Pohontsch Nadine Janis, Hense Helene, Lentsch Veronika
Institut und Poliklinik für Allgemeinmedizin, Universitätsklinikum Hamburg-Eppendorf.
Zentrum für Evidenzbasierte Gesundheitsversorgung (ZEGV), Medizinische Fakultät und Universitätsklinikum Carl Gustav Carus der Technischen Universität Dresden.
Rehabilitation (Stuttg). 2024 Aug;63(4):238-246. doi: 10.1055/a-2263-1270. Epub 2024 Apr 8.
Qualitative evidence syntheses (QES) are still uncommon in German rehabilitation research, although robust syntheses of qualitative evidence may lead to more strongly scientifically based decisions in health care. This article introduces the topic of qualitative evidence synthesis by describing three different synthesis methods - thematic synthesis, meta-ethnography, and grounded theory synthesis - and illustrating them with examples from rehabilitation research. This is followed by guidance on selecting the appropriate QES-method and reflections on the challenges of QES that are associated with the literature search and quality assessment of the studies to be included in the synthesis. Likewise considerations on quality criteria and their application are taken into account. GRADE-CERQual provides guidance for assessing confidence of findings from QES. Finally the value of QES for rehabilitation research is discussed.
定性证据综合(QES)在德国康复研究中仍然并不常见,尽管对定性证据进行有力的综合可能会使医疗保健决策更具坚实的科学依据。本文通过描述三种不同的综合方法——主题综合、元民族志和扎根理论综合——并以康复研究中的实例进行说明,来介绍定性证据综合这一主题。接下来是关于选择合适的QES方法的指导,以及对与文献检索和纳入综合研究的质量评估相关的QES挑战的思考。同样也考虑了质量标准及其应用。GRADE-CERQual为评估QES结果的可信度提供了指导。最后讨论了QES对康复研究的价值。