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肿瘤骨科研究中的证据级别 - 《巴西骨科学报》（1993 - 2022年）

LEVELS OF EVIDENCE IN ONCOLOGIC-ORTHOPEDIC STUDIES - ACTA ORTOP BRAS (1993-2022).

作者信息

Guedes Alex, Sousa Ângelo Rebouças Fernandes Curvelo, Santana Marco Aurélio Santos, Guedes Aparecida Aguiar Lima, Becker Ricardo Gehrke, de Camargo Olavo Pires

机构信息

Grupo de Oncologia Ortopédica, Hospital Santa Izabel, Santa Casa de Misericórdia da Bahia, Salvador, BA, Brazil.

Programa de Residência Médica em Ortopedia e Traumatologia, Hospital Santa Izabel, Santa Casa de Misericórdia da Bahia, Salvador, BA, Brazil.

出版信息

Acta Ortop Bras. 2024 Oct 28;32(5):e285265. doi: 10.1590/1413-785220243205e285265. eCollection 2024.

DOI:10.1590/1413-785220243205e285265
PMID:39493965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11530218/
Abstract

OBJECTIVES

to identify oncological-orthopedic studies published in Acta Ortopédica Brasileira over three decades; to classify them according to the type and level of evidence (LE); to observe the inter-rater agreement in the classification of studies; to analyze the studies retrospectively, according to levels of evidence; and to outline the evolution of the evidence in the study period.

METHODS

Descriptive analyses were performed with absolute and relative frequencies of studies published between 1993 and 2022. Inter-rater agreement was analyzed by percentage of agreement and Kappa statistic (95%CI). The interpretation of the magnitude of the agreement was performed according to Landis & Koch. The association between classifications and publication period was analyzed using Fisher's exact test. The analyses were performed using the R program (significance of 5%).

RESULTS

69/1349 papers were selected; there was a significant association between type of study, statistical methodology, and LE with publication period (p < 0.05); inter-rater agreement regarding LE was 92.8%.

CONCLUSIONS

Oncological-orthopedic studies accounted for 5.1% of all published papers. Regarding the LE, 80% were NE IV and V studies, despite the evolution observed between the first and last decade (decrease in LE V studies and increase in LE II, III and IV).

摘要

目的

识别在《巴西骨科学报》上发表超过三十年的肿瘤骨科研究；根据证据类型和水平（LE）对其进行分类；观察研究分类中的评分者间一致性；根据证据水平对研究进行回顾性分析；概述研究期间证据的演变。

方法

对1993年至2022年发表的研究的绝对和相对频率进行描述性分析。通过一致性百分比和Kappa统计量（95%CI）分析评分者间一致性。根据Landis & Koch对一致性程度进行解释。使用Fisher精确检验分析分类与发表期之间的关联。使用R程序进行分析（显著性为5%）。

结果

共筛选出69/1349篇论文；研究类型、统计方法和LE与发表期之间存在显著关联（p < 0.05）；关于LE的评分者间一致性为92.8%。

结论

肿瘤骨科研究占所有发表论文的5.1%。关于LE，80%为NE IV和V级研究，尽管在第一个十年和最后一个十年之间观察到了演变（LE V级研究减少，LE II、III和IV级研究增加）。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/d58713d95c67/1809-4406-aob-32-05-e285265-f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/aa5133b7a22a/1809-4406-aob-32-05-e285265-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/dc2fe2015fd3/1809-4406-aob-32-05-e285265-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/bada858f07f1/1809-4406-aob-32-05-e285265-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/1d2dec772d80/1809-4406-aob-32-05-e285265-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/3e27b6420b1d/1809-4406-aob-32-05-e285265-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/fa4d132609c1/1809-4406-aob-32-05-e285265-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/50da51fd93ba/1809-4406-aob-32-05-e285265-f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/0976f9be2577/1809-4406-aob-32-05-e285265-f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/d58713d95c67/1809-4406-aob-32-05-e285265-f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/aa5133b7a22a/1809-4406-aob-32-05-e285265-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/dc2fe2015fd3/1809-4406-aob-32-05-e285265-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/bada858f07f1/1809-4406-aob-32-05-e285265-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/1d2dec772d80/1809-4406-aob-32-05-e285265-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/3e27b6420b1d/1809-4406-aob-32-05-e285265-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/fa4d132609c1/1809-4406-aob-32-05-e285265-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/50da51fd93ba/1809-4406-aob-32-05-e285265-f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/0976f9be2577/1809-4406-aob-32-05-e285265-f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d2/11530218/d58713d95c67/1809-4406-aob-32-05-e285265-f9.jpg

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Description of research design of articles published in four Brazilian physical therapy journals.巴西四本物理治疗期刊发表文章的研究设计描述。
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