.9%). The vast majority guidelines focused on the reporting of intraoperative period (n = 50, 90.9%). However, of the guidelines requiring detailed descriptions of surgical technique methodology (n = 43, 78.2%), most failed to provide guidance on what constitutes an adequate description.
Our study demonstrates significant deficiencies in the development methodology and practicality of reporting guidelines for surgical technique. A standardized reporting guideline that is developed rigorously and focuses on details of surgical technique may serve as a necessary impetus for change.
确定与手术技术相关的报告指南，并提出需要改进的领域的建议。
进行了协议指导的范围审查。对 MEDLINE、EQUATOR 网络图书馆、Google Scholar 和网络数字论文库进行了文献检索，以确定截至 2021 年 12 月 31 日发表的手术技术报告指南。
我们最终纳入了 55 项手术技术报告指南，涵盖的临床专业中，血管外科（n=18，32.7%）最为常见。纳入的指南普遍显示出国际和多学科合作程度较低。很少有指南提供详细的开发过程（n=14，25.5%）、进行系统文献综述（n=13，23.6%）、使用 Delphi 方法（n=4，7.3%）或描述发布后策略（n=6，10.9%）。绝大多数指南都侧重于报告手术期间（n=50，90.9%）。然而，在需要详细描述手术技术方法的指南中（n=43，78.2%），大多数都没有提供什么构成充分描述的指导。
我们的研究表明，手术技术报告指南在制定方法和实用性方面存在明显不足。一个严格制定并侧重于手术技术细节的标准化报告指南可能成为变革的必要动力。
