Haselkorn J K, Turner J A, Diehr P K, Ciol M A, Deyo R A
Physical Medicine & Rehabilitation Service, Veterans Affairs Medical Center, Seattle, Washington.
Spine (Phila Pa 1976). 1994 Sep 15;19(18 Suppl):2076S-2082S.
Meta-analysis is a systematic and objective methodology for synthesizing research literature. The authors present the history and definition of meta-analysis, discuss the generic framework for design and implementation of a meta-analysis, and review the problems and pitfalls that can accompany meta-analyses. Their discussion draws on practical experience with several meta-analyses of the low back pain literature. Meta-analysis can be used to help answer the questions about various options for diagnosis and treatment of low back problems and also to point out gaps in our knowledge base that may have a high priority for research. Meta-analytic methods are an informative means of addressing health care controversies with major patient management and cost implications.
荟萃分析是一种用于综合研究文献的系统且客观的方法。作者介绍了荟萃分析的历史和定义,讨论了荟萃分析设计与实施的通用框架,并回顾了荟萃分析可能伴随的问题与陷阱。他们的讨论借鉴了对腰痛文献进行多项荟萃分析的实践经验。荟萃分析可用于帮助解答有关腰痛问题诊断和治疗的各种选择的疑问,还能指出我们知识库中可能具有高度研究优先级的空白。荟萃分析方法是解决具有重大患者管理和成本影响的医疗保健争议的一种信息丰富的手段。