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临床实践指南患者版制定方法学的异质性:范围综述。

Heterogeneous methodology in the development of patient versions of clinical practice guidelines: a scoping review.

机构信息

Institute for Research in Operative Medicine (IFOM), Witten/Herdecke University, Cologne, Germany.

Institute for Research in Operative Medicine (IFOM), Witten/Herdecke University, Cologne, Germany.

出版信息

J Clin Epidemiol. 2023 Sep;161:53-64. doi: 10.1016/j.jclinepi.2023.07.005. Epub 2023 Jul 21.

Abstract

OBJECTIVES

We aimed to gain an overview of the methods and approaches used to develop, disseminate, and implement patient versions of clinical practice guidelines (PVGs).

METHODS

We searched PubMed and MEDLINE through Ovid for articles reporting on the development, dissemination, or implementation of PVGs until March 2022. We searched the homepages of guideline organizations, screened the reference lists of the included documents, and asked experts to complement the publications. We narratively synthesized the findings.

RESULTS

Of 3,941 publications screened, 27 were included in the study. The identified method reports focused on patient involvement and peer-review processes. The other included publications highlighted the relevance of broad dissemination strategies and emphasized the importance of patient involvement and improving the readability of PVGs by using lay terms and shorter sentences.

CONCLUSION

The terminology used for PVGs varies widely. The extent to which the methods were described was heterogeneous. Organizations developing PVGs should make their methods publicly available and use uniform labeling for PVGs in English to improve their use and recognition, not only for other PVG producers but also for patients and the public. A consensus regarding a minimum reporting standard for developing PVGs internationally and developing guiding principles is desirable.

摘要

目的

我们旨在全面了解用于制定、传播和实施临床实践指南患者版(PVGs)的方法和途径。

方法

我们通过 Ovid 搜索 PubMed 和 MEDLINE,检索截至 2022 年 3 月报告 PVG 制定、传播或实施的文章。我们搜索了指南组织的主页,筛选了纳入文献的参考文献列表,并请专家补充出版物。我们对研究结果进行了叙述性综合。

结果

在筛选出的 3941 篇文献中,有 27 篇被纳入研究。确定的方法报告侧重于患者参与和同行评审过程。其他纳入的文献强调了广泛传播策略的相关性,并强调了患者参与和使用通俗易懂的术语和更短的句子来提高 PVG 的可读性的重要性。

结论

PVG 使用的术语差异很大。描述方法的程度存在差异。制定 PVG 的组织应公开其方法,并在英语中使用统一的标签来为 PVG,不仅为其他 PVG 生产者,也为患者和公众提高其使用和认可度。国际上制定用于开发 PVG 的最低报告标准和制定指导原则是可取的。

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