Hayward R S, Wilson M C, Tunis S R, Bass E B, Rubin H R, Haynes R B
Johns Hopkins University, Baltimore, Maryland.
Ann Intern Med. 1993 May 1;118(9):731-7. doi: 10.7326/0003-4819-118-9-199305010-00012.
Recommendations are proposed for preparing more informative abstracts of articles describing clinical practice guidelines. Information about the development and content of guidelines should be summarized with the following structure.
a succinct statement of the objective of the guideline, including the targeted health problem, the targeted patients and providers, and the main reason for developing recommendations concerning this problem for this population.
principal practice options that were considered in formulating the guideline.
significant health and economic outcomes identified as potential consequences of the practice options.
Methods used to gather, select, and synthesize evidence, and the date of the most recent evidence obtained.
persons and methods used to assign values (relative importance) to potential outcomes of alternative practice options.
BENEFITS, HARMS, AND COSTS: the type and magnitude of the main benefits, harms, and costs that are expected to result from guideline implementation.
a brief and specific list of key recommendations.
the results of any external review, comparison with guidelines developed by other groups, or clinical testing of guideline use.
key persons or groups that developed, funded, or endorsed the guideline. Abstracts adhering to these recommendations could enhance readers' ability to appraise the applicability, importance, and validity of guidelines for specific providers, patients, and settings. More informative abstracts could also promote the use of more explicit methods of guideline development, more consistent reporting of guideline documents, and the more appropriate use of guidelines by clinicians.
针对撰写描述临床实践指南的文章的更具信息量的摘要,提出了相关建议。指南的制定过程和内容信息应以以下结构进行总结。
对指南目的的简洁陈述,包括目标健康问题、目标患者和医疗服务提供者,以及针对该人群针对此问题制定建议的主要原因。
制定指南时考虑的主要实践选项。
确定为实践选项潜在后果的重大健康和经济结果。
用于收集、选择和综合证据的方法,以及获得的最新证据的日期。
用于为替代实践选项的潜在结果赋予价值(相对重要性)的人员和方法。
益处、危害和成本:预计指南实施将产生的主要益处、危害和成本的类型和程度。
关键建议的简短而具体的列表。
任何外部审查的结果、与其他团体制定的指南的比较,或指南使用的临床测试结果。
制定、资助或认可该指南的关键人员或团体。遵循这些建议的摘要可以提高读者评估指南对特定医疗服务提供者、患者和环境的适用性、重要性和有效性的能力。更具信息量的摘要还可以促进使用更明确的指南制定方法、更一致地报告指南文件,以及临床医生更恰当地使用指南。