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门诊普通内科最新进展:2022 年发表的具有改变实践意义的证据。

Update in Outpatient General Internal Medicine: Practice-Changing Evidence Published in 2022.

机构信息

Division of Community Internal Medicine, Geriatrics, and Palliative Care, Department of Medicine, Mayo Clinic, Rochester, Minn.

Division of Community Internal Medicine, Geriatrics, and Palliative Care, Department of Medicine, Mayo Clinic, Rochester, Minn.

出版信息

Am J Med. 2023 Sep;136(9):869-873. doi: 10.1016/j.amjmed.2023.05.014. Epub 2023 May 26.

Abstract

It can be difficult for clinicians to stay updated on practice-changing articles.  Synthesis of relevant articles and guideline updates can facilitate staying informed on important new data impacting clinical practice.  The titles and abstracts from the 7 general internal medicine outpatient journals with highest impact factors and relevance were reviewed by 8 internal medicine physicians. Coronavirus disease 2019 research was excluded.  The New England Journal of Medicine (NEJM), The Lancet, the Journal of the American Medical Association, The British Medical Journal (BMJ), the Annals of Internal Medicine, JAMA Internal Medicine, and Public Library of Science Medicine were reviewed. Additionally, article synopsis collections and databases were reviewed: American College of Physicians Journal Club, NEJM Journal Watch, BMJ Evidence-Based Medicine, McMaster/DynaMed Evidence Alerts, and Cochrane Reviews. A modified Delphi method was used to gain consensus based on clinical relevance to outpatient internal medicine, potential impact on practice, and strength of evidence. Article qualities and importance were debated until consensus was reached. Clusters of articles pertinent to the same topic were considered together. In total, 5 practice-changing articles were included, along with a highlight of key guideline updates.

摘要

对于临床医生来说,及时了解具有改变实践意义的文章可能具有挑战性。综合相关文章和指南更新可以帮助了解对临床实践有重要影响的新数据。由 8 名内科医生对具有最高影响力和相关性的 7 种普通内科门诊期刊的标题和摘要进行了回顾。排除了与 2019 年冠状病毒病相关的研究。对《新英格兰医学杂志》(NEJM)、《柳叶刀》、《美国医学会杂志》、《英国医学杂志》(BMJ)、《内科学年鉴》、《JAMA 内科》和《公共科学图书馆医学》进行了回顾。此外,还对文章摘要集和数据库进行了回顾:美国医师学院杂志俱乐部、NEJM 期刊观察、BMJ 循证医学、麦克马斯特/DynaMed 证据警报和 Cochrane 综述。使用改良 Delphi 方法根据对外科门诊内科的临床相关性、对实践的潜在影响以及证据强度达成共识。在达成共识之前,对文章质量和重要性进行了辩论。与同一主题相关的文章聚类被一起考虑。共有 5 篇具有改变实践意义的文章被纳入,以及关键指南更新的重点。

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