Hopayian Kevork, Dimosthenous Sotiris
Department of Primary Care and Population Health, University of Nicosia Medical School, Nicosia, Cyprus.
Fam Pract. 2024 Apr 15;41(2):194-197. doi: 10.1093/fampra/cmad091.
The National Institute of Health and Clinical Excellence provides a web-based resource, Clinical Knowledge Summaries (CKS), whose aim is to give evidence-based guidance for primary care practitioners and students. Included in the information it provides, are tools for the classification of conditions.
The objective of this study was to measure the proportion and utility of the classification tools that have implications for management.
Each topic on the CKS website was screened in alphabetical order for the presence of a classification tool. The linkage to management and the strength of recommendations were extracted by 2 researchers working independently. Disagreements were resolved through discussion.
Classification tools were present for 35 conditions. There were 52 tools in all. A strong recommendation for their use was made in 37% while for a sizeable minority, 46%, the strength of recommendation was uncertain. There was a relation between strength of recommendation and linkage: for the stronger recommendation, 76% had some form of implication for management.
Relevance is an important feature of a guideline for general practitioners (GPs). Given that nearly half its tools have no utility in guiding management, CKS may need to consider whether extraneous information should be disposed of or retained.
英国国家卫生与临床优化研究所提供了一个基于网络的资源——临床知识总结（CKS），其目的是为初级保健从业者和学生提供循证指导。它所提供的信息中包括病情分类工具。
本研究的目的是衡量对管理有影响的分类工具的比例和实用性。
按照字母顺序对CKS网站上的每个主题进行筛查，以确定是否存在分类工具。由两名独立工作的研究人员提取与管理的关联以及推荐强度。分歧通过讨论解决。
针对35种病情有分类工具。总共有52种工具。37%的工具被强烈推荐使用，而对于相当一部分（46%）工具，推荐强度不确定。推荐强度与关联性之间存在关联：对于更强的推荐，76%对管理有某种形式的影响。
相关性是全科医生指南的一个重要特征。鉴于其近一半的工具在指导管理方面没有用处，CKS可能需要考虑是否应舍弃或保留无关信息。
