Sim I, Rennels G
Section on Medical Informatics, Stanford University School of Medicine, Stanford University, CA, USA.
Proc Annu Symp Comput Appl Med Care. 1995:863-7.
Clinical trials constitute one of the main sources of medical knowledge, yet trial reports are difficult to find, read, and apply to clinical care. Reasons for these difficulties include the lack of a common, standardized, structure for trial reports; the restricted length of reports; and limited computer support for use of the literature. We propose a new model of reporting clinical trials, in which trials are published as both prose commentary and as data in electronic "trial banks." The prose will allow authors to discuss their trials in writing; the electronic database will allow readers easy access to well-defined data about the trials. We are developing a formal conceptual model of the clinical trials domain for integrating the use of multiple trial banks. We will then focus on validating this conceptual model with clinical literature users.
临床试验是医学知识的主要来源之一,但试验报告很难查找、阅读并应用于临床护理。造成这些困难的原因包括缺乏通用的、标准化的试验报告结构;报告篇幅受限;以及在文献使用方面计算机支持有限。我们提出了一种报告临床试验的新模式,即试验既以散文式评论形式发表,也作为电子“试验库”中的数据发表。散文式评论将使作者能够以书面形式讨论他们的试验;电子数据库将使读者能够轻松获取有关试验的明确数据。我们正在开发一个临床试验领域的正式概念模型,以整合多个试验库的使用。然后,我们将专注于与临床文献使用者一起验证这个概念模型。